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
$519
Median
$140
High
$8.4k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
150 hospitals; the 90th percentile is 8.5× 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
219 hospital rates
iThe hospitals that file a First Health 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 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $219 | $219 | — | — | — | $219 – $219 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $219 | $219 | — | — | — | $219 – $219 |
| 3 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 4 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 5 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 6 | Bexar County Hospital District San Antonio, TX percent of total billed charges · inpatientfrom % of charges | 1 | $152 | $158 | $92 | 58% | — | $63 – $265 |
| 7 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $176 | $187 | $110 | 59% | — | $71 – $326 |
| 8 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 9 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 10 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 11 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 12 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 13 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 14 | Children's Hospital Medical Center Mason, OH percent of total billed charges · inpatientfrom % of charges | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 15 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 16 | Clara Maass Medical Center Belleville, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 17 | Community Medical Center Toms River, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 18 | Cooperman Barnabas Medical Center Livingston, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 19 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $335 | $335 | — | — | — | $335 – $335 |
| 20 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 21 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 22 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 23 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $64 | $64 | $64 | 100% | — | $0 – $127 |
| 24 | Deaconess Health System Henderson Hospital Henderson, KY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 25 | Deaconess Health System Henderson Hospital Henderson, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $168 | $168 | — | — | — | $168 – $168 |
← Payers reporting CPT 91319 · Snapshot 20261112T181611Z-3fa9fb76