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
TD VACC NO PRESV 7 YRS+ IM
Smithville, TX
See all hospitals reporting CPT 90714 →Price type
Ascension Seton’s median price of $23 is 64% below the median hospital's median price ($64), higher than 4% of the 2,169 hospitals reporting CPT 90714. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 6 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 | $21 | $21 | — | — | — | $21 – $21 |
| 2 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 3 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 4 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 5 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 6 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
Last updated: Jan 1, 2026
See Tetanus and diphtheria vaccine, no preservative, intramuscular pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.