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
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramuscular use
Summit, WI
See all hospitals reporting CPT 91304 →Price type
Aurora Medical Center Summit’s median price of $197 is 2% above the median hospital's median price ($193), higher than 53% of the 1,155 hospitals reporting CPT 91304. 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 | $162 | $162 | — | — | — | $162 – $162 |
| 2 | Anthem blue priority fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 3 | UnitedHealthcare charter fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 4 | UnitedHealthcare exchange fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 5 | UnitedHealthcare hmo fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 6 | UnitedHealthcare nexus fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 7 | Healthpartners employee trust fund fee schedule · outpatient | $189 | $189 | — | — | — | $189 – $189 |
| 8 | Anthem blue preferred fee schedule · outpatient | $194 | $194 | — | — | — | $194 – $194 |
| 9 | Healthpartners robin fee schedule · outpatient | $197 | $197 | — | — | — | $197 – $197 |
| 10 | Cigna ppo-gppo fee schedule · outpatient | $238 | $238 | — | — | — | $238 – $238 |
| 11 | Molina commercial fee schedule · outpatient | $394 | $394 | — | — | — | $394 – $394 |
Last updated: Nov 21, 2025
See COVID-19 vaccine, recombinant nanoparticle, 5 mcg dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.