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
SARSCOV2 VAC 25 MCG/.25ML IM
Summit, WI
See all hospitals reporting CPT 91321 →Price type
Aurora Medical Center Summit’s median price of $179 is about the same as the median hospital's median price ($178), higher than 51% of the 1,398 hospitals reporting CPT 91321. 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 | $147 | $147 | — | — | — | $147 – $147 |
| 2 | Anthem blue priority fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 3 | UnitedHealthcare charter fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 4 | UnitedHealthcare exchange fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 5 | UnitedHealthcare hmo fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 6 | UnitedHealthcare nexus fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 7 | Healthpartners employee trust fund fee schedule · outpatient | $172 | $172 | — | — | — | $172 – $172 |
| 8 | Anthem blue preferred fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 9 | Healthpartners robin fee schedule · outpatient | $179 | $179 | — | — | — | $179 – $179 |
| 10 | Cigna ppo-gppo fee schedule · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 11 | Molina commercial fee schedule · outpatient | $359 | $359 | — | — | — | $359 – $359 |
Last updated: Nov 21, 2025
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