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NDC 58160-0884-52

Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage

Reported by 41 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$12

Average

$64

Median

$54

High

$408

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$56$110$102$147$28
2Adventist Health Medical Center TehachapiTehachapi, CA$34$89$108$229$59
3Adventist Health DelanoDelano, CA$19$66$69$115$22
4Simi Valley Hospital And Health Care ServicesValley, CA$28$61$61$115$18
5Adventist Health TulareTulare, CA$32$66$74$138$34
6Reedley Community HospitalReedley, CA$36$63$73$137$29
7San Joaquin Community HospitalBakersfield, CA$31$60$73$156$29
8Lodi Memorial Hospital Association IncLodi, CA$8$142$191$452$124
9Hanford Community HospitalHanford, CA$37$65$77$177$35
10White Memorial Medical CenterAngeles, CA$28$90$92$419$57
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