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
$1
Average
$65
Median
$30
High
$1.2k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
116 hospitals; the 90th percentile is 7.3× 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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137 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 | ACADIAN MEDICAL CENTER EUNICE, LA percent of total billed charges · bothfrom % of charges | 6 | $135 | $135 | $92 | 68% | — | $43 – $227 |
| 2 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $95 | $79 | $51 | 64% | — | $11 – $132 |
| 3 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 4 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $53 | $60 | $32 | 54% | — | $29 – $104 |
| 5 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $25 | $25 | $2 | 7% | — | $23 – $26 |
| 7 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | $1 | 7% | — | $18 – $21 |
| 8 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 9 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $17 | $17 | $1 | 5% | — | $16 – $18 |
| 10 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $17 | $17 | $1 | 5% | — | $16 – $18 |
| 11 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 12 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 14 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | $1 | 6% | — | $8 – $9 |
| 15 | Chapman Global Medical Center Orange, CA facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 16 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $8 | $8 | — | — | — | $8 – $8 |
| 17 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 19 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 20 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 21 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $16 | $16 | $1 | 5% | — | $16 – $17 |
| 22 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $36 | $36 | — | — | — | $36 – $36 |
| 23 | FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both | 2 | $16 | $16 | $1 | 5% | — | $16 – $17 |
| 24 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $432 | $432 | — | — | — | $432 – $432 |
| 25 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
← Payers reporting CPT 90744 · Snapshot 20261111T120946Z-9134e7f7