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
Sarscov2 vac 25 mcg/.25ml im
Devils Lake, ND
See all hospitals reporting CPT 91321 →Price type
Altru Hospital Devils Lake’s median price of $139 is 22% below the median hospital's median price ($178), higher than 13% of the 1,398 hospitals reporting CPT 91321. 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 | $50 | $50 | — | — | — | $50 – $50 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 4 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 5 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 6 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 7 | Medica all commercial plans facility · fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
Last updated: Mar 1, 2026
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