COVID-19 mRNA vaccine, 25 mcg dose

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

COVID VAC 2025-26 (6MO-11YR)(MODERNA) (PF) 25 MCG/0.25 ML IM SYRINGE

Tricare pricing summary

Low

Average

$163

Median

$146

High

$714

Tricare rate distribution

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82 hospital rates

#		Plans
1	Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges	1	$242	$242	—	—	1–10	$242 – $242
2	Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient	1	$145	$145	—	—	1–10	$145 – $145
3	ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient	4	$147	$147	—	—	—	$147 – $147
4	AnMed Health Anderson, SC professional · fee schedule · inpatient	1	$146	$146	—	—	—	$146 – $146
5	AnMed Health Anderson, SC professional · fee schedule · outpatient	1	$146	$146	—	—	—	$146 – $146
6	AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient	1	$146	$146	—	—	—	$146 – $146
7	AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient	1	$146	$146	—	—	—	$146 – $146
8	AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient	1	$146	$146	—	—	—	$146 – $146
9	Anderson Hospital Maryville, IL facility · fee schedule · outpatient	1	$143	$143	—	—	—	$143 – $143
10	Anderson Hospital Maryville, IL professional · other · outpatient	1	$146	$146	—	—	—	$146 – $146
11	Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both	1	$146	$146	—	—	—	$146 – $146
12	Aspirus Wausau Hospital Wausau, WI fee schedule · both	1	$147	$147	—	—	—	$147 – $147
13	Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · both	1	$146	$146	—	—	—	$146 – $146
14	Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient	1	$147	$147	—	—	—	$147 – $147
15	COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient	4	$147	$147	—	—	—	$147 – $147
16	CORNING HOSPITAL Corning, NY facility · other · outpatient	2	$226	$226	—	—	—	$226 – $226
17	Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges	1	$164	$164	$107	65%	—	$57 – $271
18	Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient	1	$86	$86	$61	71%	—	$25 – $147
19	GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient	1	$226	$226	—	—	—	$226 – $226
20	Glenwood Regional Medical Center - HSA West Monroe, LA facility · fee schedule · outpatient	1	$147	$147	—	—	—	$147 – $147
21	Good Samaritan Hospital Suffern, NY facility · fee schedule · outpatient	1	$147	$147	—	—	—	$147 – $147
22	HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges	1	$143	$143	—	—	—	$143 – $143
23	HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges	1	$143	$143	—	—	—	$143 – $143
24	Kaweah Health Rehabilitation Hospital Visalia, CA facility · fee schedule · outpatient	1	$714	$714	—	—	—	$714 – $714
25	Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient	1	$125	$125	—	—	—	$125 – $125