Hepatitis B vaccine, adult dose, intramuscular

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE

Payers reporting CPT 90739

Payer pricing summary

Low

Average

$257

Median

$211

High

$870

Payer rate distribution

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#
1	Wellmark fee schedule · outpatient · +15 other terms	21	$178	$178	—	—	322–376	$178 – $178
2	Ucare professional · fee schedule · outpatient · +12 other terms	16	$179	$180	$5	3%	115–124	$168 – $187
3	UnitedHealthcare fee schedule · outpatient · +31 other terms	610	$268	$264	$148	56%	34–97	$0 – $2.5k
4	Kaiser fee schedule · outpatient · +18 other terms	35	$178	$239	$300	125%	15	$135 – $2.5k
5	Cigna fee schedule · outpatient · +27 other terms	300	$251	$456	$317	70%	1–10	$0 – $2.4k
6	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	259	$269	$315	$198	63%	1–10	$0 – $1.1k
7	Humana fee schedule · outpatient · +25 other terms	236	$174	$297	$319	107%	1–10	$0 – $1.3k
8	Bcbs Ny fee schedule · both · +1 other terms	1	$164	$164	—	—	1–10	$164 – $164
9	Aetna fee schedule · outpatient · +27 other terms	193	$179	$355	$625	176%	—	$0 – $8.4k
10	Anthem fee schedule · outpatient · +24 other terms	122	$202	$223	$131	59%	—	$31 – $1.2k
11	Caresource fee schedule · outpatient · +18 other terms	62	$181	$163	$99	61%	—	$1 – $302
12	Molina fee schedule · outpatient · +26 other terms	55	$222	$219	$143	65%	—	$1 – $411
13	WellCare fee schedule · outpatient · +21 other terms	38	$178	$185	$21	11%	—	$170 – $263
14	Highmark facility · fee schedule · outpatient · +17 other terms	36	$195	$242	$141	58%	—	$11 – $678
15	Ambetter fee schedule · outpatient · +19 other terms	32	$249	$201	$149	74%	—	$0 – $454
16	Bcbs Tx fee schedule · outpatient · +4 other terms	30	$496	$451	$150	33%	—	$184 – $780
17	Medica fee schedule · outpatient · +16 other terms	30	$147	$227	$117	51%	—	$31 – $420
18	Medicare fee schedule · outpatient · +13 other terms	29	$174	$160	$52	32%	—	$29 – $255
19	Regence professional · fee schedule · outpatient · +13 other terms	28	$152	$190	$34	18%	—	$152 – $222
20	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$434	$385	$61	16%	—	$302 – $469
21	Cigna Healthspring fee schedule · outpatient · +7 other terms	23	$186	$155	$53	34%	—	$50 – $192
22	Optum fee schedule · outpatient · +16 other terms	23	$178	$209	$90	43%	—	$151 – $461
23	Aetna Better Health fee schedule · outpatient · +16 other terms	22	$178	$178	$8	5%	—	$165 – $188
24	Amerihealth Caritas facility · fee schedule · outpatient · +11 other terms	21	$16	$54	$72	132%	—	$10 – $251
25	Devoted fee schedule · outpatient · +12 other terms	21	$178	$176	$2	1%	—	$174 – $185

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