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
Covington, TN
See all hospitals reporting CPT 0004A →Price type
Baptist Memorial Hospital-Tipton’s median price of $65 is 36% above the median hospital's median price ($48), higher than 75% 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: 8 payers, 22 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 commercial facility · percent of total billed charges · outpatientfrom % of charges | $34.89 | $35.70 | $22.62 – $50.40 |
| 2 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $35.70 | $35.70 | $24.36 – $47.04 |
| 3 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $44.63 | $44.63 | $30.45 – $58.80 |
| 4 | Blue Cross Blue Shield network e facility · percent of total billed charges · outpatientfrom % of charges | $48.45 | $48.45 | $33.06 – $63.84 |
| 5 | Blue Cross Blue Shield network l facility · percent of total billed charges · outpatientfrom % of charges | $53.55 | $53.55 | $36.54 – $70.56 |
| 6 | Blue Cross Blue Shield network s facility · percent of total billed charges · outpatientfrom % of charges | $53.55 | $53.55 | $36.54 – $70.56 |
| 7 | MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges | $54.83 | $54.83 | $37.41 – $72.24 |
| 8 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $55.21 | $55.21 | $37.67 – $72.74 |
| 9 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $55.21 | $55.21 | $37.67 – $72.74 |
| 10 | Molina chip facility · percent of total billed charges · outpatientfrom % of charges | $63.75 | $63.75 | $43.50 – $84.00 |
| 11 | Molina exchange facility · percent of total billed charges · inpatientfrom % of charges | $63.75 | $63.75 | $43.50 – $84.00 |
| 12 | Molina exchange facility · percent of total billed charges · outpatientfrom % of charges | $63.75 | $63.75 | $43.50 – $84.00 |
| 13 | Blue Cross Blue Shield lppo facility · percent of total billed charges · inpatientfrom % of charges | $76.50 | $76.50 | $52.20 – $100.80 |
| 14 | Blue Cross Blue Shield lppo facility · percent of total billed charges · outpatientfrom % of charges | $76.50 | $76.50 | $52.20 – $100.80 |
| 15 | Blue Cross Blue Shield medicare facility · percent of total billed charges · inpatientfrom % of charges | $76.50 | $76.50 | $52.20 – $100.80 |
| 16 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $76.50 | $76.50 | $52.20 – $100.80 |
| 17 | Blue Cross Blue Shield network p facility · percent of total billed charges · outpatientfrom % of charges | $76.50 | $76.50 | $52.20 – $100.80 |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $76.50 | $76.50 | $52.20 – $100.80 |
| 19 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $76.50 | $76.50 | $52.20 – $100.80 |
| 20 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $82.88 | $82.88 | $56.55 – $109.20 |
| 21 | MultiPlan complementary network facility · percent of total billed charges · inpatientfrom % of charges | $95.63 | $95.63 | $65.25 – $126.00 |
| 22 | MultiPlan complementary network facility · percent of total billed charges · outpatientfrom % of charges | $95.63 | $95.63 | $65.25 – $126.00 |
Last updated: Feb 27, 2026
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