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
$86
Average
$184
Median
$156
High
$510
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
50 hospitals; the 90th percentile is 1.7× 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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119 hospital rates
iThe hospitals that file a Wellmark 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 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $169 | $168 | $2 | 1% | 1–10 | $165 – $169 |
| 2 | Mercy Health Services-Iowa Corp. Mason City, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $50 | $50 | — | — | 1–10 | $50 – $50 |
| 3 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $321 | $322 | $9 | 3% | — | $312 – $335 |
| 4 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $305 | $306 | $9 | 3% | — | $296 – $318 |
| 5 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 6 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $156 | $156 | — | — | — | $156 – $156 |
| 7 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · outpatient | 3 | $156 | $156 | — | — | — | $156 – $156 |
| 8 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 2 | $168 | $168 | — | — | — | $168 – $168 |
| 9 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 10 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 2 | $168 | $168 | — | — | — | $168 – $168 |
| 11 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 12 | Central Community Hospital Elkader, IA facility · fee schedule · both | 2 | $168 | $168 | — | — | — | $168 – $168 |
| 13 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 14 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 15 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $156 | $156 | — | — | — | $156 – $156 |
| 16 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · outpatient | 3 | $156 | $156 | — | — | — | $156 – $156 |
| 17 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $156 | $156 | — | — | — | $156 – $156 |
| 18 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · outpatient | 3 | $156 | $156 | — | — | — | $156 – $156 |
| 19 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 2 | $168 | $168 | — | — | — | $168 – $168 |
| 20 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 21 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 3 | $156 | $159 | $5 | 3% | — | $156 – $167 |
| 22 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 3 | $156 | $159 | $5 | 3% | — | $156 – $167 |
| 23 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 24 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $156 | $156 | — | — | — | $156 – $156 |
| 25 | Grinnell Regional Medical Center Grinnell, IA fee schedule · outpatient | 3 | $156 | $156 | — | — | — | $156 – $156 |
← Payers reporting CPT 91320 · Snapshot 20261111T120946Z-9134e7f7