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
$6
Average
$90
Median
$33
High
$2.1k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
42 hospitals; the 90th percentile is 7.6× 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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43 hospital rates
iThe hospitals that file a WellCare 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 | $74 | $74 | — | — | — | $74 – $74 |
| 3 | Aiken Regional Medical Centers North Augusta, SC fee schedule · both | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 4 | Baxter County Regional Hospital, Inc. Home, AR facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Benefis Hospitals Inc Helena, MT percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | $5 | 24% | — | $17 – $28 |
| 6 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $83 | $83 | — | — | — | $83 – $83 |
| 7 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 8 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 9 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $83 | $83 | — | — | — | $83 – $83 |
| 10 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $6 | $7 | $1 | 10% | — | $6 – $7 |
| 11 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 3 | $0 | $11 | $15 | 141% | — | $0 – $32 |
| 12 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 4 | $0 | $11 | $15 | 141% | — | $0 – $32 |
| 13 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 4 | $0 | $11 | $15 | 141% | — | $0 – $32 |
| 14 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 3 | $16 | $16 | $16 | 100% | — | $0 – $32 |
| 15 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 2 | $16 | $16 | $16 | 100% | — | $0 – $32 |
| 16 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · fee schedule · both | 3 | $0 | $11 | $15 | 141% | — | $0 – $32 |
| 17 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 3 | $0 | $11 | $15 | 141% | — | $0 – $32 |
| 18 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · fee schedule · both | 3 | $0 | $11 | $15 | 141% | — | $0 – $32 |
| 19 | FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL percent of total billed charges · bothfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 20 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $83 | $83 | — | — | — | $83 – $83 |
| 21 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $62 | $62 | $30 | 49% | — | $31 – $92 |
| 22 | Hoopeston Community Memorial Hospital Hoopeston, IL per diem · inpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 23 | Hoopeston Community Memorial Hospital Hoopeston, IL percent of total billed charges · outpatientfrom % of charges | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 24 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 25 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
← Payers reporting CPT 90756 · Snapshot 20261112T181611Z-3fa9fb76