NDC 80777-0113-80
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
COVID VAC 25-26(6M-11Y)(MOD)PF 25 MCG/0.25 ML IM SYRG
Reported by 77 hospitals in the network.
Based on 463–598 billing samples across every hospital reporting.
Low
$50
Average
$509
Median
$287
High
$5.0k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 77 hospitals; the 90th percentile is 9.4× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | The Carle Foundation Hospital | Urbana, IL | $147 | $127 | $63 | 240–249 | $19 | $387 |
| 2 | University of Wisconsin Hospital and Clinics Authority | Madison, WI | $220 | $230 | $52 | 90–162 | $106 | $337 |
| 3 | Boston Children's Hospital | Boston, MA | $483 | $466 | $109 | 110 | $10 | $616 |
| 4 | Carle BroMenn Medical Center | Normal, IL | $123 | $115 | $43 | 20–47 | $14 | $150 |
| 5 | Children's Healthcare of Atlanta | Atlanta, GA | $175 | $187 | $27 | 3–30 | $165 | $250 |
| 6 | Northwestern Medicine Central DuPage Hospital | Winfield, IL | $57 | $61 | $25 | — | $14 | $99 |
| 7 | Northwestern Memorial Hospital | Chicago, IL | $69 | $70 | $29 | — | $23 | $99 |
| 8 | Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $75 | $71 | $21 | — | $18 | $99 |
| 9 | Northwestern Medicine Valley West Hospital | Sandwich, IL | $62 | $52 | $31 | — | $7 | $99 |
| 10 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital | McHenry, IL | $43 | $50 | $23 | — | $19 | $99 |
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