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CPT 90736

00006-4963-41 - zoster vaccine live 45. mg REC Inj

Reported by 12 hospitals in the network under the other methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$70

Average

$374

Median

$317

High

$1.4k

Hospitals reporting this code

#HospitalLocation
1Bluffton Health System LLCBluffton, IN$568$615$615$2.4k—
2Dukes Health System LLCPeru, IN$0$633$517$3.2k$252
3St. Joseph Health System, LLCWayne, IN$0$1.4k$1.4k$2.8k$1.4k
4Jackson HMA LLCJackson, MS$0$0$70$209$86
5Brandon HMA LLCBrandon, MS$0$0$71$178$87
6River Oaks Hospital LLCFlowood, MS$0$0$71$178$87
7Poplar Bluff Regional Medical Center LLCPoplar Bluff, MO$0$153$153$305$153
8Northside Hospital, Inc.Lawrenceville, GA$0$170$328$896$239
9Northside Hospital, Inc.Canton, GA$0$134$316$896$263
10Northside Hospital, Inc.Atlanta, GA$0$183$344$896$241
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