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
PR Vaccine Rsv Monoclonal Ab Seasonal Dose Im W/Counseling by Phy/Oth Qhp
Low
$17
Average
$58
Median
$50
High
$485
Each hospital's average Magellan rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 3.4× 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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36 hospital rates
iThe hospitals that file a Magellan 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 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL per diem · inpatient | 1 | $900 | $900 | — | — | — | $900 – $900 |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 3 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 4 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 5 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 6 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 7 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 8 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 9 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 10 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 11 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 12 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $39 | $39 | $16 | 41% | — | $23 – $55 |
| 13 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 14 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 15 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 16 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 17 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 18 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 19 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | $11 | 65% | — | $6 – $28 |
| 20 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | $11 | 65% | — | $6 – $28 |
| 21 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 22 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 23 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 24 | St Peters Hospital Albany, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 25 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | — | $89 – $89 |
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