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
$23
Average
$98
Median
$95
High
$202
Each hospital's average Kaiser rate, under the methodology and billing class chosen below.
65 hospitals; the 90th percentile is 2.2× 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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88 hospital rates
iThe hospitals that file a Kaiser 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 | KAISER FOUNDATION HOSPITAL - DOWNEY Downey, CA percent of total billed charges · bothfrom % of charges | 1 | $111 | $111 | — | — | 1–10 | $111 – $111 |
| 2 | KAISER FOUNDATION HOSPITAL - SAN JOSE SAN JOSE, CA percent of total billed charges · bothfrom % of charges | 1 | $78 | $78 | — | — | 1–10 | $78 – $78 |
| 3 | KAISER FOUNDATION HOSPITAL - VACAVILLE VACAVILLE, CA percent of total billed charges · bothfrom % of charges | 1 | $78 | $78 | — | — | 1–10 | $78 – $78 |
| 4 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 5 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 6 | Benefis Hospitals Inc Helena, MT percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 7 | Benefis Senior Services Great Falls, MT percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 8 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $97 | $97 | $0 | 0% | — | $97 – $98 |
| 9 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · inpatientfrom % of charges | 2 | $66 | $63 | $4 | 6% | — | $58 – $67 |
| 10 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $63 | $4 | 6% | — | $58 – $67 |
| 11 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 19 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 2 | $95 | $95 | — | — | — | $95 – $95 |
| 20 | COMMONSPIRIT KANSAS, INC. Dodge City, KS fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 21 | COMMONSPIRIT KANSAS, INC. Garden City, KS fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 22 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 23 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $200 | $200 | — | — | — | $200 – $200 |
| 24 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 25 | Children's National Hospital Washington, DC professional · fee schedule · both | 2 | $96 | $96 | $1 | 1% | — | $95 – $97 |
← Payers reporting CPT 91319 · Snapshot 20261112T181611Z-3fa9fb76