RC 771

Vaccine administration, single or combined dose at Ascension Providence

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

PFIZER DOSE 1 6MO-4YRS ADMIN

Waco, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Ascension Providence’s median price of $17 is 69% below the median hospital's median price ($56), higher than 2% of the 1,916 hospitals reporting RC 771. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 771 at Ascension Providence

Negotiated rates from the hospital’s own file: 9 payers, 24 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 974_bcbs star inpatient 20240901 percent of total billed charges · bothfrom % of charges	$7	$26	$40	156%	—	$7 – $151
2	Blue Cross Blue Shield 975_bcbs star outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$7	$26	$40	156%	—	$7 – $151
3	Molina 891_molina chip inpatient 20240901 percent of total billed charges · bothfrom % of charges	$7	$26	$40	156%	—	$7 – $151
4	Molina 908_molina chip outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$7	$26	$40	156%	—	$7 – $151
5	Superior Healthplan 817_superior star inpatient 20240901 percent of total billed charges · bothfrom % of charges	$7	$26	$40	156%	—	$7 – $151
6	Superior Healthplan 856_superior star plus inpatient 20240901 percent of total billed charges · bothfrom % of charges	$7	$26	$40	156%	—	$7 – $151
7	Superior Healthplan 904_superior star outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$7	$26	$40	156%	—	$7 – $151
8	Superior Healthplan 907_superior star plus outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$7	$26	$40	156%	—	$7 – $151
9	UnitedHealthcare 852_uhc star plus inpatient 20240901 percent of total billed charges · bothfrom % of charges	$7	$26	$40	156%	—	$7 – $151
10	UnitedHealthcare 894_uhc star kids inpatient 20240901 percent of total billed charges · bothfrom % of charges	$7	$26	$40	156%	—	$7 – $151
11	UnitedHealthcare 906_uhc star plus outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$7	$26	$40	156%	—	$7 – $151
12	UnitedHealthcare 909_uhc star kids outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$7	$26	$40	156%	—	$7 – $151
13	UnitedHealthcare 928_uhc star outpatient 20250701 percent of total billed charges · outpatientfrom % of charges	$7	$26	$40	156%	—	$7 – $151
14	UnitedHealthcare 929_uhc star inpatient 20250701 percent of total billed charges · bothfrom % of charges	$7	$26	$40	156%	—	$7 – $151
15	Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
16	UnitedHealthcare 943_united healthcare 20250701 per diem · outpatient	$30	$30	—	—	—	$30 – $30
17	Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 percent of total billed charges · outpatientfrom % of charges	$35	$36	$1	4%	—	$35 – $40
18	Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 percent of total billed charges · outpatientfrom % of charges	$38	$38	$1	4%	—	$38 – $43
19	Aetna 935_aetna 20250801 percent of total billed charges · outpatientfrom % of charges	$34	$120	$188	156%	—	$34 – $707
20	Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 percent of total billed charges · outpatientfrom % of charges	$43	$163	$249	153%	—	$43 – $908
21	Cigna 930_cigna 20250701 percent of total billed charges · outpatientfrom % of charges	$46	$164	$255	156%	—	$46 – $959
22	Humana 644_humana hmo ppo 20230701 percent of total billed charges · outpatientfrom % of charges	$55	$198	$309	156%	—	$55 – $1.2k
23	First Health 102_firsthealth 20130101 percent of total billed charges · outpatientfrom % of charges	$58	$209	$327	156%	—	$58 – $1.2k
24	Phcs 376_phcs 20191001 percent of total billed charges · outpatientfrom % of charges	$60	$215	$335	156%	—	$60 – $1.3k

Last updated: Jan 1, 2026

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