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
$11
Average
$222
Median
$151
High
$15.9k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
274 hospitals; the 90th percentile is 6.0× 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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341 hospital rates
iThe hospitals that file a Molina 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 3 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $337 | $337 | — | — | — | $337 – $337 |
| 4 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 5 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $251 | $251 | $86 | 34% | — | $164 – $337 |
| 6 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 7 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 8 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 9 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 10 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 11 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 12 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 13 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 14 | Advocate Sherman Hospital Elgin, IL case rate · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 15 | Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 16 | Advocate Trinity Hospital Chicago, IL case rate · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 17 | Aiken Regional Medical Centers North Augusta, SC fee schedule · both | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 18 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 19 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 20 | Aurora BayCare Medical Center Green Bay, WI fee schedule · outpatient | 1 | $386 | $386 | — | — | — | $386 – $386 |
| 21 | Aurora Lakeland Medical Center Elkhorn, WI fee schedule · outpatient | 1 | $386 | $386 | — | — | — | $386 – $386 |
| 22 | Aurora Medical Center Bay Area Marinette, WI fee schedule · outpatient | 1 | $386 | $386 | — | — | — | $386 – $386 |
| 23 | Aurora Medical Center Burlington Burlington, WI fee schedule · outpatient | 1 | $386 | $386 | — | — | — | $386 – $386 |
| 24 | Aurora Medical Center Fond du Lac Fond Du Lac, WI fee schedule · outpatient | 1 | $386 | $386 | — | — | — | $386 – $386 |
| 25 | Aurora Medical Center Grafton Grafton, WI fee schedule · outpatient | 1 | $386 | $386 | — | — | — | $386 – $386 |
← Payers reporting CPT 90740 · Snapshot 20261112T181611Z-3fa9fb76