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
MENINGOCOCCAL B VACCINE,4-COMP 50-50-50-25 MCG/0.5 ML IM SYRG
Monroe, LA
See all hospitals reporting CPT 90620 →Price type
Brfhh Monroe, Llc’s median price of $255 is 25% below the median hospital's median price ($340), higher than 30% of the 1,780 hospitals reporting CPT 90620. 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, 14 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 | Aetna Better Health all payor other · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 2 | Amerihealth Caritas all payor other · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 3 | Humana all payor other · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 4 | UnitedHealthcare all payor other · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 5 | Humana all payor fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 6 | Bcbs La all payor fee schedule · outpatient | $255 | $255 | — | — | — | $255 – $255 |
| 7 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $257 | $257 | $24 | 9% | — | $233 – $281 |
| 8 | Cigna all payor other · outpatient | $344 | $344 | — | — | — | $344 – $344 |
| 9 | Cigna all payor other · inpatient | $401 | $401 | — | — | — | $401 – $401 |
| 10 | Aetna all payor other · inpatient | $522 | $522 | — | — | — | $522 – $522 |
| 11 | Aetna all payor other · outpatient | $522 | $522 | — | — | — | $522 – $522 |
| 12 | First Health all payor other · inpatient | $522 | $522 | — | — | — | $522 – $522 |
| 13 | First Health all payor other · outpatient | $522 | $522 | — | — | — | $522 – $522 |
| 14 | MultiPlan all payor other · outpatient | $562 | $562 | — | — | — | $562 – $562 |
Last updated: Apr 1, 2026
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