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

Wellmark pricing summary

Low

$19

Average

$127

Median

$71

High

$1.5k

Wellmark rate distribution

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175 hospital rates

#		Plans
1	Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges	2	$39	$108	$203	188%	178–214	$8 – $948
2	Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges	2	$44	$105	$189	180%	142	$9 – $874
3	Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges	2	$37	$96	$178	185%	122–158	$7 – $832
4	Sanford USD Medical Center Sioux Falls, SD other · outpatient	1	$39	$43	$13	29%	101	$39 – $81
5	HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · both	2	$40	$64	$64	100%	50–77	$20 – $313
6	Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both	1	$50	$58	$14	24%	50–104	$43 – $77
7	HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · outpatient	2	$40	$30	$12	41%	49–67	$4 – $40
8	Mercy Health Services-Iowa Corp. Mason City, IA facility · other · outpatient	1	$50	$50	—	—	44	$50 – $50
9	Sanford Aberdeen Medical Center Aberdeen, SD other · outpatient	1	$39	$39	—	—	26	$39 – $39
10	Sanford Sheldon Medical Center Sheldon, IA other · outpatient	2	$39	$39	—	—	26–107	$39 – $39
11	Pella Regional Health Center Pella, IA other · outpatient	2	$39	$40	$1	3%	24–132	$38 – $41
12	Sanford Vermillion Hospital Vermillion, SD percent of total billed charges · outpatientfrom % of charges	2	$38	$56	$35	64%	18–27	$6 – $108
13	Sanford Chamberlain Medical Center Chamberlain, SD percent of total billed charges · outpatientfrom % of charges	2	$19	$29	$16	55%	14	$7 – $77
14	Sanford Webster Hospital Webster, SD percent of total billed charges · outpatientfrom % of charges	2	$24	$32	$23	70%	11	$7 – $108
15	Sanford Canton Inwood Medical Center Canton, SD percent of total billed charges · outpatientfrom % of charges	2	$39	$46	$36	78%	8–80	$7 – $106
16	Grundy County Memorial Hospital Grundy Center, IA facility · other · outpatient	1	$39	$39	—	—	4–40	$39 – $39
17	Morrison Community Hospital District Morrison, IL facility · fee schedule · both	2	$15	$19	$10	55%	3–30	$6 – $41
18	Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both	1	$45	$52	$12	24%	2–20	$39 – $69
19	St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges	1	$16	$21	$14	66%	2–20	$10 – $44
20	ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient	2	$44	$73	$77	105%	—	$11 – $446
21	ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient	2	$40	$40	—	—	—	$40 – $40
22	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient	2	$40	$40	—	—	—	$40 – $40
23	ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient	2	$42	$70	$73	105%	—	$11 – $424
24	ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient	2	$40	$40	—	—	—	$40 – $40
25	Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient	1	$55	$188	$182	97%	—	$39 – $424

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