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
$14
Average
$4.8k
Median
$90
High
$37.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 1009.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 86 | $550 | $530 | $222 | 42% | — | $0 – $1.1k |
| 2 | Bcbs Tx fee schedule · outpatient · +1 other terms | 30 | $705 | $641 | $214 | 33% | — | $262 – $1.1k |
| 3 | Anthem fee schedule · outpatient · +1 other terms | 22 | $0 | $5 | $27 | 550% | — | $0 – $167 |
| 4 | Aetna fee schedule · outpatient · +1 other terms | 14 | $12 | $2.2k | $2.8k | 131% | — | $10 – $8.4k |
| 5 | Highmark fee schedule · outpatient | 10 | $14 | $41 | $53 | 130% | — | $14 – $194 |
| 6 | UnitedHealthcare fee schedule · outpatient · +1 other terms | 6 | $166 | $118 | $68 | 57% | — | $19 – $167 |
| 7 | Humana fee schedule · outpatient · +1 other terms | 4 | $174 | $175 | $0 | 0% | — | $174 – $175 |
| 8 | Molina facility · fee schedule · outpatient · +1 other terms | 3 | $58 | $44 | $20 | 46% | — | $16 – $58 |
| 9 | Aetna Better Health professional · fee schedule · both | 1 | $15 | $15 | $0 | 2% | — | $15 – $16 |
| 10 | Amerihealth Caritas facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
← Hospitals reporting CPT 90758 · Snapshot 20261113T090226Z-3ce6c0b8