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
$29
Average
$257
Median
$139
High
$8.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
493 hospitals; the 90th percentile is 4.0× 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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625 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 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 3 | $108 | $228 | $192 | 84% | 351–360 | $79 – $499 |
| 2 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 50 | $597 | $588 | $30 | 5% | 18–36 | $478 – $597 |
| 3 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $83 | $87 | $5 | 5% | 17–44 | $83 – $93 |
| 4 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 3 | $37 | $43 | $10 | 22% | 1–10 | $37 – $57 |
| 5 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $111 | $111 | — | — | 1–10 | $111 – $111 |
| 6 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $83 | $87 | $5 | 5% | 1–10 | $83 – $93 |
| 7 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 4 | $81 | $80 | $20 | 25% | 1–10 | $58 – $102 |
| 8 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 4 | $81 | $80 | $20 | 25% | 1–10 | $58 – $102 |
| 9 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 3 | $83 | $87 | $5 | 5% | 1–10 | $83 – $93 |
| 10 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $59 | $77 | $28 | 37% | — | $50 – $111 |
| 11 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $80 | $79 | $1 | 1% | — | $77 – $80 |
| 12 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 3 | $77 | $77 | — | — | — | $77 – $77 |
| 13 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $77 | $77 | — | — | — | $77 – $77 |
| 14 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 16 | $88 | $88 | — | — | — | $88 – $88 |
| 15 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 16 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 17 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 18 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 19 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 20 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 21 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $363 | $363 | $25 | 7% | — | $338 – $389 |
| 22 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 23 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $363 | $363 | $25 | 7% | — | $338 – $389 |
| 24 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 25 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $88 | $88 | — | — | — | $88 – $88 |
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