CPT 91313
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
(Ia) HC Moderna Covid-19 Vaccine Bivalent Booster
Low
$0
Average
$5
Median
$0
High
$82
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
60 hospitals; the 90th percentile is 23.4× 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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61 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 | Brandon HMA LLC Brandon, MS facility · other · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $92 | $78 | $20 | 26% | — | $50 – $92 |
| 5 | Danbury Hospital New Milford, CT fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | GARRISON MEMORIAL HOSPITAL Garrison, ND fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | GLENS FALLS HOSPITAL INC Falls, NY facility · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 8 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Hoag Memorial Hospital Presbyterian Irvine, CA facility · fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Holy Name Teaneck, NJ facility · percent of total billed charges · outpatientfrom % of charges | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Jackson HMA LLC Jackson, MS facility · other · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Kalkaska Memorial Health Center Kalkaska, MI professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Keck Hospital of USC Los Angeles, CA facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Long Beach Memorial Medical Center Long Beach, CA fee schedule · outpatient | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | MemorialCare Miller Children's & Women's Hospital Long Beach Long Beach, CA fee schedule · outpatient | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | MemorialCare Orange Coast Medical Center Fountain Valley, CA fee schedule · outpatient | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | MemorialCare Saddleback Medical Center Laguna Hills, CA fee schedule · outpatient | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Mercyhealth Crystal Lake Hospital & Medical Center Crystal Lake, IL fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Mercyhealth Hospital & Medical Center - Harvard Harvard, IL fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Mercyhealth Hospital & Medical Center - Walworth Lake Geneva, WI fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Mission Hospital Regional Med Center Laguna Beach, CA fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Munson Healthcare Cadillac Cadillac, MI professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Munson Healthcare Charlevoix Hospital Charlevoix, MI professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Munson Healthcare Grayling Grayling, MI professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting CPT 91313 · Snapshot 20261113T090226Z-3ce6c0b8