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 70 hospitals in the network under the percent of billed charges methodology.
Based on 336–471 billing samples across every hospital reporting.
Low
$0
Average
$335
Median
$236
High
$967
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 70 hospitals; the 90th percentile is 14.7× 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 | $115 | $100 | $48 | 240–249 | $19 | $387 |
| 2 | University of Wisconsin Hospital and Clinics Authority | Madison, WI | $222 | $234 | $51 | 90–162 | $106 | $337 |
| 3 | Children's Healthcare of Atlanta | Atlanta, GA | $175 | $191 | $28 | 3–30 | $165 | $250 |
| 4 | Carle BroMenn Medical Center | Normal, IL | $115 | $96 | $39 | 3–30 | $19 | $150 |
| 5 | Northwestern Medicine Central DuPage Hospital | Winfield, IL | $57 | $61 | $25 | — | $14 | $99 |
| 6 | Northwestern Memorial Hospital | Chicago, IL | $69 | $70 | $29 | — | $23 | $99 |
| 7 | Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $75 | $71 | $21 | — | $18 | $99 |
| 8 | Northwestern Medicine Valley West Hospital | Sandwich, IL | $62 | $52 | $31 | — | $7 | $99 |
| 9 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital | McHenry, IL | $43 | $50 | $23 | — | $19 | $99 |
| 10 | Northwestern Medicine Delnor Hospital | Geneva, IL | $66 | $62 | $22 | — | $16 | $99 |
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