RC 771
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
Vfc Im Admn Sarscov2 Vaccine Sngl Dose
Low
$0
Average
$80
Median
$51
High
$1.4k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
592 hospitals; the 90th percentile is 7.9× 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.
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932 hospital rates
iThe hospitals that file a Molina rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 7 | $22 | $35 | $42 | 120% | 7,354–7,399 | $2 – $221 |
| 2 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $38 | $26 | $12 | 47% | 1,097 | $13 – $38 |
| 3 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $55 | $78 | $52 | 66% | 823–877 | $21 – $174 |
| 4 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $46 | $54 | $13 | 24% | 406–442 | $40 – $70 |
| 5 | Bexar County Hospital District San Antonio, TX other · outpatient | 1 | $34 | $32 | $18 | 57% | 342–360 | $11 – $50 |
| 6 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $464 | $464 | $382 | 82% | 300 | $33 – $991 |
| 7 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $115 | $327 | $347 | 106% | 207–216 | $70 – $856 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $39 | $52 | 132% | 165–183 | $2 – $216 |
| 9 | Adena Health System Chillicothe, OH facility · other · outpatient | 1 | $24 | $24 | $12 | 52% | 151–160 | $11 – $36 |
| 10 | St Luke's Regional Medical Center, LTD Mountain Home, ID other · outpatient | 2 | $48 | $73 | $115 | 156% | 135–207 | $18 – $486 |
| 11 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $45 | $49 | $31 | 62% | 125–539 | $14 – $102 |
| 12 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 3 | $25 | $26 | $12 | 45% | 118–127 | $9 – $55 |
| 13 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 3 | $25 | $26 | $12 | 45% | 118–127 | $9 – $55 |
| 14 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · other · both | 2 | $91 | $103 | $50 | 48% | 107–116 | $44 – $183 |
| 15 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $29 | $38 | 132% | 104–122 | $2 – $157 |
| 16 | Methodist Hospitals of Dallas Dallas, TX percent of total billed charges · bothfrom % of charges | 1 | $39 | $39 | — | — | 104 | $39 – $39 |
| 17 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE facility · percent of total billed charges · outpatientfrom % of charges | 2 | $41 | $92 | $99 | 108% | 97–133 | $17 – $402 |
| 18 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $11 | $9 | 86% | 94 | $6 – $39 |
| 19 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · other · outpatient | 2 | $99 | $119 | $84 | 70% | 83–92 | $51 – $339 |
| 20 | Massachusetts General Hospital Boston, MA other · both | 1 | $54 | $52 | $2 | 5% | 72–90 | $48 – $54 |
| 21 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID other · outpatient | 2 | $53 | $57 | $19 | 34% | 57–93 | $18 – $82 |
| 22 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 2 | $36 | $57 | $50 | 88% | 55–82 | $16 – $139 |
| 23 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $32 | $43 | 132% | 53–71 | $2 – $177 |
| 24 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient | 1 | $33 | $33 | $10 | 31% | 39–48 | $23 – $43 |
| 25 | Las Cruces Medical Center LLC Las Cruces, NM facility · other · outpatient | 1 | $33 | $65 | $129 | 199% | 38–47 | $33 – $580 |
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