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
HEPB VACC 3 DOSE IMMUNSUP IM
Austin, TX
See all hospitals reporting CPT 90740 →Price type
Ascension Seton’s median price of $152 is 28% below the median hospital's median price ($210), higher than 13% of the 1,404 hospitals reporting CPT 90740. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 17 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 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 2 | UnitedHealthcare 4498_united healthcare (aus,nw,sw, bas) 20250701 other · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 3 | UnitedHealthcare 4499_united healthcare (del) 20250701 other · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 4 | UnitedHealthcare 4500_united healthcare (wil,hays) 20250701 other · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 5 | UnitedHealthcare 4501_united healthcare nexus city hmo (aus,nw,sw,bas) 20250701 other · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 6 | UnitedHealthcare 4502_united healthcare nexus city hmo (del) 20250701 other · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 7 | UnitedHealthcare 4503_united healthcare nexus city hmo (wil,hays) 20250701 other · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 8 | UnitedHealthcare 4504_united healthcare nexus city ppo (aus,nw,sw,bas) 20250401 other · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 9 | UnitedHealthcare 4506_united healthcare nexus city ppo (wil,hays) 20250701 other · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 10 | UnitedHealthcare 4507_united healthcare standard nexus aco (aus,nw,sw,bas) 20250701 other · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 11 | UnitedHealthcare 4508_united healthcare standard nexus aco (del) 20250701 other · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 12 | UnitedHealthcare 4509_united healthcare standard nexus aco (wil,hays) 20250701 other · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 13 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $555 | $555 | — | — | — | $555 – $555 |
| 14 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $569 | $569 | — | — | — | $569 – $569 |
| 15 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $569 | $569 | — | — | — | $569 – $569 |
| 16 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $630 | $630 | — | — | — | $630 – $630 |
| 17 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $693 | $693 | — | — | — | $693 – $693 |
Last updated: Jan 1, 2026
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