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
HC 0004A SARSCOV2 VAC 30MCG/0.3ML IM BOOSTER DOSE PFIZER
Kosciusko, MS
See all hospitals reporting CPT 0004A →Price type
Baptist Medical Center-Attala’s median price of $53 is 10% above the median hospital's median price ($48), higher than 61% of the 470 hospitals reporting CPT 0004A. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 18 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 | Tricare tricare facility · percent of total billed charges · outpatientfrom % of charges | $27.93 | $27.93 | $27.93 – $27.93 |
| 2 | Molina chip facility · percent of total billed charges · outpatientfrom % of charges | $29.40 | $29.40 | $29.40 – $29.40 |
| 3 | Molina medicaid facility · percent of total billed charges · outpatientfrom % of charges | $29.40 | $29.40 | $29.40 – $29.40 |
| 4 | Devoted medicare facility · percent of total billed charges · outpatientfrom % of charges | $29.99 | $29.99 | $29.99 – $29.99 |
| 5 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $30.28 | $30.28 | $30.28 – $30.28 |
| 6 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $30.87 | $30.87 | $30.87 – $30.87 |
| 7 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $30.87 | $30.87 | $30.87 – $30.87 |
| 8 | Humana medicare pho facility · percent of total billed charges · outpatientfrom % of charges | $30.87 | $30.87 | $30.87 – $30.87 |
| 9 | WellCare medicare facility · percent of total billed charges · outpatientfrom % of charges | $30.87 | $30.87 | $30.87 – $30.87 |
| 10 | Molina exchange facility · percent of total billed charges · outpatientfrom % of charges | $54.39 | $54.39 | $54.39 – $54.39 |
| 11 | MultiPlan complementary network facility · percent of total billed charges · inpatientfrom % of charges | $58.80 | $58.80 | $58.80 – $58.80 |
| 12 | MultiPlan complementary network facility · percent of total billed charges · outpatientfrom % of charges | $58.80 | $58.80 | $58.80 – $58.80 |
| 13 | MultiPlan mpi primary network facility · percent of total billed charges · inpatientfrom % of charges | $58.80 | $58.80 | $58.80 – $58.80 |
| 14 | MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges | $58.80 | $58.80 | $58.80 – $58.80 |
| 15 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $67.20 | $67.20 | $67.20 – $67.20 |
| 16 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $75.60 | $75.60 | $75.60 – $75.60 |
| 17 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $75.60 | $75.60 | $75.60 – $75.60 |
| 18 | Aetna commercial facility · case rate · outpatient | $150.00 | $150.00 | $150.00 – $150.00 |
Last updated: Feb 20, 2026
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