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
$40
Average
$307
Median
$236
High
$1.9k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 3.3× 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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30 hospital rates
iThe hospitals that file a Medicare 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 | — | — | 1–10 | $234 – $234 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $80 | $80 | $16 | 20% | — | $64 – $95 |
| 4 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL per diem · inpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 5 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | $13 | 25% | — | $37 – $62 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $167 | $68 | 41% | — | $110 – $282 |
| 7 | COMMONSPIRIT KANSAS, INC. Ulysses, KS percent of total billed charges · outpatientfrom % of charges | 1 | $292 | $355 | $144 | 41% | — | $235 – $601 |
| 8 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · inpatientfrom % of charges | 4 | $128 | $128 | — | — | — | $128 – $128 |
| 9 | FISHERMENS HEALTH, INC MARATHON, FL percent of total billed charges · bothfrom % of charges | 2 | $98 | $98 | $16 | 16% | — | $79 – $119 |
| 10 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN percent of total billed charges · bothfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 11 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $88 | $135 | $66 | 49% | — | $88 – $229 |
| 12 | Hackensack Meridian Mountainside Medical Center Montclair, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $246 | $246 | — | — | — | $246 – $246 |
| 13 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $36 | $140 | $127 | 91% | — | $35 – $304 |
| 14 | MARINERS HOSPITAL TAVERNIER, FL percent of total billed charges · bothfrom % of charges | 2 | $98 | $98 | $16 | 16% | — | $79 – $119 |
| 15 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $233 | $233 | — | — | — | $233 – $233 |
| 16 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 17 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $316 | $316 | — | — | — | $316 – $316 |
| 18 | Pittsburg Hospital, LLC Pittsburg, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $206 | $206 | — | — | — | $206 – $206 |
| 19 | Quitman Hospital, LLC Quitman, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $180 | $150 | $42 | 28% | — | $90 – $180 |
| 20 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 21 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $234 | $234 | — | — | — | $234 – $234 |
| 22 | St Peters Hospital Albany, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 23 | St. Charles Madras Madras, OR percent of total billed charges · bothfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 24 | Stephens County Hospital Toccoa, GA fee schedule · outpatient | 1 | $275 | $275 | — | — | — | $275 – $275 |
| 25 | ThedaCare Regional Medical Center-Berlin Inc WI 54971-9286; N2930 State Rd 22 Wautoma, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $236 | $236 | — | — | — | $236 – $236 |
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