COVID-19 mRNA vaccine, 50 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 VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE

Tricare pricing summary

Low

$25

Average

$224

Median

$162

High

$1.3k

Tricare rate distribution

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67 hospital rates

#		Plans
1	ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient	2	$483	$435	$312	72%	83	$35 – $739
2	Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient	1	$159	$159	—	—	14–23	$159 – $159
3	Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges	1	$83	$83	$0	0%	1–10	$83 – $83
4	Tufts Medical Center BOSTON, MA other · both	1	$827	$827	—	—	1–10	$827 – $827
5	ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient	4	$162	$162	—	—	—	$162 – $162
6	Anderson Hospital Maryville, IL facility · fee schedule · outpatient	1	$157	$157	—	—	—	$157 – $157
7	Anderson Hospital Maryville, IL professional · other · outpatient	1	$160	$160	—	—	—	$160 – $160
8	Aspirus Divine Savior Hospital Portage, WI fee schedule · both	1	$146	$146	—	—	—	$146 – $146
9	Aspirus Iron River Hospital Iron River, MI fee schedule · both	1	$162	$162	—	—	—	$162 – $162
10	Aspirus Ironwood Hospital Ironwood, MI fee schedule · both	1	$146	$146	—	—	—	$146 – $146
11	Aspirus Langlade Hospital Antigo, WI fee schedule · both	1	$146	$146	—	—	—	$146 – $146
12	Aspirus Medford Hospital Medford, WI fee schedule · both	1	$308	$308	—	—	—	$308 – $308
13	Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both	1	$146	$146	—	—	—	$146 – $146
14	Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both	1	$162	$162	—	—	—	$162 – $162
15	Aspirus Wausau Hospital Wausau, WI fee schedule · both	1	$146	$146	—	—	—	$146 – $146
16	Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · both	1	$146	$146	—	—	—	$146 – $146
17	Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient	1	$162	$162	—	—	—	$162 – $162
18	CORNING HOSPITAL Corning, NY facility · other · outpatient	2	$226	$226	—	—	—	$226 – $226
19	Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges	1	$179	$179	$116	65%	—	$63 – $296
20	Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient	1	$25	$25	—	—	—	$25 – $25
21	GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient	1	$226	$226	—	—	—	$226 – $226
22	Glenwood Regional Medical Center - HSA West Monroe, LA facility · fee schedule · outpatient	1	$162	$162	—	—	—	$162 – $162
23	Good Samaritan Hospital Suffern, NY facility · fee schedule · outpatient	1	$162	$162	—	—	—	$162 – $162
24	HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges	1	$122	$122	—	—	—	$122 – $122
25	HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges	1	$157	$157	—	—	—	$157 – $157