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
$7
Average
$25
Median
$22
High
$73
Each hospital's average Ucare rate, under the methodology and billing class chosen below.
59 hospitals; the 90th percentile is 2.4× 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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118 hospital rates
iThe hospitals that file a Ucare 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 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 2 | $14 | $14 | $1 | 5% | 28–37 | $14 – $15 |
| 2 | Range Regional Health Services Hibbing, MN facility · other · inpatient | 2 | $14 | $14 | $1 | 5% | 28–37 | $14 – $15 |
| 3 | Fairview Health Services Minneapolis, MN other · inpatient | 2 | $15 | $15 | $0 | 0% | 8–80 | $15 – $15 |
| 4 | Fairview Health Services Minneapolis, MN other · outpatient | 1 | $15 | $15 | — | — | 4–40 | $15 – $15 |
| 5 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · outpatient | 1 | $15 | $15 | — | — | 1–10 | $15 – $15 |
| 6 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 4 | $26 | $23 | $12 | 52% | 1–10 | $10 – $41 |
| 7 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 4 | $20 | $20 | $12 | 56% | 1–10 | $10 – $41 |
| 8 | Range Regional Health Services Hibbing, MN facility · other · outpatient | 1 | $15 | $15 | — | — | 1–10 | $15 – $15 |
| 9 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 3 | $17 | $19 | $4 | 21% | — | $15 – $25 |
| 10 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 3 | $17 | $19 | $4 | 21% | — | $15 – $25 |
| 11 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 12 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 13 | Essentia Health St. Mary's Medical Center Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 14 | Essentia Health Virginia 901 9th St N Virginia, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 15 | Essentia Health Virginia 901 9th St N Virginia, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 16 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 4 | $35 | $34 | $17 | 50% | — | $14 – $52 |
| 17 | Fairview Bethesda Hospital St. Paul, MN fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 18 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · inpatientfrom % of charges | 1 | $16 | $17 | $0 | 1% | — | $16 – $17 |
| 19 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · outpatientfrom % of charges | 2 | $20 | $20 | $0 | 1% | — | $19 – $20 |
| 20 | Fairview Health Services Edina, MN fee schedule · both | 4 | $35 | $34 | $17 | 50% | — | $14 – $52 |
| 21 | Fairview Health Services Edina, MN fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 22 | Fairview Health Services Edina, MN percent of total billed charges · outpatientfrom % of charges | 2 | $20 | $20 | $0 | 1% | — | $19 – $20 |
| 23 | Fairview Health Services Minneapolis, MN fee schedule · both | 6 | $35 | $34 | $18 | 52% | — | $14 – $52 |
| 24 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 25 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 3 | $20 | $20 | $0 | 1% | — | $19 – $20 |
← Payers reporting CPT 96381 · Snapshot 20261111T120946Z-9134e7f7