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 VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE
Low
$0
Average
$255
Median
$180
High
$5.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
654 hospitals; the 90th percentile is 4.5× 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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1,012 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 | $135 | $132 | $27 | 20% | 368 | $98 – $164 |
| 2 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $144 | $144 | — | — | 338 | $144 – $144 |
| 3 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $172 | $165 | $26 | 16% | 225 | $130 – $194 |
| 4 | Mercy Hospital Portland, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $169 | $167 | $24 | 14% | 206 | $136 – $194 |
| 5 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $382 | $382 | $205 | 54% | 192 | $177 – $588 |
| 6 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $120 | $122 | $3 | 3% | 134–143 | $120 – $128 |
| 7 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $151 | $151 | — | — | 130–139 | $151 – $151 |
| 8 | Maine Coast Regional Health Facilities Ellsworth, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $168 | $168 | — | — | 101 | $168 – $168 |
| 9 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $261 | $264 | $8 | 3% | 99 | $255 – $275 |
| 10 | The Aroostook Medical Center Isle, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $174 | $167 | $29 | 17% | 92 | $129 – $199 |
| 11 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $295 | $295 | $17 | 6% | 80 | $278 – $313 |
| 12 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 12 | $132 | $129 | $33 | 25% | 79 | $60 – $175 |
| 13 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 2 | $220 | $194 | $195 | 101% | 63–81 | $0 – $532 |
| 14 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $246 | $219 | $34 | 16% | 60–87 | $177 – $246 |
| 15 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $152 | — | — | 34 | $152 – $152 |
| 16 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $199 | $199 | — | — | 31 | $199 – $199 |
| 17 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $198 | $209 | $16 | 8% | 14–32 | $198 – $232 |
| 18 | Harrison Community Hospital, Inc. Cadiz, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $204 | $204 | $74 | 36% | 12–21 | $130 – $277 |
| 19 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $151 | $151 | — | — | 2–20 | $151 – $151 |
| 20 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges | 2 | $97 | $97 | $27 | 28% | 2–20 | $69 – $124 |
| 21 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · outpatientfrom % of charges | 1 | $261 | $261 | — | — | 2–20 | $261 – $261 |
| 22 | Tufts Medical Center BOSTON, MA other · both | 1 | $584 | $584 | $242 | 41% | 2–20 | $342 – $827 |
| 23 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $185 | $185 | — | — | 2–20 | $185 – $185 |
| 24 | Boston Medical Center Brighton Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $265 | $265 | — | — | 1–10 | $265 – $265 |
| 25 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $185 | $185 | — | — | 1–10 | $185 – $185 |
← Payers reporting CPT 91322 · Snapshot 20261111T120946Z-9134e7f7