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
$20
Average
$1.7k
Median
$89
High
$25.6k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 3.0× 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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19 hospital rates
iThe hospitals that file a Medical Mutual 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 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 2 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $83 | $83 | $20 | 24% | — | $63 – $104 |
| 3 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 4 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33.5k | $33.5k | — | — | — | $33.5k – $33.5k |
| 5 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 6 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 7 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 8 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 3 | $103 | $103 | $8 | 8% | — | $93 – $113 |
| 9 | University Hospitals Health System Ravenna, OH facility · fee schedule · outpatient | 3 | $93 | $93 | $8 | 8% | — | $83 – $102 |
| 10 | University Hospitals Health System Chardon, OH facility · case rate · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 11 | University Hospitals Health System Chardon, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $113 | $113 | $5 | 5% | — | $107 – $118 |
| 12 | University Hospitals Health System Geneva, OH facility · fee schedule · outpatient | 3 | $116 | $116 | $9 | 8% | — | $105 – $128 |
| 13 | University Hospitals Health System Conneaut, OH facility · fee schedule · outpatient | 3 | $126 | $126 | $10 | 8% | — | $113 – $138 |
| 14 | University Hospitals Health System Cleveland, OH facility · fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 15 | University Hospitals Health System Parma, OH facility · fee schedule · outpatient | 3 | $68 | $68 | $6 | 8% | — | $62 – $75 |
| 16 | University Hospitals Health System Ashland, OH facility · fee schedule · outpatient | 3 | $88 | $88 | $7 | 8% | — | $79 – $96 |
| 17 | University Hospitals Health System Westlake, OH facility · fee schedule · outpatient | 3 | $60 | $60 | $5 | 8% | — | $54 – $66 |
| 18 | University Hospitals Health System Beachwood, OH facility · fee schedule · outpatient | 3 | $81 | $81 | $7 | 8% | — | $73 – $89 |
| 19 | University Hospitals Health System Elyria, OH facility · fee schedule · outpatient | 3 | $70 | $70 | $6 | 8% | — | $63 – $77 |
← Payers reporting CPT 90756 · Snapshot 20261112T181611Z-3fa9fb76