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
58160-0819-12 - zoster vaccine, inactivated adjuva
Bluffton, IN
See all hospitals reporting CPT 90750 →Price type
Bluffton Health System LLC’s median price of $1.5k is 431% above the median hospital's median price ($274), higher than 99% of the 1,512 hospitals reporting CPT 90750. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 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 | $217 | $217 | — | — | — | $217 – $217 |
| 2 | Aetna node aetna mcr adv facility · other · outpatient | $647 | $647 | — | — | — | $647 – $647 |
| 3 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $747 | $747 | — | — | — | $747 – $747 |
| 4 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $789 | $789 | — | — | — | $789 – $789 |
| 5 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $881 | $881 | — | — | — | $881 – $881 |
| 6 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $901 | $901 | — | — | — | $901 – $901 |
| 7 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $901 | $901 | — | — | — | $901 – $901 |
| 8 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $901 | $901 | — | — | — | $901 – $901 |
| 9 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $901 | $901 | — | — | — | $901 – $901 |
| 10 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 15 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 16 | First Health first health non-exclusive facility · percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 17 | First Health first health non-exclusive facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
Last updated: Apr 1, 2026
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