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
58160-0815-11 - hepatitis A-hepatitis B vaccine Su
Bluffton, IN
See all hospitals reporting CPT 90636 →Price type
Bluffton Health System LLC’s median price of $777 is 330% above the median hospital's median price ($181), higher than 98% of the 1,494 hospitals reporting CPT 90636. 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, 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 | Tricare node tricare facility · fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 2 | Anthem anthem in medicaid facility · percent of total billed charges · outpatientfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 3 | Caresource caresource hhw in medicaid facility · percent of total billed charges · outpatientfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 4 | Caresource caresource in hip facility · percent of total billed charges · outpatientfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 5 | Humana humana pathways in medicaid facility · percent of total billed charges · outpatientfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 6 | UnitedHealthcare uhc hcc in medicaid facility · percent of total billed charges · outpatientfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 7 | UnitedHealthcare uhc pathways in medicaid facility · percent of total billed charges · outpatientfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 8 | Aetna node aetna mcr adv facility · other · outpatient | $377 | $377 | — | — | — | $377 – $377 |
| 9 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $460 | $460 | — | — | — | $460 – $460 |
| 10 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $513 | $513 | — | — | — | $513 – $513 |
| 11 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $525 | $525 | — | — | — | $525 – $525 |
| 12 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $525 | $525 | — | — | — | $525 – $525 |
| 13 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $525 | $525 | — | — | — | $525 – $525 |
| 14 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $525 | $525 | — | — | — | $525 – $525 |
| 15 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $647 | $647 | — | — | — | $647 – $647 |
| 16 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $647 | $647 | — | — | — | $647 – $647 |
| 17 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $678 | $678 | — | — | — | $678 – $678 |
| 18 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $716 | $716 | — | — | — | $716 – $716 |
| 19 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 21 | First Health first health non-exclusive facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 22 | First Health first health non-exclusive facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Apr 1, 2026
See Hepatitis A and B combined vaccine for adults pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.