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
Sarscv2 vac 30mcg trs-suc im
Low
$71
Average
$187
Median
$168
High
$510
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
41 hospitals; the 90th percentile is 2.0× 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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70 hospital rates
iThe hospitals that file a Excellus 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 | MVHS, Inc. Utica, NY fee schedule · both | 1 | $144 | $144 | — | — | 69–132 | $144 – $144 |
| 2 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $169 | $169 | — | — | 1–10 | $169 – $169 |
| 3 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $173 | $173 | — | — | 1–10 | $173 – $173 |
| 4 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $173 | $173 | — | — | 1–10 | $173 – $173 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 6 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 7 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 8 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 3 | $144 | $152 | $12 | 8% | — | $144 – $168 |
| 9 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 10 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 11 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 3 | $156 | $157 | $6 | 4% | — | $150 – $165 |
| 12 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 3 | $156 | $157 | $6 | 4% | — | $150 – $165 |
| 13 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 5 | $145 | $123 | $58 | 47% | — | $34 – $178 |
| 14 | Highland Hospital Rochester, NY fee schedule · outpatient | 4 | $328 | $328 | — | — | — | $328 – $328 |
| 15 | MVHS, Inc. Utica, NY fee schedule · outpatient | 2 | $168 | $168 | — | — | — | $168 – $168 |
| 16 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $407 | $407 | — | — | — | $407 – $407 |
| 17 | MVHS, Inc. Utica, NY percent of total billed charges · inpatientfrom % of charges | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 18 | MVHS, Inc. Utica, NY percent of total billed charges · outpatientfrom % of charges | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 19 | Massena Hospital Inc Massena, NY facility · fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 20 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 4 | $144 | $142 | $16 | 11% | — | $119 – $168 |
| 21 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $548 | $548 | — | — | — | $548 – $548 |
| 22 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 2 | $167 | $167 | $2 | 1% | — | $165 – $169 |
| 23 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $167 | $167 | $2 | 1% | — | $165 – $169 |
| 24 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · inpatient | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 25 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $369 | $369 | — | — | — | $369 – $369 |
← Payers reporting CPT 91320 · Snapshot 20261111T120946Z-9134e7f7