CPT 91305
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
Sarscov2 Vaccine 30mcg/0.3ml Tris-Sucrose Im Use
Low
$0
Average
$34
Median
$0
High
$982
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
66 hospitals; the 90th percentile is 4727.0× 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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75 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $59 | $77 | $28 | 37% | — | $50 – $111 |
| 2 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $92 | $78 | $20 | 26% | — | $50 – $92 |
| 5 | Corona Regional Medical Center Corona, CA fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | East Alabama Medical Center OPELIKA, AL facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 7 | East Alabama Medical Center OPELIKA, AL professional · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 8 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 3 | $18 | $16 | $3 | 22% | — | $11 – $19 |
| 9 | GLENS FALLS HOSPITAL INC Falls, NY facility · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 10 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Grossmont Hospital Corporation La Mesa, CA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 4 | $5 | $5 | $2 | 42% | — | $1 – $7 |
| 14 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 15 | Hoag Memorial Hospital Presbyterian Irvine, CA facility · fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Kalkaska Memorial Health Center Kalkaska, MI professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Keck Hospital of USC Los Angeles, CA facility · fee schedule · outpatient | 5 | $0 | $0 | $0 | 110% | — | $0 – $0 |
| 18 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Lakewood Ranch Sarasota, FL per diem · both | 5 | $1.0k | $982 | $188 | 19% | — | $735 – $1.2k |
| 20 | Long Beach Memorial Medical Center Long Beach, CA fee schedule · outpatient | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Manatee Memorial Hospital Wimauma, FL per diem · both | 5 | $673 | $602 | $88 | 15% | — | $474 – $673 |
| 22 | MemorialCare Miller Children's & Women's Hospital Long Beach Long Beach, CA fee schedule · outpatient | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | MemorialCare Orange Coast Medical Center Fountain Valley, CA fee schedule · outpatient | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | MemorialCare Saddleback Medical Center Laguna Hills, CA fee schedule · outpatient | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Mercyhealth Crystal Lake Hospital & Medical Center Crystal Lake, IL fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting CPT 91305 · Snapshot 20261113T090226Z-3ce6c0b8