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
$321
Median
$263
High
$11.2k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1440 hospitals; the 90th percentile is 5.4× 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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2,192 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $178 | $178 | — | — | 150 | $178 – $178 |
| 2 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 5 | $172 | $175 | $12 | 7% | 109–118 | $162 – $188 |
| 3 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $234 | $234 | — | — | 109 | $234 – $234 |
| 4 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $136 | $142 | $35 | 25% | 83 | $103 – $188 |
| 5 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $234 | $234 | — | — | 49 | $234 – $234 |
| 6 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $271 | $295 | $52 | 18% | 41–59 | $248 – $367 |
| 7 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 5 | $172 | $175 | $12 | 7% | 31 | $162 – $188 |
| 8 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $178 | $178 | — | — | 28 | $178 – $178 |
| 9 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 4 | $115 | $129 | $105 | 82% | 20–200 | $20 – $310 |
| 10 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $865 | $865 | — | — | 17 | $865 – $865 |
| 11 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $216 | $216 | — | — | 14 | $216 – $216 |
| 12 | Spencer Municipal Hospital Spencer, IA percent of total billed charges · outpatientfrom % of charges | 1 | $220 | $220 | — | — | 11 | $220 – $220 |
| 13 | St Louis Childrens Hospital Saint Louis, MO fee schedule · both | 1 | $676 | $676 | — | — | 11 | $676 – $676 |
| 14 | The University of Kansas Health System Great Bend Campus Bend, KS fee schedule · both | 5 | $156 | $107 | $75 | 70% | 11 | $0 – $178 |
| 15 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 11 | $615 | $711 | $166 | 23% | 10–100 | $461 – $951 |
| 16 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 3 | $14 | $18 | $13 | 72% | 4–40 | $6 – $40 |
| 17 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $752 | $515 | $306 | 59% | 4–40 | $120 – $752 |
| 18 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 8 | $128 | $128 | — | — | 3–30 | $128 – $128 |
| 19 | Pagosa Springs Medical Center Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $84 | $113 | 134% | 3–30 | $0 – $244 |
| 20 | STONEWALL JACKSON HOSPITAL Weston, WV percent of total billed charges · outpatientfrom % of charges | 1 | $804 | $807 | $16 | 2% | 3–30 | $790 – $828 |
| 21 | The Children's Hospital of Alabama Birmingham, AL facility · percent of total billed charges · bothfrom % of charges | 1 | $236 | $266 | $88 | 33% | 3–30 | $219 – $496 |
| 22 | The Children's Hospital of Alabama Birmingham, AL facility · percent of total billed charges · bothfrom % of charges | 1 | $219 | $230 | $16 | 7% | 3–30 | $219 – $252 |
| 23 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $233 | $262 | $54 | 21% | 2–20 | $227 – $355 |
| 24 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $157 | $157 | — | — | 2–20 | $157 – $157 |
| 25 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $87 | $122 | $120 | 99% | 2–20 | $18 – $368 |
← Payers reporting CPT 90734 · Snapshot 20261112T124536Z-e251e855