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
$77
Average
$196
Median
$168
High
$794
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
83 hospitals; the 90th percentile is 2.2× 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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95 hospital rates
iThe hospitals that file a Tricare 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 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $178 | $178 | — | — | 1–10 | $178 – $178 |
| 2 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $98 | $98 | $0 | 0% | 1–10 | $98 – $98 |
| 3 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $174 | $174 | $127 | 73% | 1–10 | $47 – $301 |
| 4 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $178 | $178 | — | — | — | $178 – $178 |
| 5 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 7 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 8 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 9 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 10 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 11 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $301 | $301 | — | — | — | $301 – $301 |
| 12 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $150 | $150 | — | — | — | $150 – $150 |
| 13 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $150 | $150 | — | — | — | $150 – $150 |
| 14 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 15 | Craig Hospital Englewood, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $430 | $430 | — | — | — | $430 – $430 |
| 16 | Craig Hospital Englewood, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $430 | $430 | — | — | — | $430 – $430 |
| 17 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 18 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 19 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $416 | $416 | $124 | 30% | — | $292 – $540 |
| 20 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $390 | $390 | $116 | 30% | — | $273 – $506 |
| 21 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $292 | $292 | — | — | — | $292 – $292 |
| 22 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $273 | $273 | — | — | — | $273 – $273 |
| 23 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 24 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $301 | $301 | — | — | — | $301 – $301 |
| 25 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $251 | $251 | — | — | — | $251 – $251 |
← Payers reporting CPT 90739 · Snapshot 20261111T120946Z-9134e7f7