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
$80
Median
$34
High
$15.9k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
483 hospitals; the 90th percentile is 5.3× 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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696 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 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $13 | $6 | 45% | 5–50 | $8 – $21 |
| 2 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $20 | $9 | 45% | 5–50 | $13 – $31 |
| 3 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 1 | $50 | $50 | — | — | 2–20 | $50 – $50 |
| 4 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 1 | $50 | $50 | — | — | 2–20 | $50 – $50 |
| 5 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $33 | $37 | $6 | 16% | 1–10 | $33 – $45 |
| 6 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 3 | $52 | $53 | $41 | 77% | 1–10 | $0 – $96 |
| 7 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 3 | $52 | $53 | $41 | 77% | 1–10 | $0 – $96 |
| 8 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $35 | $35 | $17 | 49% | 1–10 | $18 – $52 |
| 9 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · outpatientfrom % of charges | 2 | $46 | $46 | $24 | 52% | 1–10 | $22 – $71 |
| 10 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 12 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 13 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | $0 | 2% | — | $11 – $11 |
| 14 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $51 | $2 | 3% | — | $50 – $54 |
| 15 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 16 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $35 | $35 | $3 | 8% | — | $32 – $38 |
| 17 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 4 | $26 | $27 | $4 | 14% | — | $22 – $34 |
| 18 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 19 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $129 | $46 | 36% | — | $49 – $158 |
| 20 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $51 | $51 | $17 | 34% | — | $33 – $68 |
| 21 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 22 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 23 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 24 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 25 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
← Payers reporting CPT 90744 · Snapshot 20261111T120946Z-9134e7f7