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
PR NOVAVAX COVID-19 VACCINE, 5 MCG/0.5ML IM
Low
$0
Average
$154
Median
$165
High
$202
Each hospital's average Clover rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 1.9× 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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14 hospital rates
iThe hospitals that file a Clover 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 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 2 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 3 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 4 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 5 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 7 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 8 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 9 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 10 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 11 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 12 | Navicent Health Baldwin Inc Milledgeville, GA fee schedule · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 13 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · other · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 14 | The Medical Center of Central Georgia Inc Macon, GA fee schedule · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
← Payers reporting CPT 91304 · Snapshot 20261113T090226Z-3ce6c0b8