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
Fluzone vacc 3 yrs & > im
Low
$6
Average
$24
Median
$13
High
$71
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 4.8× 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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17 hospital rates
iThe hospitals that file a Tricare 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 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 4 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 6 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 7 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 8 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $6 | $6 | $0 | 6% | — | $6 – $6 |
| 10 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $36 | $36 | $9 | 25% | — | $27 – $45 |
| 11 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 12 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 13 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 14 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 15 | OCHSNER BAYOU LLC Raceland, LA percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | $2 | 5% | — | $37 – $41 |
| 16 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 17 | The Toledo Hospital Maumee, OH facility · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
← Payers reporting HCPCS Q2038 · Snapshot 20261111T120946Z-9134e7f7