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
$60
Average
$138
Median
$102
High
$410
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 3.6× 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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40 hospital rates
iThe hospitals that file a Medicaid 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 HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $82 | $82 | $4 | 5% | — | $78 – $86 |
| 2 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $82 | $82 | $4 | 5% | — | $78 – $86 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 4 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 5 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $79 | $79 | $4 | 5% | — | $76 – $83 |
| 6 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 7 | FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both | 2 | $79 | $79 | $4 | 5% | — | $76 – $83 |
| 8 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 9 | HOMESTEAD HOSPITAL Homestead, FL fee schedule · both | 2 | $79 | $79 | $4 | 5% | — | $76 – $83 |
| 10 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $277 | $277 | $9 | 3% | — | $268 – $285 |
| 11 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 12 | IOM Health System LP Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 13 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 14 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · other · outpatient | 1 | $615 | $615 | — | — | — | $615 – $615 |
| 15 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 16 | MARINERS HOSPITAL TAVERNIER, FL fee schedule · both | 2 | $79 | $79 | $4 | 5% | — | $76 – $83 |
| 17 | Mercy Hospital Ozark Ozark, AR facility · fee schedule · outpatient | 2 | $151 | $151 | $3 | 2% | — | $148 – $153 |
| 18 | Mercy Hospital Paris Paris, AR facility · fee schedule · outpatient | 2 | $151 | $151 | $3 | 2% | — | $148 – $153 |
| 19 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $238 | $238 | $34 | 14% | — | $204 – $272 |
| 20 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · inpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 21 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 22 | NYU Langone Mineola, NY case rate · outpatient | 15 | $60 | $60 | — | — | — | $60 – $60 |
| 23 | NYU Langone Brooklyn, NY case rate · outpatient | 15 | $60 | $60 | — | — | — | $60 – $60 |
| 24 | NYU Langone New York, NY case rate · outpatient | 15 | $60 | $60 | — | — | — | $60 – $60 |
| 25 | NYU Langone Hospital?Suffolk Patchogue, NY case rate · outpatient | 15 | $60 | $60 | — | — | — | $60 – $60 |
← Payers reporting CPT 90740 · Snapshot 20261112T181611Z-3fa9fb76