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
Cciiv4 vacc abx free im
Low
$7
Average
$165
Median
$38
High
$17.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
326 hospitals; the 90th percentile is 4.0× 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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391 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 | The University of Tennessee Medical Center Knoxville, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | — | — | 1–10 | $51 – $51 |
| 2 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $120 | $120 | $50 | 41% | — | $71 – $170 |
| 3 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 4 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $59 | $59 | $7 | 12% | — | $52 – $66 |
| 6 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $29 | $29 | — | — | — | $29 – $29 |
| 7 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 2 | $63 | $63 | $1 | 2% | — | $62 – $64 |
| 9 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 10 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 11 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 12 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $72 | $72 | — | — | — | $72 – $72 |
| 13 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 14 | Ascension St. Vincent Heart Center Carmel, IN other · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 15 | Ascension Via Christi Hospital Manhattan, Inc. Manhattan, KS fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 16 | Ascension Via Christi Hospital St. Teresa, Inc. Wichita, KS other · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 17 | Ascension Via Christi Hospitals Wichita, Inc. Wichita, KS other · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 18 | Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS fee schedule · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 19 | Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS other · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 20 | Aurora BayCare Medical Center Green Bay, WI fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 21 | Aurora Lakeland Medical Center Elkhorn, WI fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 22 | Aurora Medical Center Bay Area Marinette, WI fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 23 | Aurora Medical Center Burlington Burlington, WI fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 24 | Aurora Medical Center Fond du Lac Fond Du Lac, WI fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 25 | Aurora Medical Center Grafton Grafton, WI fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
← Payers reporting CPT 90756 · Snapshot 20261112T181611Z-3fa9fb76