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
Huntingdon, TN
See all hospitals reporting CPT 0004A →Price type
Baptist Memorial Hospital-Carroll County’s median price of $103 is 114% above the median hospital's median price ($48), higher than 88% 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: 7 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 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $47.04 | $47.04 | $47.04 – $47.04 |
| 2 | Blue Cross Blue Shield network e facility · percent of total billed charges · outpatientfrom % of charges | $63.84 | $63.84 | $63.84 – $63.84 |
| 3 | Blue Cross Blue Shield network l facility · percent of total billed charges · outpatientfrom % of charges | $70.56 | $70.56 | $70.56 – $70.56 |
| 4 | Blue Cross Blue Shield network s facility · percent of total billed charges · outpatientfrom % of charges | $70.56 | $70.56 | $70.56 – $70.56 |
| 5 | Cigna ifp facility · percent of total billed charges · outpatientfrom % of charges | $72.74 | $72.74 | $72.74 – $72.74 |
| 6 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $72.74 | $72.74 | $72.74 – $72.74 |
| 7 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $72.74 | $72.74 | $72.74 – $72.74 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $96.94 | $96.94 | $96.94 – $96.94 |
| 9 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $96.94 | $96.94 | $96.94 – $96.94 |
| 10 | Blue Cross Blue Shield network p facility · percent of total billed charges · outpatientfrom % of charges | $100.80 | $100.80 | $100.80 – $100.80 |
| 11 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $105.00 | $105.00 | $105.00 – $105.00 |
| 12 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $109.20 | $109.20 | $109.20 – $109.20 |
| 13 | Humana cpos/hmo/npos/ppo facility · percent of total billed charges · inpatientfrom % of charges | $110.88 | $110.88 | $110.88 – $110.88 |
| 14 | Humana cpos/hmo/npos/ppo facility · percent of total billed charges · outpatientfrom % of charges | $110.88 | $110.88 | $110.88 – $110.88 |
| 15 | MultiPlan complementary network facility · percent of total billed charges · inpatientfrom % of charges | $126.00 | $126.00 | $126.00 – $126.00 |
| 16 | MultiPlan complementary network facility · percent of total billed charges · outpatientfrom % of charges | $126.00 | $126.00 | $126.00 – $126.00 |
| 17 | MultiPlan mpi primary network facility · percent of total billed charges · inpatientfrom % of charges | $126.00 | $126.00 | $126.00 – $126.00 |
| 18 | MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges | $126.00 | $126.00 | $126.00 – $126.00 |
Last updated: Feb 27, 2026
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