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
HC ADMN RSV MONOC ANTB IM INJECTION
Low
$10
Average
$667
Median
$32
High
$33.5k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
61 hospitals; the 90th percentile is 2.6× 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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114 hospital rates
iThe hospitals that file a Medical Mutual 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 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 2 | Avita Ontario Hospital Ontario, OH per diem · both | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 3 | Avita Ontario Hospital Ontario, OH percent of total billed charges · bothfrom % of charges | 2 | $14 | $14 | $6 | 38% | — | $9 – $20 |
| 4 | Bucyrus Community Hospital Bucyrus, OH per diem · both | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 5 | Bucyrus Community Hospital Bucyrus, OH percent of total billed charges · bothfrom % of charges | 2 | $14 | $14 | $6 | 42% | — | $8 – $20 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | $6 | 48% | — | $7 – $19 |
| 7 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | $6 | 48% | — | $7 – $19 |
| 8 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $23 | $23 | $9 | 37% | — | $14 – $32 |
| 9 | Children's Hospital Medical Center Mason, OH percent of total billed charges · inpatientfrom % of charges | 2 | $16 | $16 | $3 | 21% | — | $13 – $20 |
| 10 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $3 | 21% | — | $13 – $20 |
| 11 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 12 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 13 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 14 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33.5k | $33.5k | — | — | — | $33.5k – $33.5k |
| 15 | Fisher-Titus Medical Center Norwalk, OH professional · fee schedule · both | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 16 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 17 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 18 | Galion Community Hospital S., OH per diem · both | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 19 | Galion Community Hospital S., OH percent of total billed charges · bothfrom % of charges | 2 | $2.1k | $2.1k | $2.1k | 99% | — | $20 – $4.2k |
| 20 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $53 | $53 | — | — | — | $53 – $53 |
| 21 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $56 | $56 | $1 | 1% | — | $56 – $57 |
| 22 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $47 | $49 | $6 | 11% | — | $43 – $57 |
| 23 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 24 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 25 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
← Payers reporting CPT 96381 · Snapshot 20261111T120946Z-9134e7f7