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
$8
Average
$49
Median
$17
High
$244
Each hospital's average Optum rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 20.2× 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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24 hospital rates
iThe hospitals that file a Optum 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 | $71 | $71 | — | — | — | $71 – $71 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 4 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 5 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 6 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 10 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 11 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 12 | Fisher-Titus Medical Center Norwalk, OH professional · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 13 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 14 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 15 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 16 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 17 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 18 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 19 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 20 | Ochsner American Legion Hospital, LLC Jennings, LA other · outpatient | 1 | $198 | $211 | $58 | 28% | — | $152 – $294 |
| 21 | The Cleveland Clinic Foundation Brunswick, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 22 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges | 1 | $244 | $244 | — | — | — | $244 – $244 |
| 23 | University of Illinois Hospital & Clinics Chicago, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 24 | Yale New Haven Hospital Haven, CT fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
← Payers reporting CPT 90756 · Snapshot 20261112T181611Z-3fa9fb76