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 MODERNA SARSCOV2 100MCG/0.5ML 2ND DOSE
Grapevine, TX
See all hospitals reporting CPT 0012A →Price type
Baylor Scott & White Medical Center - Grapevine’s median price of $50 is 4% above the median hospital's median price ($48), higher than 52% of the 558 hospitals reporting CPT 0012A. 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, 21 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 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $12.00 | $12.00 | $12.00 – $12.00 |
| 2 | Aetna medicaid facility · percent of total billed charges · outpatientfrom % of charges | $12.24 | $12.24 | $12.24 – $12.24 |
| 3 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $12.84 | $12.84 | $12.84 – $12.84 |
| 4 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $28.00 | $28.00 | $28.00 – $28.00 |
| 5 | 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 |
| 6 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $39.44 | $39.44 | $39.44 – $39.44 |
| 7 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $44.00 | $44.00 | $44.00 – $44.00 |
| 8 | 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 |
| 9 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $46.40 | $46.40 | $46.40 – $46.40 |
| 10 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $48.00 | $48.00 | $48.00 – $48.00 |
| 11 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $49.75 | $49.75 | $49.75 – $49.75 |
| 12 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $49.75 | $49.75 | $49.75 – $49.75 |
| 13 | Ambetter ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $52.00 | $52.00 | $52.00 – $52.00 |
| 14 | Blue Cross Blue Shield city of dallas facility · percent of total billed charges · outpatientfrom % of charges | $53.60 | $53.60 | $53.60 – $53.60 |
| 15 | UnitedHealthcare commercial broad facility · percent of total billed charges · outpatientfrom % of charges | $55.28 | $55.28 | $55.28 – $55.28 |
| 16 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $56.00 | $56.00 | $56.00 – $56.00 |
| 17 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $56.00 | $56.00 | $56.00 – $56.00 |
| 18 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $56.00 | $56.00 | $56.00 – $56.00 |
| 19 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $56.00 | $56.00 | $56.00 – $56.00 |
| 20 | 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 |
| 21 | 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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