Tetanus and diphtheria vaccine, no preservative, intramuscular 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

TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML INTRAMUSC SYRG [96452]

Arlington, TX

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $82 is 28% above the median hospital's median price ($64), higher than 65% of the 2,199 hospitals reporting CPT 90714. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90714 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	$13	$12	$1	11%	—	$10 – $13
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$13	$12	$1	11%	—	$10 – $13
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$14	$13	$1	11%	—	$11 – $14
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$14	$13	$1	11%	—	$11 – $14
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$15	$14	$1	11%	—	$12 – $15
6	Blue Cross Blue Shield hmo fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
7	Blue Cross Blue Shield exchange fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
8	Blue Cross Blue Shield ppo fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
9	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$52	$48	$5	11%	—	$41 – $52
10	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$61	$57	$6	11%	—	$48 – $61
11	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$69	$64	$7	11%	—	$54 – $69
12	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$77	$72	$8	11%	—	$61 – $77
13	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$82	$76	$8	11%	—	$64 – $82
14	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$82	$76	$8	11%	—	$64 – $82
15	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$83	$77	$8	11%	—	$65 – $83
16	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$104	$97	$10	11%	—	$82 – $104
17	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$104	$97	$11	11%	—	$82 – $104
18	Aetna asa percent of total billed charges · outpatientfrom % of charges	$105	$97	$11	11%	—	$82 – $105
19	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$105	$97	$11	11%	—	$82 – $105
20	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$111	$103	$11	11%	—	$88 – $111
21	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$130	$121	$13	11%	—	$102 – $130
22	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$130	$121	$13	11%	—	$102 – $130
23	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$141	$131	$14	11%	—	$111 – $141
24	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$141	$131	$14	11%	—	$111 – $141
25	Blue Cross Blue Shield traditional fee schedule · outpatient	$173	$173	—	—	—	$173 – $173

Last updated: Apr 21, 2026

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