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
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramuscular use
Arlington, TX
See all hospitals reporting CPT 91304 →Price type
AMH Cath Labs LLC’s median price of $201 is 4% above the median hospital's median price ($193), higher than 56% of the 1,155 hospitals reporting CPT 91304. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 9 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 | UnitedHealthcare ppo fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 3 | Humana medicare advantage case rate · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 4 | Humana medicare advantage ppo case rate · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 5 | Molina medicare advantage case rate · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 6 | WellCare medicare advantage hmo case rate · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 7 | WellCare medicare advantage mmp case rate · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 8 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $213 | $213 | — | — | — | $213 – $213 |
| 9 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $217 | $217 | — | — | — | $217 – $217 |
Last updated: Apr 21, 2026
See COVID-19 vaccine, recombinant nanoparticle, 5 mcg dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.