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
$124
Average
$200
Median
$167
High
$367
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
36 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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46 hospital rates
iThe hospitals that file a Carefirst 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 | Mishawaka Medical Center Mishawaka, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $294 | $294 | — | — | 1–10 | $294 – $294 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 3 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 4 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 5 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 6 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 1 | $219 | $219 | — | — | — | $219 – $219 |
| 7 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $124 | $124 | — | — | — | $124 – $124 |
| 8 | MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient | 3 | $387 | $282 | $148 | 53% | — | $72 – $387 |
| 9 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $353 | $353 | — | — | — | $353 – $353 |
| 10 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $290 | $290 | — | — | — | $290 – $290 |
| 11 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 3 | $160 | $160 | — | — | — | $160 – $160 |
| 12 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 3 | $230 | $230 | — | — | — | $230 – $230 |
| 13 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 3 | $138 | $138 | — | — | — | $138 – $138 |
| 14 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $286 | $286 | — | — | — | $286 – $286 |
| 15 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 3 | $476 | $346 | $183 | 53% | — | $87 – $476 |
| 16 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $419 | $419 | — | — | — | $419 – $419 |
| 17 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 2 | $129 | $133 | $7 | 5% | — | $129 – $144 |
| 18 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $129 | $133 | $7 | 5% | — | $129 – $144 |
| 19 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $282 | $282 | — | — | — | $282 – $282 |
| 20 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 2 | $129 | $133 | $7 | 5% | — | $129 – $144 |
| 21 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $129 | $133 | $7 | 5% | — | $129 – $144 |
| 22 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 23 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · fee schedule · both | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 24 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · both | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 25 | Mercy Medical Center - Dyersville Dyersville, IA facility · fee schedule · both | 1 | $147 | $147 | — | — | — | $147 – $147 |
← Payers reporting CPT 91321 · Snapshot 20261111T120946Z-9134e7f7