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
$236
Median
$108
High
$971
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 35.2× 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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52 hospital rates
iThe hospitals that file a Medicaid 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 | Tufts Medical Center BOSTON, MA other · both | 1 | $584 | $584 | $242 | 41% | 40–49 | $342 – $827 |
| 2 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $342 | $309 | $278 | 90% | 3–30 | $0 – $827 |
| 3 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $425 | $425 | — | — | — | $425 – $425 |
| 4 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $404 | $404 | — | — | — | $404 – $404 |
| 5 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $404 | $404 | — | — | — | $404 – $404 |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $84 | $91 | $11 | 12% | — | $84 – $106 |
| 7 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $74 | $9 | 12% | — | $68 – $86 |
| 8 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 9 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $17 | $17 | $1 | 5% | — | $16 – $18 |
| 10 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $17 | $17 | $1 | 5% | — | $16 – $18 |
| 11 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $146 | $146 | — | — | — | $146 – $146 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 13 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $29 | $29 | — | — | — | $29 – $29 |
| 14 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 15 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 16 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $16 | $16 | $1 | 5% | — | $16 – $17 |
| 17 | FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both | 2 | $16 | $16 | $1 | 5% | — | $16 – $17 |
| 18 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $146 | $146 | — | — | — | $146 – $146 |
| 19 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $923 | $923 | $49 | 5% | — | $874 – $971 |
| 20 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $732 | $732 | — | — | — | $732 – $732 |
| 21 | HOMESTEAD HOSPITAL Homestead, FL fee schedule · both | 2 | $16 | $16 | $1 | 5% | — | $16 – $17 |
| 22 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA fee schedule · both | 2 | $162 | $162 | — | — | — | $162 – $162 |
| 23 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Holyoke Medical Center Holyoke, MA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
← Payers reporting CPT 91322 · Snapshot 20261111T120946Z-9134e7f7