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
$1
Average
$131
Median
$127
High
$450
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
64 hospitals; the 90th percentile is 44.2× 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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82 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $435 | $435 | — | — | — | $435 – $435 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 4 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $17 | $17 | $1 | 5% | — | $16 – $18 |
| 5 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $17 | $17 | $1 | 5% | — | $16 – $18 |
| 6 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $131 | $131 | — | — | — | $131 – $131 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 8 | CentraState Medical Center Freehold Township, NJ fee schedule · both | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 9 | CentraState Medical Center Freehold Township, NJ fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 10 | Chilton Medical Center Pompton Plains, NJ fee schedule · both | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 11 | Chilton Medical Center Pompton Plains, NJ fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 12 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 13 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 14 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 15 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $16 | $16 | $1 | 5% | — | $16 – $17 |
| 16 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 17 | FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both | 2 | $16 | $16 | $1 | 5% | — | $16 – $17 |
| 18 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $131 | $131 | — | — | — | $131 – $131 |
| 19 | Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | HMA Santa Rosa Medical Center LLC Milton, FL facility · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
← Payers reporting CPT 91320 · Snapshot 20261111T120946Z-9134e7f7