Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR Vaccine Meningococcal Serogroups a/C/Y/W-135 Quadrivalent (Mcv4/Menacwy) Im
Low
$0
Average
$312
Median
$213
High
$8.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
870 hospitals; the 90th percentile is 4.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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1,237 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $153 | $153 | — | — | 365–383 | $153 – $153 |
| 2 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $211 | $211 | $8 | 4% | 325–343 | $203 – $218 |
| 3 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $174 | $174 | — | — | 225 | $174 – $174 |
| 4 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $163 | $163 | — | — | 171 | $163 – $163 |
| 5 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 50 | $483 | $475 | $24 | 5% | 130–193 | $386 – $483 |
| 6 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 3 | $189 | $189 | — | — | 95–113 | $189 – $189 |
| 7 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | 79 | $165 – $165 |
| 8 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $177 | $163 | $30 | 18% | 66–210 | $103 – $177 |
| 9 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 14 | $128 | $128 | — | — | 54–81 | $128 – $128 |
| 10 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 3 | $68 | $67 | $18 | 26% | 50–68 | $50 – $106 |
| 11 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $234 | $234 | — | — | 43–88 | $234 – $234 |
| 12 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $125 | $125 | — | — | 42 | $125 – $125 |
| 13 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 4 | $99 | $98 | $2 | 2% | 39 | $94 – $100 |
| 14 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.1k | $204 | 19% | 26 | $865 – $1.3k |
| 15 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $253 | $253 | — | — | 26 | $253 – $253 |
| 16 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $167 | $167 | — | — | 23–32 | $167 – $167 |
| 17 | Wetzel County Hospital, Inc. New Martinsville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | — | — | 21 | $116 – $116 |
| 18 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $234 | $234 | — | — | 20–83 | $234 – $234 |
| 19 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 3 | $189 | $189 | — | — | 17–26 | $189 – $189 |
| 20 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $157 | $157 | $1 | 0% | 13 | $156 – $158 |
| 21 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | $73 | 82% | 13 | $16 – $162 |
| 22 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 2 | $153 | $122 | $66 | 54% | 6–60 | $30 – $182 |
| 23 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $167 | $167 | — | — | 4–40 | $167 – $167 |
| 24 | St Louis Childrens Hospital Saint Louis, MO fee schedule · both | 2 | $890 | $890 | $185 | 21% | 4–40 | $705 – $1.1k |
| 25 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $455 | $455 | $20 | 4% | 3–30 | $435 – $474 |
← Payers reporting CPT 90734 · Snapshot 20261111T120946Z-9134e7f7