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
Adenovirus Vaccine 4 Live Oral
Dell Rapids, SD
See all hospitals reporting CPT 90476 →Price type
Avera Dell Rapids Hospital’s median price of $87 is 12% above the median hospital's median price ($77), higher than 54% of the 550 hospitals reporting CPT 90476. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 10 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 | Medica ind percent of total billed charges · inpatientfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 2 | Medica ind percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 3 | Medica com percent of total billed charges · inpatientfrom % of charges | $85 | $85 | — | — | — | $85 – $85 |
| 4 | Medica com percent of total billed charges · outpatientfrom % of charges | $87 | $87 | — | — | — | $87 – $87 |
| 5 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 6 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 7 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $93 | $93 | — | — | — | $93 – $93 |
| 8 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $93 | $93 | — | — | — | $93 – $93 |
| 9 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
| 10 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
Last updated: Apr 1, 2026
See Adenovirus type 4 oral vaccine pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.