Hepatitis B vaccine, three-antigen formula, 3-dose series

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Hep b vac 3ag 10mcg 3 dos im

First Health pricing summary

Low

$44

Average

$107

Median

$103

High

$185

First Health rate distribution

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33 hospital rates

#		Plans
1	Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient	1	$185	$185	—	—	—	$185 – $185
2	Adena Health System Chillicothe, OH facility · fee schedule · outpatient	1	$185	$185	—	—	—	$185 – $185
3	Bexar County Hospital District San Antonio, TX fee schedule · outpatient	1	$74	$74	—	—	—	$74 – $74
4	Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both	1	$73	$73	—	—	—	$73 – $73
5	Davis Medical Center Elkins, WV professional · fee schedule · both	1	$73	$73	—	—	—	$73 – $73
6	Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both	1	$109	$109	—	—	—	$109 – $109
7	Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both	1	$109	$109	—	—	—	$109 – $109
8	Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both	1	$109	$109	—	—	—	$109 – $109
9	Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both	1	$109	$109	—	—	—	$109 – $109
10	Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both	1	$109	$109	—	—	—	$109 – $109
11	Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges	1	$104	$104	—	—	—	$104 – $104
12	Good Samaritan Hospital Puyallup, WA percent of total billed charges · inpatientfrom % of charges	1	$95	$95	—	—	—	$95 – $95
13	Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges	1	$95	$95	—	—	—	$95 – $95
14	Greenfield Area Medical Center Greenfield, OH facility · fee schedule · outpatient	1	$185	$185	—	—	—	$185 – $185
15	Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · inpatientfrom % of charges	1	$103	$103	—	—	—	$103 – $103
16	Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · outpatientfrom % of charges	1	$103	$103	—	—	—	$103 – $103
17	MultiCare Auburn Medical Center Auburn, WA percent of total billed charges · inpatientfrom % of charges	1	$95	$95	—	—	—	$95 – $95
18	MultiCare Auburn Medical Center Auburn, WA percent of total billed charges · outpatientfrom % of charges	1	$95	$95	—	—	—	$95 – $95
19	MultiCare Capital Medical Center Lacey, WA percent of total billed charges · inpatientfrom % of charges	1	$111	$111	—	—	—	$111 – $111
20	MultiCare Capital Medical Center Lacey, WA percent of total billed charges · outpatientfrom % of charges	1	$111	$111	—	—	—	$111 – $111
21	MultiCare Covington Medical Center Covington, WA percent of total billed charges · inpatientfrom % of charges	1	$95	$95	—	—	—	$95 – $95
22	MultiCare Covington Medical Center Covington, WA percent of total billed charges · outpatientfrom % of charges	1	$95	$95	—	—	—	$95 – $95
23	NewYork-Presbyterian Columbia University Irving Medical Center\|NewYork-Presbyterian Weill Cornell Medical Center\|NewYork-Presbyterian Brooklyn Methodist Hospital Brooklyn, NY percent of total billed charges · bothfrom % of charges	1	$108	$108	$4	3%	—	$105 – $112
24	NewYork-Presbyterian Hudson Valley Hospital Manor, NY percent of total billed charges · bothfrom % of charges	1	$102	$102	—	—	—	$102 – $102
25	NewYork-Presbyterian Queens Flushing, NY percent of total billed charges · bothfrom % of charges	1	$108	$108	$4	3%	—	$105 – $112

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CPT 90759