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
TIC-BRN ENCEPH VAC 0.25ML IM
Smithville, TX
See all hospitals reporting CPT 90626 →Price type
Ascension Seton’s median price of $876 is 114% above the median hospital's median price ($409), higher than 86% of the 828 hospitals reporting CPT 90626. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 5 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 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $856 | $856 | — | — | — | $856 – $856 |
| 2 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $876 | $876 | — | — | — | $876 – $876 |
| 3 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $876 | $876 | — | — | — | $876 – $876 |
| 4 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $971 | $971 | — | — | — | $971 – $971 |
| 5 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Jan 1, 2026
See Tick-borne encephalitis vaccine, 0.25 mL dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.