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-19 mRNA Vac 6mo-11yr-Moderna IM Susp PFS 25 MCG/0.25ML
Reported by 46 hospitals in the network under the fee schedule methodology.
Low
$82
Average
$233
Median
$221
High
$588
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 46 hospitals; the 90th percentile is 2.5× 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 | Sanford Worthington Medical Center | Worthington, MN | $146 | $146 | — | — | $116 | $285 |
| 2 | City Hospital, Inc. | Martinsburg, WV | $110 | $110 | $68 | — | $43 | $178 |
| 3 | University of Wisconsin Hospital and Clinics Authority | Madison, WI | $169 | $169 | — | — | $106 | $337 |
| 4 | Penn State Health Milton S. Hershey Medical Center | Hershey, PA | $147 | $227 | $107 | — | $99 | $438 |
| 5 | Indiana University Health West Hospital Inc. | Avon, IN | $353 | $291 | $110 | — | $135 | $1.1k |
| 6 | Indiana University Health North Hospital Inc. | Carmel, IN | $353 | $291 | $110 | — | $135 | $1.1k |
| 7 | Indiana University Health Inc. | Indianapolis, IN | $353 | $291 | $110 | — | $135 | $1.1k |
| 8 | Indiana University Health Paoli Inc. | Paoli, IN | $284 | $262 | $107 | — | $135 | $1.2k |
| 9 | Indiana University Health Bloomington Inc. | Bloomington, IN | $353 | $291 | $110 | — | $135 | $1.2k |
| 10 | Indiana University Health White Memorial Hospital Inc. | Monticello, IN | $284 | $262 | $107 | — | $135 | $1.1k |
Ask Claude or any MCP client for NDC 80777-0113-80 pricing at a specific hospital — see how to connect.