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
$24
Average
$179
Median
$160
High
$824
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
101 hospitals; the 90th percentile is 2.1× 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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120 hospital rates
iThe hospitals that file a Tricare 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 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $124 | $124 | $80 | 64% | 25 | $44 – $204 |
| 2 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $216 | $216 | — | — | 1–10 | $216 – $216 |
| 3 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $24 | $24 | — | — | 1–10 | $24 – $24 |
| 4 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $216 | $216 | — | — | 1–10 | $216 – $216 |
| 5 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $168 | $168 | — | — | 1–10 | $168 – $168 |
| 6 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $156 | $156 | — | — | — | $156 – $156 |
| 7 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 8 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 9 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 10 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 11 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 12 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 13 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 14 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 15 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 16 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $310 | $376 | $114 | 30% | — | $310 – $574 |
| 17 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 18 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 4 | $156 | $156 | — | — | — | $156 – $156 |
| 19 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $204 | $204 | — | — | — | $204 – $204 |
| 20 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $269 | $269 | — | — | — | $269 – $269 |
| 21 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $269 | $269 | — | — | — | $269 – $269 |
| 22 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 23 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 24 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $246 | $246 | — | — | — | $246 – $246 |
| 25 | Dupont Hospital LLC Wayne, IN facility · fee schedule · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
← Payers reporting CPT 91320 · Snapshot 20261111T120946Z-9134e7f7