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
Hepb vacc 4 dose immunsup im
Devils Lake, ND
See all hospitals reporting CPT 90747 →Price type
Altru Hospital Devils Lake’s median price of $141 is 20% below the median hospital's median price ($176), higher than 12% of the 1,317 hospitals reporting CPT 90747. 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 | $48 | $48 | — | — | — | $48 – $48 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 4 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 7 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $153 | $153 | — | — | — | $153 – $153 |
Last updated: Mar 1, 2026
See Hepatitis B vaccine for dialysis or immunosuppressed patients pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.