RC 771

Vaccine administration, single or combined dose

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Vfc Im Admn Sarscov2 Vaccine Sngl Dose

Payers reporting RC 771

Payer pricing summary

Low

$21

Average

$181

Median

$112

High

$1.7k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare facility · fee schedule · outpatient · +41 other terms	345	$73	$99	$278	281%	2,292	$0 – $10.0k
2	Humana facility · fee schedule · outpatient · +29 other terms	276	$65	$106	$135	128%	1,418–1,436	$0 – $722
3	Bcbs Al facility · other · outpatient · +4 other terms	6	$55	$85	$107	126%	433–541	$42 – $522
4	Aetna facility · fee schedule · outpatient · +37 other terms	349	$71	$96	$142	148%	412–448	$0 – $1.5k
5	Molina fee schedule · outpatient · +30 other terms	105	$59	$115	$235	205%	347–392	$1 – $2.1k
6	Cigna fee schedule · outpatient · +33 other terms	162	$121	$151	$247	163%	276–366	$1 – $2.4k
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +31 other terms	257	$116	$271	$681	252%	192–210	$0 – $38.0k
8	Anthem fee schedule · outpatient · +31 other terms	104	$79	$98	$120	123%	112–220	$1 – $1.1k
9	Bcbs Fl facility · other · outpatient · +3 other terms	2	$367	$360	$425	118%	69–96	$126 – $2.0k
10	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$127	$127	$45	35%	24–33	$44 – $163
11	Bcbs In other · both	11	$181	$181	$46	26%	14–140	$99 – $349
12	Caresource fee schedule · outpatient · +17 other terms	42	$64	$85	$100	117%	6–60	$1 – $661
13	Medica fee schedule · outpatient · +21 other terms	41	$100	$92	$111	121%	6–60	$0 – $792
14	Kaiser fee schedule · outpatient · +24 other terms	82	$115	$172	$371	216%	5–50	$4 – $3.5k
15	Optum facility · other · outpatient · +22 other terms	50	$21	$92	$254	277%	4–40	$0 – $2.2k
16	Wellmark facility · fee schedule · both · +16 other terms	37	$49	$71	$145	203%	3–30	$6 – $1.8k
17	First Health fee schedule · outpatient · +19 other terms	38	$274	$220	$275	125%	2–20	$10 – $1.3k
18	Bcbs Mo professional · other · both · +2 other terms	1	$88	$88	—	—	1–10	$88 – $88
19	WellCare fee schedule · outpatient · +24 other terms	126	$61	$98	$150	154%	—	$3 – $1.1k
20	Devoted facility · fee schedule · outpatient · +18 other terms	112	$65	$145	$165	114%	—	$8 – $701
21	Tricare facility · fee schedule · outpatient · +18 other terms	110	$89	$137	$279	203%	—	$0 – $2.7k
22	MultiPlan fee schedule · outpatient · +20 other terms	106	$167	$167	$226	135%	—	$0 – $1.5k
23	Highmark facility · fee schedule · outpatient · +18 other terms	73	$118	$221	$562	254%	—	$2 – $7.1k
24	Ambetter facility · fee schedule · outpatient · +20 other terms	67	$179	$169	$255	151%	—	$0 – $1.2k
25	Medicaid facility · fee schedule · outpatient · +16 other terms	63	$36	$61	$79	129%	—	$2 – $374

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