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
$11
Average
$187
Median
$162
High
$1.1k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
296 hospitals; the 90th percentile is 2.2× 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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491 hospital rates
iThe hospitals that file a Anthem 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 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $136 | $136 | — | — | 802 | $136 – $136 |
| 2 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 3 | $166 | $168 | $4 | 2% | 211 | $166 – $174 |
| 3 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $167 | $167 | $32 | 19% | 157–166 | $135 – $199 |
| 4 | Mercy Hospital Portland, ME facility · percent of total billed charges · outpatientfrom % of charges | 3 | $166 | $167 | $1 | 1% | 151 | $166 – $169 |
| 5 | Maine Coast Regional Health Facilities Ellsworth, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $168 | $168 | — | — | 148 | $168 – $168 |
| 6 | The Aroostook Medical Center Isle, ME facility · percent of total billed charges · outpatientfrom % of charges | 3 | $166 | $169 | $4 | 2% | 64 | $166 – $174 |
| 7 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $109 | $109 | — | — | 1–10 | $109 – $109 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | 1–10 | $43 – $43 |
| 9 | Harrison Community Hospital, Inc. Cadiz, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $109 | $109 | — | — | 1–10 | $109 – $109 |
| 10 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $158 | $158 | — | — | 1–10 | $158 – $158 |
| 11 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $370 | $370 | — | — | 1–10 | $370 – $370 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $316 | $316 | $26 | 8% | — | $290 – $341 |
| 14 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 15 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY fee schedule · outpatient | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 16 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $273 | $273 | — | — | — | $273 – $273 |
| 17 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH fee schedule · outpatient | 1 | $427 | $427 | — | — | — | $427 – $427 |
| 18 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $187 | $183 | $37 | 20% | — | $141 – $248 |
| 19 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $171 | $173 | $76 | 44% | — | $91 – $286 |
| 20 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 2 | $181 | $181 | $22 | 12% | — | $158 – $203 |
| 21 | Acadia Hospital Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $192 | $192 | — | — | — | $192 – $192 |
| 22 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $162 | $152 | $14 | 9% | — | $131 – $162 |
| 23 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $102 | $96 | $15 | 16% | — | $75 – $110 |
| 24 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $93 | $85 | $26 | 31% | — | $44 – $111 |
| 25 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $108 | $108 | $0 | 0% | — | $108 – $108 |
← Payers reporting CPT 91322 · Snapshot 20261111T120946Z-9134e7f7