Pneumococcal conjugate vaccine injection (PCV21) at Brandon HMA LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

61958-2902-01 - remdesivir 100 mg / 20 mL Soln-IV

Brandon, MS

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Pricing by billing methodology

Price type

How this price compares nationally

Brandon HMA LLC’s median price of $135 is 69% below the median hospital's median price ($440), higher than 4% of the 1,301 hospitals reporting CPT 90684. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90684 at Brandon HMA LLC

Negotiated rates from the hospital’s own file: 12 payers, 23 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 bcbs ms fmp facility · other · outpatient	$0	$35	$50	141%	—	$0 – $106
2	Tricare node tricare facility · fee schedule · outpatient	$0	$101	$143	141%	—	$0 – $304
3	Humana node humana mcr adv facility · fee schedule · outpatient	$131	$131	—	—	—	$131 – $131
4	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$131	$131	—	—	—	$131 – $131
5	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
6	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$133	$133	—	—	—	$133 – $133
7	Molina node molina mcr adv facility · fee schedule · outpatient	$133	$133	—	—	—	$133 – $133
8	Optum node united optum va ccn facility · fee schedule · outpatient	$133	$133	—	—	—	$133 – $133
9	Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges	$0	$133	$188	141%	—	$0 – $400
10	Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges	$0	$133	$188	141%	—	$0 – $400
11	Aetna node first choice aetna mcr adv facility · fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
12	WellCare node first choice wellcare mcr adv facility · fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
13	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$138	$138	—	—	—	$138 – $138
14	UnitedHealthcare uhc iex facility · percent of total billed charges · outpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
15	Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges	$0	$155	$220	141%	—	$0 – $466
16	UnitedHealthcare uhc options ppo facility · percent of total billed charges · inpatientfrom % of charges	$193	$193	—	—	—	$193 – $193
17	UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges	$193	$193	—	—	—	$193 – $193
18	Molina molina exchange facility · fee schedule · outpatient	$233	$233	—	—	—	$233 – $233
19	UnitedHealthcare uhc medicaid ms facility · case rate · outpatient	$328	$328	—	—	—	$328 – $328
20	Molina molina medicaid ms facility · other · outpatient	$331	$331	—	—	—	$331 – $331
21	Aetna aetna pho facility · other · outpatient	$333	$333	—	—	—	$333 – $333
22	Caresource caresource truecare facility · other · outpatient	$334	$334	—	—	—	$334 – $334
23	Molina molina chip facility · other · outpatient	$354	$354	—	—	—	$354 – $354

Last updated: Apr 1, 2026

Compare to other hospitals

See Pneumococcal conjugate vaccine injection (PCV21) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.