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
$16
Average
$50
Median
$44
High
$101
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 4.6× 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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23 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | $21 | $21 | — | — | — | $21 – $21 |
| 2 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 3 | Children's Hospital Medical Center Mason, OH fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 5 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 6 | HSA CGH LLC Coral Gables, FL facility · fee schedule · outpatient | 3 | $84 | $96 | $65 | 68% | — | $23 – $182 |
| 7 | HSA PGH LLC Hialeah, FL facility · fee schedule · outpatient | 3 | $61 | $72 | $45 | 63% | — | $23 – $132 |
| 8 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 9 | SOUTHERN REGIONAL MEDICAL CORPORATION Houma, LA other · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 10 | Sarasota Memorial Hospital Sarasota, FL case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 11 | Sarasota Memorial Hospital - Venice North Venice, FL case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 12 | Southern Baptist Hospital of Florida, INC Fleming Island, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 13 | Southern Baptist Hospital of Florida, INC FL 32222; 461 Outlet Mall Blvd St. Augustine, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 14 | Southern Baptist Hospital of Florida, INC Jacksonville, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 15 | Southern Baptist Hospital of Florida, INC Jacksonville, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 16 | The New London Hospital Association, Inc. London, NH professional · fee schedule · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 17 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 18 | UNIVERSITY HEALTH SHREVEPORT, LLC Shreveport, LA other · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 19 | UPMC Greene Waynesburg, PA facility · fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 20 | UPMC Washington Washington, PA facility · fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 21 | Uniontown Hospital Uniontown, PA facility · fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 22 | Weirton Medical Center Inc Weirton, WV facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 23 | West Virginia University Hospitals, Inc. Morgantown, WV facility · fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
← Payers reporting CPT 91319 · Snapshot 20261112T181611Z-3fa9fb76