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
$183
Median
$140
High
$3.3k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
118 hospitals; the 90th percentile is 3.8× 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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133 hospital rates
iThe hospitals that file a Ambetter 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $120 | $120 | — | — | 1–10 | $120 – $120 |
| 2 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 3 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 4 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 5 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 6 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 7 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 8 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 9 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 10 | Advocate Sherman Hospital Elgin, IL case rate · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 11 | Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 12 | Advocate Trinity Hospital Chicago, IL case rate · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 13 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 14 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 15 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 16 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 17 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 18 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 19 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 20 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · both | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 21 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 22 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 23 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 24 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 25 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
← Payers reporting CPT 91319 · Snapshot 20261112T181611Z-3fa9fb76