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
Iiv3 vacc no prsv 0.5 ml im
Duluth, MN
See all hospitals reporting CPT 90656 →Price type
Aspirus St. Luke’s Hospital’s median price of $23 is 22% below the median hospital's median price ($29), higher than 27% of the 2,171 hospitals reporting CPT 90656. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 20 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 | UnitedHealthcare united healthcare wisconsin medicaid plans fee schedule · both | $15.00 | $15.00 | $15.00 – $15.00 |
| 2 | Bcbs Mn blue cross minnesota commercial plans fee schedule · both | $20.13 | $20.13 | $20.13 – $20.13 |
| 3 | Ucare ucare minnesota medicaid plans fee schedule · both | $21.83 | $21.83 | $21.83 – $21.83 |
| 4 | Bcbs Mn blue cross minnesota commercial plans fee schedule · outpatient | $22.35 | $22.35 | $22.35 – $22.35 |
| 5 | Bcbs Mn blue cross minnesota federal employee program fee schedule · outpatient | $22.35 | $22.35 | $22.35 – $22.35 |
| 6 | Bcbs Mn blue cross minnesota medicaid fee schedule · outpatient | $22.35 | $22.35 | $22.35 – $22.35 |
| 7 | Bcbs Mn blue cross minnesota state employee plan fee schedule · outpatient | $22.35 | $22.35 | $22.35 – $22.35 |
| 8 | Medica medica minnesota medicaid plans fee schedule · both | $22.35 | $22.35 | $22.35 – $22.35 |
| 9 | Tricare tricare plans fee schedule · both | $22.35 | $22.35 | $22.35 – $22.35 |
| 10 | Aetna medicare advantage esa fee schedule · both | $22.76 | $22.76 | $22.76 – $22.76 |
| 11 | Bcbs Mn blue cross medicare advantage plans fee schedule · both | $22.76 | $22.76 | $22.76 – $22.76 |
| 12 | Ucare ucare medicare advantage plans fee schedule · both | $23.00 | $23.00 | $23.00 – $23.00 |
| 13 | Healthpartners healthpartners commercial ppo fee schedule · both | $23.17 | $23.17 | $23.17 – $23.17 |
| 14 | UnitedHealthcare va community care network fee schedule · both | $23.22 | $23.22 | $23.22 – $23.22 |
| 15 | Bcbs Mn blue cross minnesota medicaid fee schedule · both | $23.63 | $23.63 | $23.63 – $23.63 |
| 16 | Medica medica commercial plans fee schedule · both | $23.90 | $23.90 | $23.90 – $23.90 |
| 17 | UnitedHealthcare united healthcare hmo/ppo/pos/epo networks fee schedule · both | $23.90 | $23.90 | $23.90 – $23.90 |
| 18 | UnitedHealthcare united healthcare medicare advantage plans fee schedule · both | $23.92 | $23.92 | $23.92 – $23.92 |
| 19 | Humana humana medicare ppo/pos/hmo network plans fee schedule · both | $24.24 | $24.24 | $24.24 – $24.24 |
| 20 | MultiPlan health eos ppos network plans fee schedule · both | $29.60 | $29.60 | $29.60 – $29.60 |
Last updated: Apr 1, 2026
See Trivalent flu shot, preservative-free, 0.5 mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.