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
$118
Average
$758
Median
$261
High
$25.6k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 3.3× 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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102 hospital rates
iThe hospitals that file a Medical Mutual 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 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $226 | $226 | — | — | — | $226 – $226 |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $226 | $201 | $45 | 22% | — | $123 – $226 |
| 3 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 4 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 5 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $162 | $162 | $26 | 16% | — | $136 – $188 |
| 6 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 2 | $298 | $298 | $75 | 25% | — | $224 – $373 |
| 7 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 2 | $298 | $298 | $75 | 25% | — | $224 – $373 |
| 8 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $770 | $770 | — | — | — | $770 – $770 |
| 9 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $770 | $770 | — | — | — | $770 – $770 |
| 10 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 11 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33.5k | $33.5k | — | — | — | $33.5k – $33.5k |
| 12 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 2 | $298 | $298 | $75 | 25% | — | $224 – $373 |
| 13 | Greene Memorial Hospital Inc Xenia, OH fee schedule · outpatient | 2 | $298 | $298 | $75 | 25% | — | $224 – $373 |
| 14 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $215 | $215 | — | — | — | $215 – $215 |
| 15 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $215 | $215 | — | — | — | $215 – $215 |
| 16 | Kettering Medical Center Troy, OH fee schedule · outpatient | 2 | $298 | $298 | $75 | 25% | — | $224 – $373 |
| 17 | Kettering Medical Center Franklin, OH fee schedule · outpatient | 2 | $298 | $298 | $75 | 25% | — | $224 – $373 |
| 18 | Kettering Medical Center Middletown, OH fee schedule · outpatient | 2 | $298 | $298 | $75 | 25% | — | $224 – $373 |
| 19 | Marietta Memorial Hospital Belpre, OH facility · fee schedule · outpatient | 2 | $508 | $508 | $41 | 8% | — | $467 – $550 |
| 20 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $157 | $157 | — | — | — | $157 – $157 |
| 21 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $150 | $151 | $1 | 1% | — | $150 – $153 |
| 22 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $137 | $136 | $18 | 13% | — | $114 – $157 |
| 23 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $121 | $126 | $14 | 11% | — | $111 – $145 |
| 24 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 5 | $132 | $128 | $24 | 18% | — | $99 – $157 |
| 25 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 1 | $154 | $154 | $4 | 2% | — | $150 – $157 |
← Payers reporting CPT 90740 · Snapshot 20261112T181611Z-3fa9fb76