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
$163
Median
$95
High
$1.8k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
227 hospitals; the 90th percentile is 2.3× 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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398 hospital rates
iThe hospitals that file a Anthem 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 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 4 | $78 | $84 | $25 | 29% | 8–80 | $51 – $132 |
| 2 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $83 | $87 | $5 | 5% | 1–10 | $83 – $93 |
| 3 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $83 | $87 | $5 | 5% | 1–10 | $83 – $93 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $185 | $185 | $15 | 8% | — | $170 – $200 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 8 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 2 | $98 | $98 | $12 | 12% | — | $86 – $110 |
| 9 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $95 | $90 | $7 | 8% | — | $79 – $95 |
| 10 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 11 | Appalachian Regional Healthcare, Inc. Hazard, KY fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 12 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 13 | Ascension Calumet Hospital, Inc. Chilton, WI other · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 14 | Ascension NE Wisconsin, Inc. Appleton, WI other · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 15 | Ascension NE Wisconsin, Inc. Oshkosh, WI other · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 16 | Ascension SE Wisconsin Hospital, Inc. Milwaukee, WI other · outpatient | 3 | $145 | $168 | $43 | 26% | — | $131 – $228 |
| 17 | Ascension SE Wisconsin Hospital, Inc. Franklin, WI other · outpatient | 3 | $145 | $168 | $43 | 26% | — | $131 – $228 |
| 18 | Ascension SE Wisconsin Hospital, Inc. Brookfield, WI other · outpatient | 3 | $145 | $168 | $43 | 26% | — | $131 – $228 |
| 19 | Ascension St. Francis Hospital, Inc. Milwaukee, WI other · outpatient | 3 | $145 | $168 | $43 | 26% | — | $131 – $228 |
| 20 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 10 | $88 | $86 | $3 | 3% | — | $81 – $88 |
| 21 | Atrium Medical Center Middletown, OH fee schedule · outpatient | 6 | $88 | $95 | $16 | 17% | — | $88 – $132 |
| 22 | Aurora BayCare Medical Center Green Bay, WI fee schedule · outpatient | 2 | $97 | $97 | $9 | 9% | — | $88 – $105 |
| 23 | Aurora Lakeland Medical Center Elkhorn, WI fee schedule · outpatient | 2 | $97 | $97 | $9 | 9% | — | $88 – $105 |
| 24 | Aurora Medical Center Bay Area Marinette, WI fee schedule · outpatient | 3 | $105 | $99 | $8 | 8% | — | $88 – $105 |
| 25 | Aurora Medical Center Burlington Burlington, WI fee schedule · outpatient | 2 | $97 | $97 | $9 | 9% | — | $88 – $105 |
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