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
Pneumococcal conjugate, children 5-9
Low
$92
Average
$195
Median
$175
High
$455
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
8 payers; the 90th percentile is 3.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 8 | $496 | $440 | $103 | 23% | — | $218 – $530 |
| 2 | Highmark facility · fee schedule · outpatient | 3 | $90 | $92 | $4 | 4% | — | $90 – $101 |
| 3 | Aetna fee schedule · outpatient · +3 other terms | 2 | $442 | $442 | — | — | — | $442 – $442 |
| 4 | Cigna facility · fee schedule · outpatient · +4 other terms | 2 | $97 | $103 | $19 | 19% | — | $85 – $135 |
| 5 | UnitedHealthcare percent of total billed charges · outpatientfrom % of charges | 2 | $234 | $234 | $205 | 87% | — | $29 – $439 |
| 6 | Anthem facility · fee schedule · outpatient · +2 other terms | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 7 | First Health percent of total billed charges · outpatientfrom % of charges | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 8 | Molina facility · fee schedule · outpatient | 1 | $226 | $226 | — | — | — | $226 – $226 |
← Hospitals reporting HCPCS S0195 · Snapshot 20261113T090226Z-3ce6c0b8