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
HC HEPB VACC PED/ADOL 3 DOSE IM (WVA)
Low
$0
Average
$102
Median
$61
High
$17.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1378 hospitals; the 90th percentile is 5.4× 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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2,413 hospital rates
iThe hospitals that file a Aetna 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 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 2 | $23 | $34 | $38 | 111% | 13 | $0 – $92 |
| 2 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $34 | $43 | $22 | 50% | 10–100 | $20 – $83 |
| 3 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $67 | $67 | $2 | 3% | 6–60 | $64 – $71 |
| 4 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | $1 | 7% | 3–30 | $14 – $17 |
| 5 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | — | — | 3–30 | $18 – $18 |
| 6 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $75 | $65 | 87% | 3–30 | $13 – $165 |
| 7 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $108 | $72 | 67% | 3–30 | $57 – $210 |
| 8 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | — | — | 2–20 | $34 – $34 |
| 9 | Fauquier Health Warrenton, VA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $11 | $11 | — | — | 2–20 | $11 – $11 |
| 10 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | — | — | 2–20 | $39 – $39 |
| 11 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $158 | $119 | $48 | 40% | 2–20 | $61 – $158 |
| 12 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | 2–20 | $36 – $36 |
| 13 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | — | — | 2–20 | $39 – $39 |
| 14 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $267 | $267 | — | — | 1–10 | $267 – $267 |
| 15 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 4 | $63 | $63 | — | — | 1–10 | $63 – $63 |
| 16 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $45 | $84 | $84 | 100% | 1–10 | $35 – $251 |
| 17 | LEE MEMORIAL HOSPITAL FORT MYERS, FL professional · fee schedule · both | 2 | $35 | $35 | $0 | 0% | 1–10 | $35 – $35 |
| 18 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $58 | $57 | $3 | 6% | 1–10 | $52 – $60 |
| 19 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 20 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $34 | $34 | — | — | 1–10 | $34 – $34 |
| 21 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $36 | $39 | $6 | 14% | 1–10 | $34 – $47 |
| 22 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $33 | $33 | $0 | 1% | 1–10 | $33 – $33 |
| 23 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $33 | $33 | $0 | 1% | 1–10 | $33 – $33 |
| 24 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 5 | $33 | $32 | $1 | 3% | 1–10 | $30 – $33 |
| 25 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $66 | — | — | 1–10 | $66 – $66 |
← Payers reporting CPT 90744 · Snapshot 20261111T120946Z-9134e7f7