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
$371
Median
$305
High
$8.2k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1181 hospitals; the 90th percentile is 4.8× 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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1,655 hospital rates
iThe hospitals that file a Cigna 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 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $484 | $484 | $15 | 3% | 165–174 | $469 – $499 |
| 2 | Mishawaka Medical Center Mishawaka, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $132 | $132 | — | — | 35 | $132 – $132 |
| 3 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $187 | $187 | — | — | 30 | $187 – $187 |
| 4 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $179 | $179 | — | — | 25 | $179 – $179 |
| 5 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $193 | $193 | — | — | 25 | $193 – $193 |
| 6 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $234 | $234 | — | — | 20 | $234 – $234 |
| 7 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $260 | $260 | — | — | 19 | $260 – $260 |
| 8 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $329 | $370 | $76 | 21% | 17–26 | $321 – $501 |
| 9 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $48 | $7 | 14% | 12–21 | $42 – $58 |
| 10 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 3 | $159 | $126 | $75 | 60% | 4–40 | $0 – $186 |
| 11 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $183 | — | — | 2–20 | $183 – $183 |
| 12 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $158 | $158 | — | — | 2–20 | $158 – $158 |
| 13 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $187 | $187 | — | — | 2–20 | $187 – $187 |
| 14 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $154 | $154 | $30 | 20% | 2–20 | $124 – $185 |
| 15 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $193 | $193 | — | — | 2–20 | $193 – $193 |
| 16 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 3 | $255 | $256 | $10 | 4% | 2–20 | $245 – $269 |
| 17 | The Children's Hospital of Alabama Birmingham, AL facility · percent of total billed charges · bothfrom % of charges | 1 | $262 | $283 | $96 | 34% | 2–20 | $227 – $515 |
| 18 | The Children's Hospital of Alabama Birmingham, AL facility · percent of total billed charges · bothfrom % of charges | 1 | $245 | $245 | $17 | 7% | 2–20 | $227 – $262 |
| 19 | University of Arkansas for Medical Sciences Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $145 | $145 | — | — | 2–20 | $145 – $145 |
| 20 | Wetzel County Hospital, Inc. New Martinsville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $199 | $199 | — | — | 2–20 | $199 – $199 |
| 21 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 3 | $349 | $335 | $19 | 6% | 1–10 | $308 – $349 |
| 22 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $185 | $185 | — | — | 1–10 | $185 – $185 |
| 23 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $861 | $861 | — | — | 1–10 | $861 – $861 |
| 24 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 4 | $219 | $221 | $5 | 2% | 1–10 | $219 – $230 |
| 25 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $175 | $175 | $7 | 4% | 1–10 | $168 – $182 |
← Payers reporting CPT 90734 · Snapshot 20261111T120946Z-9134e7f7