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
$166
Median
$158
High
$555
Each hospital's average First Health rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 25725.0× 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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41 hospital rates
iThe hospitals that file a First Health 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 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 2 | Bexar County Hospital District San Antonio, TX percent of total billed charges · inpatientfrom % of charges | 1 | $67 | $67 | $4 | 7% | — | $63 – $71 |
| 3 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | $8 | 10% | — | $71 – $88 |
| 4 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $211 | $211 | — | — | — | $211 – $211 |
| 5 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | DIGNITY HEALTH Carmichael, CA fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | DIGNITY HEALTH Folsom, CA fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | DIGNITY HEALTH Folsom, CA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | DIGNITY HEALTH Sacramento, CA fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | DIGNITY HEALTH Sacramento, CA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $211 | $211 | — | — | — | $211 – $211 |
| 16 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Holy Name Teaneck, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $257 | $257 | — | — | — | $257 – $257 |
| 19 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $257 | $257 | — | — | — | $257 – $257 |
| 20 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $156 | $156 | $2 | 1% | — | $155 – $158 |
| 23 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 24 | 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 | $555 | $555 | $19 | 3% | — | $537 – $574 |
| 25 | NewYork-Presbyterian Hudson Valley Hospital Manor, NY percent of total billed charges · bothfrom % of charges | 1 | $524 | $524 | — | — | — | $524 – $524 |
← Payers reporting CPT 91304 · Snapshot 20261113T090226Z-3ce6c0b8