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
Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use
Kansas City, MO
See all hospitals reporting CPT 90656 →Price type
Belton Regional Medical Center’s median price of $37 is 26% above the median hospital's median price ($29), higher than 64% of the 2,171 hospitals reporting CPT 90656. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 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 | Blue Cross Blue Shield freedomnetworkselect percent of total billed charges · outpatientfrom % of charges | $20.78 | $20.78 | $20.62 – $20.94 |
| 2 | Blue Cross Blue Shield tricare fee schedule · outpatient | $22.35 | $22.35 | $22.35 – $22.35 |
| 3 | UnitedHealthcare ksmgmcd fee schedule · outpatient | $22.35 | $22.35 | $22.35 – $22.35 |
| 4 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $22.68 | $22.68 | $22.51 – $22.85 |
| 5 | Aetna Better Health mcd fee schedule · outpatient | $23.24 | $23.24 | $23.24 – $23.24 |
| 6 | UnitedHealthcare momgmcd fee schedule · outpatient | $30.17 | $30.17 | $30.17 – $30.17 |
| 7 | Blue Cross Blue Shield freedomnetwork percent of total billed charges · outpatientfrom % of charges | $32.53 | $32.53 | $32.28 – $32.77 |
| 8 | Blue Cross Blue Shield pc percent of total billed charges · outpatientfrom % of charges | $32.53 | $32.53 | $32.28 – $32.77 |
| 9 | Aetna familyhealthplanmcd percent of total billed charges · outpatientfrom % of charges | $33.43 | $33.43 | $33.18 – $33.68 |
| 10 | Blue Cross Blue Shield participating percent of total billed charges · outpatientfrom % of charges | $37.05 | $37.05 | $36.76 – $37.33 |
| 11 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $37.05 | $37.05 | $36.76 – $37.33 |
| 12 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $38.31 | $38.31 | $38.31 – $38.31 |
| 13 | Blue Cross Blue Shield blue-care(hmo) percent of total billed charges · outpatientfrom % of charges | $38.86 | $38.86 | $38.56 – $39.15 |
| 14 | Blue Cross Blue Shield blueaccess percent of total billed charges · outpatientfrom % of charges | $38.86 | $38.86 | $38.56 – $39.15 |
| 15 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $40.66 | $40.66 | $40.35 – $40.97 |
| 16 | Blue Cross Blue Shield preferred-careblue(ppo) percent of total billed charges · outpatientfrom % of charges | $49.70 | $49.70 | $49.32 – $50.07 |
| 17 | MultiPlan complimentarynetwork percent of total billed charges · outpatientfrom % of charges | $66.87 | $66.87 | $66.36 – $67.37 |
| 18 | MultiPlan wcompmissouri percent of total billed charges · outpatientfrom % of charges | $72.29 | $72.29 | $71.74 – $72.83 |
Last updated: Mar 1, 2026
See Trivalent flu shot, preservative-free, 0.5 mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.