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
PNEUMOC 13-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [105422]
Arlington, TX
See all hospitals reporting CPT 90670 →Price type
AMH Cath Labs LLC’s median price of $385 is 22% above the median hospital's median price ($315), higher than 61% of the 1,787 hospitals reporting CPT 90670. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 33 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 | $72 | $72 | — | — | — | $72 – $72 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $76 | $76 | — | — | — | $76 – $76 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $78 | $78 | — | — | — | $78 – $78 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 7 | Humana medicare advantage case rate · outpatient | $268 | $268 | — | — | — | $268 – $268 |
| 8 | Humana medicare advantage ppo case rate · outpatient | $268 | $268 | — | — | — | $268 – $268 |
| 9 | Molina medicare advantage case rate · outpatient | $271 | $271 | — | — | — | $271 – $271 |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $271 | $271 | — | — | — | $271 – $271 |
| 11 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 12 | WellCare medicare advantage mmp case rate · outpatient | $284 | $284 | — | — | — | $284 – $284 |
| 13 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $286 | $286 | — | — | — | $286 – $286 |
| 14 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $292 | $292 | — | — | — | $292 – $292 |
| 15 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $334 | $334 | — | — | — | $334 – $334 |
| 16 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $375 | $375 | — | — | — | $375 – $375 |
| 17 | Blue Cross Blue Shield hmo fee schedule · outpatient | $378 | $378 | — | — | — | $378 – $378 |
| 18 | Blue Cross Blue Shield exchange fee schedule · outpatient | $388 | $388 | — | — | — | $388 – $388 |
| 19 | Blue Cross Blue Shield ppo fee schedule · outpatient | $421 | $421 | — | — | — | $421 – $421 |
| 20 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $445 | $445 | — | — | — | $445 – $445 |
| 21 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $449 | $449 | — | — | — | $449 – $449 |
| 22 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $565 | $565 | — | — | — | $565 – $565 |
| 23 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $566 | $566 | — | — | — | $566 – $566 |
| 24 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $570 | $570 | — | — | — | $570 – $570 |
| 25 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $570 | $570 | — | — | — | $570 – $570 |
Last updated: Apr 21, 2026
See Pneumococcal conjugate vaccine (13-valent) injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.