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
PR IMMUNIZ ADMIN, SARS-COV- 2 COVID-19 VACCINE, 25MCG/0.25ML, BIVALENT, BOOSTER DOSE, 6MTH-5YRS
Crowley, LA
See all hospitals reporting CPT 0164A →Price type
Acadia General Hospital, Inc’s median price of $40 is 23% below the median hospital's median price ($52), higher than 23% of the 413 hospitals reporting CPT 0164A. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 8 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna all payor other · outpatient | $36 | $36 | $12 | 35% | — | $23 – $48 |
| 2 | Bcbs La all payor other · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 3 | Bcbs La all payor percent of total billed charges · outpatientfrom % of charges | $40 | $40 | — | — | — | $40 – $40 |
| 4 | WellCare all payor other · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 5 | UnitedHealthcare all payor other · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 6 | Cigna all payor other · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 7 | Tricare all payor other · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 8 | Optum all payor other · outpatient | $80 | $80 | — | — | — | $80 – $80 |
Last updated: Apr 1, 2026
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