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
$9
Median
$0
High
$36
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38 hospital rates
iThe hospitals that file a Humana 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 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 2 | Centennial Hills Las Vegas, NV fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Columbia St. Mary's Hospital Milwaukee, Inc. Milwaukee, WI fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 6 | Henderson Hospital Henderson, NV fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient | 1 | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 8 | Honorhealth Deer Valley Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 9 | Honorhealth Four Peaks Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 10 | Honorhealth John C. Lincoln Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 11 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 12 | Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 13 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 16 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 17 | SHORE HEALTH SERVICES INC. Onancock, VA fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 18 | Sacred Heart Rehabilitation Institute, Inc. Mequon, WI fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Sharp Coronado Hospital and Healthcare Center Coronado, CA percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 20 | Sharp Mesa Vista Hospital San Diego, CA percent of total billed charges · inpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 21 | Sharp Mesa Vista Hospital San Diego, CA percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 22 | Southern Baptist Hospital of Florida, INC Fleming Island, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 23 | Southern Baptist Hospital of Florida, INC FL 32222; 461 Outlet Mall Blvd St. Augustine, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 24 | Southern Baptist Hospital of Florida, INC Jacksonville, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 25 | Southern Baptist Hospital of Florida, INC Jacksonville, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
← Payers reporting CPT 91305 · Snapshot 20261113T090226Z-3ce6c0b8