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
ADM SARSCOV2 30MCG/0.3ML BST
Wichita, KS
See all hospitals reporting CPT 0004A →Price type
Ascension Via Christi Rehabilitation Hospital, Inc.’s median price of $34 is 28% below the median hospital's median price ($48), higher than 19% of the 470 hospitals reporting CPT 0004A. 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, 4 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 | Aetna 1473_aetna spirit concierge care stks, vwks 20250320 fee schedule · outpatient | $26.06 | $26.06 | $26.06 – $26.06 |
| 2 | Aetna 1474_aetna spirit traditional stks, vwks 20250320 fee schedule · outpatient | $29.95 | $29.95 | $29.95 – $29.95 |
| 3 | Aetna 1475_aetna stks, vwks 20250320 fee schedule · outpatient | $38.90 | $38.90 | $38.90 – $38.90 |
| 4 | Aetna 1369_aetna rhks 20241101 fee schedule · outpatient | $98.40 | $98.40 | $98.40 – $98.40 |
Last updated: Jan 1, 2026
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