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
$237
Median
$197
High
$6.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1149 hospitals; the 90th percentile is 3.0× 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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1,595 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | 2 | $135 | $135 | $1 | 1% | 1,349–1,358 | $134 – $136 |
| 2 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $440 | $440 | $178 | 40% | 617 | $262 – $618 |
| 3 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $145 | $145 | — | — | 380–398 | $145 – $145 |
| 4 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $141 | $141 | $0 | 0% | 355–364 | $141 – $142 |
| 5 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $159 | $159 | — | — | 322 | $159 – $159 |
| 6 | Mercy Hospital Portland, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $176 | $176 | $7 | 4% | 318 | $169 – $183 |
| 7 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $108 | $108 | — | — | 303–312 | $108 – $108 |
| 8 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $189 | $189 | $17 | 9% | 229 | $172 – $206 |
| 9 | Maine Coast Regional Health Facilities Ellsworth, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $168 | $168 | — | — | 182 | $168 – $168 |
| 10 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $146 | $127 | $38 | 30% | 150–159 | $51 – $146 |
| 11 | Tufts Medical Center BOSTON, MA other · both | 3 | $342 | $524 | $235 | 45% | 144–189 | $342 – $827 |
| 12 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $146 | $146 | — | — | 102–120 | $146 – $146 |
| 13 | The Aroostook Medical Center Isle, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $190 | $190 | $16 | 8% | 98 | $174 – $206 |
| 14 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $146 | $127 | $38 | 30% | 91–109 | $52 – $146 |
| 15 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 1 | $387 | $387 | $352 | 91% | 83 | $35 – $739 |
| 16 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $244 | $266 | $47 | 18% | 75–93 | $223 – $331 |
| 17 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $146 | $128 | $35 | 27% | 44–62 | $58 – $146 |
| 18 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 2 | $146 | $132 | $29 | 22% | 40 | $73 – $146 |
| 19 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | $215 | 54% | 34–43 | $186 – $615 |
| 20 | Avera St. Luke's Aberdeen, SD fee schedule · outpatient | 1 | $267 | $267 | — | — | 26 | $267 – $267 |
| 21 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $267 | $267 | — | — | 24 | $267 – $267 |
| 22 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | 22 | $165 – $165 |
| 23 | Mayo Clinic Health System Osseo, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $146 | $127 | $37 | 29% | 20–29 | $52 – $146 |
| 24 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 2 | $146 | $136 | $20 | 15% | 19–28 | $95 – $146 |
| 25 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 2 | $146 | $135 | $23 | 17% | 14–32 | $88 – $146 |
← Payers reporting CPT 91322 · Snapshot 20261112T181611Z-3fa9fb76