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
HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSC SYRG [91780]
Arlington, TX
See all hospitals reporting CPT 90632 →Price type
AMH Cath Labs LLC’s median price of $176 is 48% above the median hospital's median price ($119), higher than 70% of the 1,939 hospitals reporting CPT 90632. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 25 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 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $28 | $28 | $1 | 2% | — | $27 – $29 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $28 | $28 | $1 | 2% | — | $27 – $29 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $29 | $29 | $1 | 2% | — | $29 – $30 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $30 | $30 | $1 | 2% | — | $29 – $31 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $30 | $31 | $1 | 2% | — | $30 – $31 |
| 6 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $107 | $108 | $2 | 2% | — | $105 – $111 |
| 7 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $127 | $128 | $3 | 2% | — | $125 – $131 |
| 8 | Blue Cross Blue Shield hmo fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 9 | Blue Cross Blue Shield exchange fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 10 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $143 | $144 | $3 | 2% | — | $141 – $148 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $153 | $153 | — | — | — | $153 – $153 |
| 12 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $160 | $161 | $3 | 2% | — | $158 – $166 |
| 13 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $170 | $171 | $3 | 2% | — | $167 – $175 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $170 | $171 | $3 | 2% | — | $167 – $176 |
| 15 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $171 | $172 | $3 | 2% | — | $169 – $177 |
| 16 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $215 | $217 | $4 | 2% | — | $212 – $223 |
| 17 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $216 | $217 | $4 | 2% | — | $213 – $223 |
| 18 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $217 | $219 | $4 | 2% | — | $214 – $225 |
| 19 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $217 | $219 | $4 | 2% | — | $214 – $225 |
| 20 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $231 | $232 | $5 | 2% | — | $227 – $239 |
| 21 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $270 | $271 | $6 | 2% | — | $265 – $279 |
| 22 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $270 | $271 | $6 | 2% | — | $265 – $279 |
| 23 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $292 | $293 | $6 | 2% | — | $287 – $301 |
| 24 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $292 | $293 | $6 | 2% | — | $287 – $301 |
| 25 | Blue Cross Blue Shield traditional fee schedule · outpatient | $625 | $625 | — | — | — | $625 – $625 |
Last updated: Apr 21, 2026
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