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
$6
Average
$104
Median
$88
High
$696
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
114 hospitals; the 90th percentile is 15.8× 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.
Filter by billing methodology
Filter by billing class
129 hospital rates
iThe hospitals that file a Caresource 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 3 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $143 | $143 | $46 | 32% | — | $97 – $190 |
| 4 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 5 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $87 | $87 | — | — | — | $87 – $87 |
| 7 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 8 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 13 | Children's Healthcare of Atlanta Atlanta, GA fee schedule · outpatient | 2 | $106 | $106 | — | — | — | $106 – $106 |
| 14 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 15 | Children's Hospital Medical Center Mason, OH fee schedule · outpatient | 1 | $54 | $54 | $39 | 72% | — | $15 – $92 |
| 16 | Children's Hospital Medical Center Mason, OH percent of total billed charges · inpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 17 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 18 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 19 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 2 | $89 | $89 | $4 | 5% | — | $84 – $93 |
| 20 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 2 | $89 | $89 | $4 | 5% | — | $84 – $93 |
| 21 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 2 | $40 | $47 | $48 | 102% | — | $0 – $114 |
| 22 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 2 | $40 | $49 | $50 | 103% | — | $0 – $114 |
| 23 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 2 | $40 | $49 | $50 | 103% | — | $0 – $114 |
| 24 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 2 | $40 | $49 | $50 | 103% | — | $0 – $114 |
| 25 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
← Payers reporting CPT 91319 · Snapshot 20261112T181611Z-3fa9fb76