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
Hepb vacc 3 dose immunsup im
Low
$16
Average
$267
Median
$110
High
$820
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 16.9× 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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36 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 2 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 3 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $820 | $820 | — | — | — | $820 – $820 |
| 4 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 5 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $160 | $145 | $42 | 29% | — | $75 – $186 |
| 6 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 1 | $820 | $820 | — | — | — | $820 – $820 |
| 7 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 8 | HSA CGH LLC Coral Gables, FL facility · fee schedule · outpatient | 3 | $111 | $139 | $68 | 49% | — | $78 – $277 |
| 9 | HSA PGH LLC Hialeah, FL facility · fee schedule · outpatient | 3 | $93 | $110 | $45 | 41% | — | $56 – $202 |
| 10 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 1 | $820 | $820 | — | — | — | $820 – $820 |
| 11 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $568 | $568 | — | — | — | $568 – $568 |
| 12 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $573 | $573 | — | — | — | $573 – $573 |
| 13 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 14 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $136 | $136 | $74 | 54% | — | $62 – $210 |
| 15 | Morristown Medical Center Morristown, NJ other · outpatient | 1 | $820 | $820 | — | — | — | $820 – $820 |
| 16 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $264 | $264 | — | — | — | $264 – $264 |
| 17 | Newton Medical Center Newton, NJ other · outpatient | 1 | $820 | $820 | — | — | — | $820 – $820 |
| 18 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 19 | Overlook Medical Center Summit, NJ other · outpatient | 1 | $820 | $820 | — | — | — | $820 – $820 |
| 20 | Rex Hospital, Inc. Holly Springs, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 21 | Sarasota Memorial Hospital Sarasota, FL case rate · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 22 | Sarasota Memorial Hospital - Venice North Venice, FL case rate · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 23 | Southern Baptist Hospital of Florida, INC Fleming Island, FL facility · case rate · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 24 | Southern Baptist Hospital of Florida, INC FL 32222; 461 Outlet Mall Blvd St. Augustine, FL facility · case rate · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 25 | Southern Baptist Hospital of Florida, INC Jacksonville, FL facility · case rate · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
← Payers reporting CPT 90740 · Snapshot 20261112T181611Z-3fa9fb76