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
VARIVAX 1350 PFU-0.5ML IJ SUSR
Summit, WI
See all hospitals reporting CPT 90716 →Price type
Aurora Medical Center Summit’s median price of $700 is 172% above the median hospital's median price ($257), higher than 95% of the 1,835 hospitals reporting CPT 90716. 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, 21 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 | Anthem blue priority fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 2 | Aetna hmo fee schedule · outpatient | $187 | $187 | — | — | — | $187 – $187 |
| 3 | Anthem blue preferred fee schedule · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 4 | Cigna ppo-gppo fee schedule · outpatient | $307 | $307 | — | — | — | $307 – $307 |
| 5 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $693 | $693 | — | — | — | $693 – $693 |
| 6 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $693 | $693 | — | — | — | $693 – $693 |
| 7 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $693 | $693 | — | — | — | $693 – $693 |
| 8 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $693 | $693 | — | — | — | $693 – $693 |
| 9 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $700 | $700 | — | — | — | $700 – $700 |
| 10 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $700 | $700 | — | — | — | $700 – $700 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $875 | $875 | — | — | — | $875 – $875 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $875 | $875 | — | — | — | $875 – $875 |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $875 | $875 | — | — | — | $875 – $875 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $964 | $964 | — | — | — | $964 – $964 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $964 | $964 | — | — | — | $964 – $964 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $983 | $983 | — | — | — | $983 – $983 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $983 | $983 | — | — | — | $983 – $983 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $987 | $987 | — | — | — | $987 – $987 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $987 | $987 | — | — | — | $987 – $987 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $992 | $992 | — | — | — | $992 – $992 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $992 | $992 | — | — | — | $992 – $992 |
Last updated: Nov 21, 2025
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