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
$112
Median
$113
High
$273
Each hospital's average Aetna Better Health rate, under the methodology and billing class chosen below.
68 hospitals; the 90th percentile is 8.0× 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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90 hospital rates
iThe hospitals that file a Aetna Better Health 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 | Carle BroMenn Medical Center Normal, IL other · outpatient | 1 | $18 | $18 | — | — | 1–10 | $18 – $18 |
| 2 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | — | — | 1–10 | $51 – $51 |
| 3 | The Carle Foundation Hospital Urbana, IL other · outpatient | 1 | $27 | $27 | — | — | 1–10 | $27 – $27 |
| 4 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $273 | $273 | — | — | — | $273 – $273 |
| 5 | Abington Memorial Hospital Abington, PA professional · fee schedule · both | 1 | $62 | $61 | $1 | 2% | — | $60 – $62 |
| 6 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 7 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 8 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 9 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 10 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 11 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 12 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 13 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 14 | Children's Hospital Medical Center Mason, OH fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 15 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 16 | Children's Hospital of the King's Daughters Norfolk, VA facility · fee schedule · outpatient | 1 | $47 | $38 | $16 | 41% | — | $11 – $47 |
| 17 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Deaconess Illinois Crossroads Inc Mount Vernon, IL facility · case rate · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 22 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL facility · case rate · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 25 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting CPT 91322 · Snapshot 20261112T124536Z-e251e855