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
FLU VAC TS 65UP-ADJMF59C(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 168)
Monroe, LA
See all hospitals reporting CPT 90653 →Price type
Brfhh Monroe, Llc’s median price of $82 is 17% below the median hospital's median price ($99), higher than 25% of the 1,590 hospitals reporting CPT 90653. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 16 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 | $42 | $42 | — | — | — | $42 – $42 |
| 2 | Amerihealth Caritas all payor other · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 3 | Humana all payor other · outpatient | $61 | $61 | $20 | 32% | — | $42 – $81 |
| 4 | UnitedHealthcare all payor other · outpatient | $81 | $68 | $19 | 27% | — | $42 – $81 |
| 5 | Humana all payor fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 6 | Bcbs La all payor other · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 7 | Optum all payor other · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 8 | Bcbs La all payor fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 9 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $84 | $84 | $8 | 9% | — | $76 – $91 |
| 10 | Cigna all payor other · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 11 | Aetna all payor other · outpatient | $125 | $125 | $44 | 35% | — | $81 – $170 |
| 12 | Cigna all payor other · inpatient | $131 | $131 | — | — | — | $131 – $131 |
| 13 | Aetna all payor other · inpatient | $170 | $170 | — | — | — | $170 – $170 |
| 14 | First Health all payor other · inpatient | $170 | $170 | — | — | — | $170 – $170 |
| 15 | First Health all payor other · outpatient | $170 | $170 | — | — | — | $170 – $170 |
| 16 | MultiPlan all payor other · outpatient | $183 | $183 | — | — | — | $183 – $183 |
Last updated: Apr 1, 2026
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