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
4vhpv vaccine 3 dose im
Devils Lake, ND
See all hospitals reporting CPT 90649 →Price type
Altru Hospital Devils Lake’s median price of $163 is 21% below the median hospital's median price ($206), higher than 27% of the 1,239 hospitals reporting CPT 90649. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 6 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 | $56 | $56 | — | — | — | $56 – $56 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 4 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $165 | $165 | — | — | — | $165 – $165 |
Last updated: Mar 1, 2026
See HPV vaccine, quadrivalent, three-dose series injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.