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
$5
Average
$146
Median
$35
High
$11.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
479 hospitals; the 90th percentile is 4.5× 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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581 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | 2 | $51 | $51 | $1 | 1% | 2–20 | $51 – $52 |
| 2 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 3 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 4 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 5 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 6 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 7 | Essentia Health St. Mary's Medical Center Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 8 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $71 | $83 | $44 | 52% | — | $37 – $142 |
| 9 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 10 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 2 | $33 | $33 | $1 | 3% | — | $32 – $34 |
| 11 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 2 | $39 | $39 | — | — | — | $39 – $39 |
| 12 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 2 | $39 | $39 | — | — | — | $39 – $39 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 14 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $24 | $30 | $8 | 26% | — | $24 – $40 |
| 15 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 2 | $13 | $13 | — | — | — | $13 – $13 |
| 16 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $42 | $41 | $1 | 3% | — | $40 – $42 |
| 17 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 5 | $40 | $31 | $12 | 40% | — | $16 – $42 |
| 18 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 19 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 20 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 21 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 2 | $81 | $81 | $28 | 34% | — | $53 – $109 |
| 22 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 2 | $81 | $81 | $28 | 34% | — | $53 – $109 |
| 23 | Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient | 2 | $81 | $81 | $28 | 34% | — | $53 – $109 |
| 24 | Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient | 2 | $78 | $78 | $8 | 10% | — | $70 – $86 |
| 25 | Advocate Good Samaritan Hospital Downers Grove, IL fee schedule · outpatient | 2 | $81 | $81 | $28 | 34% | — | $53 – $109 |
← Payers reporting CPT 90756 · Snapshot 20261112T181611Z-3fa9fb76