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
HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE
Low
$137
Average
$246
Median
$217
High
$636
Each hospital's average Premera rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 1.9× 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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41 hospital rates
iThe hospitals that file a Premera 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 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 1 | $337 | $337 | — | — | 12 | $337 – $337 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 3 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 4 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 5 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 4 | $442 | $391 | $100 | 26% | — | $149 – $442 |
| 6 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $636 | $636 | — | — | — | $636 – $636 |
| 7 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 8 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $304 | $309 | $41 | 13% | — | $256 – $371 |
| 9 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $304 | $309 | $41 | 13% | — | $256 – $371 |
| 10 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $506 | $506 | — | — | — | $506 – $506 |
| 11 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 12 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 13 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $341 | $341 | — | — | — | $341 – $341 |
| 14 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 15 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 16 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 17 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · fee schedule · both | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 18 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · both | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 19 | Mercy Medical Center - Dyersville Dyersville, IA facility · fee schedule · both | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 20 | Mercy Medical Center - New Hampton New Hampton, IA facility · fee schedule · both | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 21 | Mercy Medical Center - Newton Newton, IA facility · fee schedule · both | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 22 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · both | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 23 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $337 | $337 | — | — | — | $337 – $337 |
| 24 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $304 | $309 | $41 | 13% | — | $256 – $371 |
| 25 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $312 | $298 | $24 | 8% | — | $256 – $312 |
← Payers reporting CPT 90739 · Snapshot 20261111T120946Z-9134e7f7