DTaP vaccine, intramuscular injection at AMH Cath Labs LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DIPH,PERTUS(ACEL),TET PED (PF) 25-58-10 LF-MCG-LF/0.5ML INTRAMUSC SYRG [95610]

Arlington, TX

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Pricing by billing methodology

Price type

How this price compares nationally

AMH Cath Labs LLC’s median price of $63 is 11% above the median hospital's median price ($56), higher than 57% of the 1,970 hospitals reporting CPT 90700. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90700 at AMH Cath Labs LLC

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	$10	$10	$0	5%	—	$9 – $10
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$10	$10	$0	5%	—	$9 – $10
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$10	$10	$1	5%	—	$9 – $11
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$11	$10	$1	5%	—	$10 – $11
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$11	$11	$1	5%	—	$10 – $11
6	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$39	$38	$2	5%	—	$35 – $39
7	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$46	$45	$2	5%	—	$41 – $47
8	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$51	$50	$3	5%	—	$47 – $52
9	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$58	$56	$3	5%	—	$52 – $59
10	Blue Cross Blue Shield hmo fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
11	Blue Cross Blue Shield exchange fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
12	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$61	$60	$3	5%	—	$55 – $62
13	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$61	$60	$3	5%	—	$55 – $62
14	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$62	$60	$3	5%	—	$56 – $63
15	Blue Cross Blue Shield ppo fee schedule · outpatient	$63	$63	—	—	—	$63 – $63
16	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$77	$76	$4	5%	—	$70 – $79
17	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$78	$76	$4	5%	—	$70 – $79
18	Aetna asa percent of total billed charges · outpatientfrom % of charges	$78	$76	$4	5%	—	$71 – $80
19	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$78	$76	$4	5%	—	$71 – $80
20	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$83	$81	$4	5%	—	$75 – $85
21	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$97	$95	$5	5%	—	$88 – $99
22	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$97	$95	$5	5%	—	$88 – $99
23	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$105	$102	$5	5%	—	$95 – $107
24	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$105	$102	$5	5%	—	$95 – $107
25	Blue Cross Blue Shield traditional fee schedule · outpatient	$258	$258	—	—	—	$258 – $258

Last updated: Apr 21, 2026

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