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 ED 0004A SARSCOV2 VAC 30MCG/0.3ML IM BOOSTER DOSE PFIZER
Carthage, MS
See all hospitals reporting CPT 0004A →Price type
Baptist Memorial Hospital - Leake’s median price of $51 is 7% above the median hospital's median price ($48), higher than 59% 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: 10 payers, 19 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 | $27.13 | $27.13 | $27.13 – $27.13 |
| 2 | Molina chip facility · percent of total billed charges · outpatientfrom % of charges | $28.56 | $28.56 | $28.56 – $28.56 |
| 3 | Molina medicaid facility · percent of total billed charges · outpatientfrom % of charges | $28.56 | $28.56 | $28.56 – $28.56 |
| 4 | UnitedHealthcare aarp facility · percent of total billed charges · outpatientfrom % of charges | $28.56 | $28.56 | $28.56 – $28.56 |
| 5 | Devoted medicare facility · percent of total billed charges · outpatientfrom % of charges | $29.13 | $29.13 | $29.13 – $29.13 |
| 6 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $29.42 | $29.42 | $29.42 – $29.42 |
| 7 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $29.99 | $29.99 | $29.99 – $29.99 |
| 8 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $29.99 | $29.99 | $29.99 – $29.99 |
| 9 | Humana medicare pho facility · percent of total billed charges · outpatientfrom % of charges | $29.99 | $29.99 | $29.99 – $29.99 |
| 10 | WellCare medicare facility · percent of total billed charges · outpatientfrom % of charges | $29.99 | $29.99 | $29.99 – $29.99 |
| 11 | Molina exchange facility · percent of total billed charges · outpatientfrom % of charges | $52.84 | $52.84 | $52.84 – $52.84 |
| 12 | MultiPlan complementary network facility · percent of total billed charges · inpatientfrom % of charges | $58.80 | $58.80 | $58.80 – $58.80 |
| 13 | MultiPlan complementary network facility · percent of total billed charges · outpatientfrom % of charges | $58.80 | $58.80 | $58.80 – $58.80 |
| 14 | MultiPlan mpi primary network facility · percent of total billed charges · inpatientfrom % of charges | $58.80 | $58.80 | $58.80 – $58.80 |
| 15 | MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges | $58.80 | $58.80 | $58.80 – $58.80 |
| 16 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $67.20 | $67.20 | $67.20 – $67.20 |
| 17 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $67.20 | $67.20 | $67.20 – $67.20 |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $67.20 | $67.20 | $67.20 – $67.20 |
| 19 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $71.40 | $71.40 | $71.40 – $71.40 |
Last updated: Feb 20, 2026
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