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
mening vac ACYW135 dip (PF) 10-5 mcg/0.5 mL kit 1 each KIT
Boulder, CO
See all hospitals reporting CPT 90734 →Price type
Boulder Community Health’s median price of $216 is 6% below the median hospital's median price ($229), higher than 46% of the 1,912 hospitals reporting CPT 90734. 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, 25 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 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $117 | $117 | $8 | 7% | — | $109 – $126 |
| 2 | Kaiser managed care facility · percent of total billed charges · outpatientfrom % of charges | $125 | $125 | — | — | — | $125 – $125 |
| 3 | Humana medicare advantage professional · fee schedule · both | $164 | $164 | — | — | — | $164 – $164 |
| 4 | UnitedHealthcare commercial professional · fee schedule · both | $167 | $167 | — | — | — | $167 – $167 |
| 5 | Aetna medicare advantage professional · fee schedule · both | $170 | $170 | — | — | — | $170 – $170 |
| 6 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $154 | $178 | $54 | 30% | — | $123 – $297 |
| 7 | UnitedHealthcare medicare advantage professional · fee schedule · both | $182 | $182 | — | — | — | $182 – $182 |
| 8 | Cigna commercial facility · fee schedule · outpatient | $187 | $187 | — | — | — | $187 – $187 |
| 9 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $188 | $188 | — | — | — | $188 – $188 |
| 10 | Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges | $191 | $191 | — | — | — | $191 – $191 |
| 11 | Cigna commercial professional · fee schedule · both | $198 | $198 | — | — | — | $198 – $198 |
| 12 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $199 | $199 | — | — | — | $199 – $199 |
| 13 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $199 | $199 | — | — | — | $199 – $199 |
| 14 | Anthem commercial professional · fee schedule · both | $212 | $212 | — | — | — | $212 – $212 |
| 15 | Anthem managed care professional · fee schedule · both | $212 | $212 | — | — | — | $212 – $212 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $142 | $217 | $129 | 60% | — | $110 – $399 |
| 17 | Aetna commercial professional · fee schedule · both | $245 | $245 | $75 | 31% | — | $170 – $320 |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $259 | $259 | $63 | 24% | — | $196 – $323 |
| 19 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $287 | $287 | — | — | — | $287 – $287 |
| 20 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $344 | $344 | — | — | — | $344 – $344 |
| 21 | Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges | $344 | $344 | — | — | — | $344 – $344 |
| 22 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $349 | $349 | — | — | — | $349 – $349 |
| 23 | Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges | $349 | $349 | — | — | — | $349 – $349 |
| 24 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $399 | $399 | — | — | — | $399 – $399 |
| 25 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $434 | $434 | — | — | — | $434 – $434 |
Last updated: Sep 16, 2026
See Meningococcal ACWY vaccine injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.