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
$57
Average
$189
Median
$157
High
$433
Each hospital's average Regence rate, under the methodology and billing class chosen below.
50 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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66 hospital rates
iThe hospitals that file a Regence 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 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 3 | $159 | $172 | $32 | 19% | 19–46 | $145 – $222 |
| 2 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges | 3 | $106 | $195 | $131 | 67% | 5–50 | $57 – $358 |
| 3 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $129 | $134 | $7 | 5% | 1–10 | $129 – $144 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 5 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 6 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 7 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $206 | $285 | $235 | 82% | — | $57 – $670 |
| 8 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 9 | IHC Health Services Inc., DBA Intermountain Health Heber Valley Hospital Heber City, UT professional · fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 10 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · percent of total billed charges · inpatientfrom % of charges | 8 | $178 | $178 | $10 | 6% | — | $168 – $188 |
| 11 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · percent of total billed charges · outpatientfrom % of charges | 8 | $210 | $210 | $12 | 6% | — | $198 – $222 |
| 12 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · percent of total billed charges · inpatientfrom % of charges | 8 | $188 | $188 | — | — | — | $188 – $188 |
| 13 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · percent of total billed charges · outpatientfrom % of charges | 8 | $222 | $222 | — | — | — | $222 – $222 |
| 14 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 15 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 16 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 1 | $433 | $433 | — | — | — | $433 – $433 |
| 17 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $419 | $419 | — | — | — | $419 – $419 |
| 18 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 2 | $129 | $134 | $7 | 5% | — | $129 – $144 |
| 19 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $129 | $134 | $7 | 5% | — | $129 – $144 |
| 20 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $282 | $282 | — | — | — | $282 – $282 |
| 21 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 2 | $129 | $134 | $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