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
Hib prp-omp vacc 3 dose im
Devils Lake, ND
See all hospitals reporting CPT 90647 →Price type
Altru Hospital Devils Lake’s median price of $31 is 42% below the median hospital's median price ($53), higher than 15% of the 1,506 hospitals reporting CPT 90647. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 7 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 | Medica medicaid managed care plan facility · fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 4 | Medica all commercial plans facility · fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 5 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 6 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 7 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
Last updated: Mar 1, 2026
See Haemophilus influenzae type b (Hib) vaccine, 3-dose series pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.