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 VACCINE SPLT 0.5 ML IM
Summit, WI
See all hospitals reporting CPT 90658 →Price type
Aurora Medical Center Summit’s median price of $27 is about the same as the median hospital's median price ($27), higher than 51% of the 1,343 hospitals reporting CPT 90658. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 11 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 hmo fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 2 | Anthem blue priority fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 3 | UnitedHealthcare charter fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 4 | UnitedHealthcare exchange fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 5 | UnitedHealthcare hmo fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 6 | UnitedHealthcare nexus fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 7 | Healthpartners employee trust fund fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 8 | Anthem blue preferred fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 9 | Healthpartners robin fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 10 | Cigna ppo-gppo fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 11 | Molina commercial fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
Last updated: Nov 21, 2025
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