CPT 90758
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
ZAIRE EBOLAVIRUS VAC LIVE IM
Low
$10
Average
$1.1k
Median
$96
High
$13.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 367.0× 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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24 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 2 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 3 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $185 | $185 | — | — | — | $185 – $185 |
| 4 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 5 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 6 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $13.9k | $13.9k | — | — | — | $13.9k – $13.9k |
| 7 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | Hill Regional Hospital Hillsboro, TX percent of total billed charges · outpatientfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 9 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 10 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 11 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 12 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $92 | $92 | $8 | 9% | — | $83 – $100 |
| 13 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 14 | Memorial Herman Surgical Hospital First Colony Sugar Land, TX fee schedule · outpatient | 4 | $4.6k | $5.3k | $1.9k | 35% | — | $3.6k – $8.4k |
| 15 | Memorial Herman Surgical Hospital Kingwood Kingwood, TX fee schedule · outpatient | 4 | $4.6k | $5.3k | $1.9k | 35% | — | $3.6k – $8.4k |
| 16 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 17 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 18 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 19 | SHORE HEALTH SERVICES INC. Onancock, VA fee schedule · outpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 20 | Springfield Hospital Springfield, VT percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 21 | VCU HEALTH TAPPAHANNOCK HOSPITAL Tappahannock, VA case rate · outpatient | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 22 | WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH, PA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 23 | WEST PENN ALLEGHENY HEALTH SYSTEM INC MONROEVILLE, PA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 24 | WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH, PA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
← Payers reporting CPT 90758 · Snapshot 20261113T090226Z-3ce6c0b8