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
$77
Average
$95
Median
$88
High
$126
Filter by billing methodology
Filter by billing class
6 hospital rates
iThe hospitals that file a Bcbs La 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 | Central Louisiana Surgical Hospital Alexandria, LA fee schedule · outpatient | 2 | $88 | $88 | — | — | — | $88 – $88 |
| 2 | Opelousas General Main Campus Opelousas, LA facility · fee schedule · outpatient | 4 | $88 | $88 | — | — | — | $88 – $88 |
| 3 | SOUTHERN REGIONAL MEDICAL CORPORATION Houma, LA other · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 4 | SOUTHERN REGIONAL MEDICAL CORPORATION Houma, LA percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 5 | UNIVERSITY HEALTH SHREVEPORT, LLC Shreveport, LA other · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 6 | UNIVERSITY HEALTH SHREVEPORT, LLC Shreveport, LA percent of total billed charges · outpatientfrom % of charges | 1 | $139 | $139 | — | — | — | $139 – $139 |
← Payers reporting CPT 91319 · Snapshot 20261112T181611Z-3fa9fb76