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
HC ADMIN SARSCOV2 30MCG/0.3ML BST
Council Bluffs, IA
See all hospitals reporting CPT 0004A →Price type
Alegent Health Bergan Mercy Health System’s median price of $53 is 11% above the median hospital's median price ($48), higher than 61% of the 470 hospitals reporting CPT 0004A. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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 | UnitedHealthcare medicaid|community plan fee schedule · outpatient | $33.58 | $33.58 | $33.58 – $33.58 |
| 2 | Wellmark commercial|hmo fee schedule · outpatient | $40.00 | $40.00 | $40.00 – $40.00 |
| 3 | Wellmark commercial|ppo fee schedule · outpatient | $40.00 | $40.00 | $40.00 – $40.00 |
| 4 | Phcs commercial|all plans fee schedule · inpatient | $51.83 | $51.83 | $51.83 – $51.83 |
| 5 | Medica commercial|open access fee schedule · outpatient | $54.75 | $54.75 | $54.75 – $54.75 |
| 6 | Phcs commercial|all plans fee schedule · outpatient | $54.75 | $54.75 | $54.75 – $54.75 |
| 7 | MultiPlan commercial|all plans fee schedule · inpatient | $62.05 | $62.05 | $62.05 – $62.05 |
| 8 | MultiPlan commercial|all plans fee schedule · outpatient | $62.05 | $62.05 | $62.05 – $62.05 |
| 9 | Medica commercial|chi health fee schedule · outpatient | $76.98 | $76.98 | $76.98 – $76.98 |
| 10 | Medica commercial|all other plans fee schedule · outpatient | $80.61 | $80.61 | $80.61 – $80.61 |
Last updated: Feb 28, 2026
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