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 IMM ADMIN PFIZER SARSCOV2 30MCG/0.3ML BOOSTER
Waxahachie, TX
See all hospitals reporting CPT 0004A →Price type
Baylor Scott & White Heart and Vascular Hospital - Waxahachie’s median price of $51 is 6% above the median hospital's median price ($48), higher than 57% 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: 6 payers, 14 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 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $28.00 | $28.00 | $28.00 – $28.00 |
| 2 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $39.44 | $39.44 | $39.44 – $39.44 |
| 3 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $44.00 | $44.00 | $44.00 – $44.00 |
| 4 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $46.40 | $46.40 | $46.40 – $46.40 |
| 5 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $49.75 | $49.75 | $49.75 – $49.75 |
| 6 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $49.75 | $49.75 | $49.75 – $49.75 |
| 7 | Blue Cross Blue Shield city of dallas facility · percent of total billed charges · outpatientfrom % of charges | $53.60 | $53.60 | $53.60 – $53.60 |
| 8 | UnitedHealthcare commercial broad facility · percent of total billed charges · outpatientfrom % of charges | $55.28 | $55.28 | $55.28 – $55.28 |
| 9 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $56.00 | $56.00 | $56.00 – $56.00 |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $56.00 | $56.00 | $56.00 – $56.00 |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $56.00 | $56.00 | $56.00 – $56.00 |
| 12 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $56.00 | $56.00 | $56.00 – $56.00 |
| 13 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $59.20 | $59.20 | $59.20 – $59.20 |
| 14 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $59.20 | $59.20 | $59.20 – $59.20 |
Last updated: Jun 29, 2026
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