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 Vacc 10mcg/0.3ml Tris-Sucrose Im Use
Low
$0
Average
$261
Median
$107
High
$5.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
492 hospitals; the 90th percentile is 4.7× 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.
Filter by billing methodology
Filter by billing class
761 hospital rates
iThe hospitals that file a Aetna 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 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $341 | $341 | — | — | 137 | $341 – $341 |
| 2 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $101 | $101 | $8 | 8% | 4–40 | $92 – $110 |
| 3 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $93 | $94 | $1 | 1% | 1–10 | $93 – $95 |
| 4 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 25 | $796 | $818 | $104 | 13% | 1–10 | $796 – $1.3k |
| 5 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 5 | $74 | $60 | $24 | 39% | 1–10 | $23 – $79 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $243 | $243 | $35 | 14% | — | $209 – $278 |
| 8 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $181 | $154 | $55 | 36% | — | $61 – $195 |
| 9 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $146 | $146 | $13 | 9% | — | $133 – $158 |
| 10 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $222 | $236 | $30 | 13% | — | $209 – $278 |
| 11 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 12 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $88 | $89 | $2 | 2% | — | $88 – $91 |
| 13 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 14 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $130 | $130 | $36 | 27% | — | $95 – $166 |
| 15 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $219 | $219 | — | — | — | $219 – $219 |
| 16 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $158 | $158 | $63 | 40% | — | $95 – $222 |
| 17 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 18 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 4 | $180 | $172 | $64 | 37% | — | $95 – $236 |
| 19 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 20 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 2 | $88 | $101 | $23 | 23% | — | $88 – $140 |
| 21 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 2 | $88 | $101 | $23 | 23% | — | $88 – $140 |
| 22 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 2 | $88 | $101 | $23 | 23% | — | $88 – $140 |
| 23 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 2 | $88 | $101 | $23 | 23% | — | $88 – $140 |
| 24 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 2 | $88 | $101 | $23 | 23% | — | $88 – $140 |
| 25 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 2 | $88 | $101 | $23 | 23% | — | $88 – $140 |
← Payers reporting CPT 91319 · Snapshot 20261112T181611Z-3fa9fb76