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
$11
Average
$206
Median
$186
High
$857
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
132 hospitals; the 90th percentile is 35.5× 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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197 hospital rates
iThe hospitals that file a Highmark 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 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $234 | $234 | — | — | 37–46 | $234 – $234 |
| 2 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $234 | $234 | — | — | 18–36 | $234 – $234 |
| 3 | Preston Memorial Hospital Kingwood, WV percent of total billed charges · outpatientfrom % of charges | 3 | $213 | $213 | $33 | 15% | 3–30 | $149 – $268 |
| 4 | STONEWALL JACKSON HOSPITAL Weston, WV other · outpatient | 1 | $224 | $224 | — | — | 3–30 | $224 – $224 |
| 5 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $167 | $167 | — | — | 1–10 | $167 – $167 |
| 6 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $177 | $156 | $34 | 22% | 1–10 | $103 – $177 |
| 7 | Preston Memorial Hospital Kingwood, WV other · outpatient | 1 | $218 | $218 | — | — | 1–10 | $218 – $218 |
| 8 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 8 | $290 | $290 | $70 | 24% | — | $220 – $360 |
| 9 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $242 | $242 | — | — | — | $242 – $242 |
| 10 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 12 | $242 | $207 | $82 | 40% | — | $14 – $242 |
| 11 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $371 | $371 | $1 | 0% | — | $370 – $372 |
| 12 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $383 | $383 | $1 | 0% | — | $382 – $384 |
| 13 | Alice Hyde Medical Center Malone, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $380 | $380 | — | — | — | $380 – $380 |
| 14 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $424 | $424 | — | — | — | $424 – $424 |
| 15 | Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $848 | $848 | — | — | — | $848 – $848 |
| 16 | Boone Memorial Hospital Madison, WV other · both | 1 | $145 | $144 | $14 | 10% | — | $129 – $168 |
| 17 | Boone Memorial Hospital Madison, WV other · outpatient | 1 | $147 | $147 | $2 | 1% | — | $145 – $150 |
| 18 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 19 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $242 | $242 | — | — | — | $242 – $242 |
| 20 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 12 | $242 | $207 | $82 | 40% | — | $14 – $242 |
| 21 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 4 | $205 | $205 | $15 | 7% | — | $190 – $220 |
| 22 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 23 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 24 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $83 | $83 | — | — | — | $83 – $83 |
| 25 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $167 | $167 | — | — | — | $167 – $167 |
← Payers reporting CPT 90734 · Snapshot 20261111T120946Z-9134e7f7