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
COVID VAC 2025-26 (6MO-11YR)(MODERNA) (PF) 25 MCG/0.25 ML IM SYRINGE
Low
$0
Average
$260
Median
$163
High
$5.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
607 hospitals; the 90th percentile is 6.0× 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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913 hospital rates
iThe hospitals that file a Aetna 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $123 | $120 | $24 | 20% | 204 | $89 – $149 |
| 2 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $138 | $138 | — | — | 29–38 | $138 – $138 |
| 3 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $269 | $269 | $16 | 6% | 28–37 | $253 – $285 |
| 4 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $144 | $145 | $1 | 1% | 11 | $144 – $147 |
| 5 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $118 | $118 | $4 | 4% | 2–20 | $114 – $123 |
| 6 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $358 | $358 | $181 | 50% | 2–20 | $177 – $539 |
| 7 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 2 | $528 | $528 | $528 | 100% | 2–20 | $0 – $1.1k |
| 8 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $161 | $161 | — | — | 1–10 | $161 – $161 |
| 9 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $212 | $212 | — | — | 1–10 | $212 – $212 |
| 10 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $178 | $178 | — | — | 1–10 | $178 – $178 |
| 11 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $138 | — | — | 1–10 | $138 – $138 |
| 12 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $138 | — | — | 1–10 | $138 – $138 |
| 13 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $138 | — | — | 1–10 | $138 – $138 |
| 14 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $232 | $232 | — | — | 1–10 | $232 – $232 |
| 15 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $225 | $225 | — | — | 1–10 | $225 – $225 |
| 16 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 3 | $144 | $145 | $1 | 1% | 1–10 | $144 – $147 |
| 17 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $148 | $148 | — | — | 1–10 | $148 – $148 |
| 18 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $726 | $726 | — | — | — | $726 – $726 |
| 19 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 20 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $929 | $1.0k | $632 | 62% | — | $349 – $1.9k |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $365 | $644 | $470 | 73% | — | $101 – $1.3k |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $226 | $226 | $20 | 9% | — | $206 – $246 |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $372 | $396 | $50 | 13% | — | $349 – $465 |
| 24 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 25 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $147 | $149 | $3 | 2% | — | $147 – $153 |
← Payers reporting CPT 91321 · Snapshot 20261111T120946Z-9134e7f7