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
$0
Average
$32
Median
$28
High
$123
Each hospital's average Molina rate, under the methodology and billing class chosen below.
267 hospitals; the 90th percentile is 3.1× 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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368 hospital rates
iThe hospitals that file a Molina 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 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 5 | $28 | $28 | $6 | 20% | 1–10 | $23 – $38 |
| 2 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 3 | $30 | $30 | $1 | 4% | 1–10 | $29 – $31 |
| 3 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 3 | $30 | $30 | $1 | 4% | 1–10 | $29 – $31 |
| 4 | San Bernardino County Redlands, CA facility · other · outpatient | 1 | $9 | $9 | — | — | 1–10 | $9 – $9 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 6 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 7 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 8 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $43 | $43 | $15 | 34% | — | $28 – $58 |
| 9 | Aiken Regional Medical Centers North Augusta, SC fee schedule · both | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 10 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 11 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 12 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 3 | $21 | $23 | $5 | 21% | — | $17 – $30 |
| 13 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 3 | $21 | $23 | $5 | 20% | — | $17 – $30 |
| 14 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 3 | $21 | $23 | $5 | 21% | — | $17 – $30 |
| 15 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 3 | $21 | $23 | $5 | 21% | — | $17 – $30 |
| 16 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 3 | $21 | $23 | $5 | 21% | — | $17 – $30 |
| 17 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 3 | $21 | $23 | $5 | 21% | — | $17 – $30 |
| 18 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 2 | $23 | $23 | $8 | 33% | — | $15 – $30 |
| 19 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 20 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 21 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 22 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 23 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 3 | $22 | $29 | $9 | 31% | — | $22 – $41 |
| 24 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 3 | $22 | $28 | $9 | 31% | — | $22 – $40 |
| 25 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 3 | $22 | $28 | $9 | 31% | — | $22 – $40 |
← Payers reporting CPT 96380 · Snapshot 20261111T120946Z-9134e7f7