DTaP vaccine, intramuscular injection at BSA Hospital

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

DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE

Amarillo, TX

See all hospitals reporting CPT 90700 →

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Pricing by billing methodology

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How this price compares nationally

BSA Hospital’s median price of $398 is 606% above the median hospital's median price ($56), higher than 99% of the 1,970 hospitals reporting CPT 90700. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90700 at BSA Hospital

Negotiated rates from the hospital’s own file: 9 payers, 18 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 aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges	$222	$222	—	—	—	$222 – $222
2	Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges	$222	$222	—	—	—	$222 – $222
3	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$222	$222	—	—	—	$222 – $222
4	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$222	$222	—	—	—	$222 – $222
5	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$222	$222	—	—	—	$222 – $222
6	UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges	$222	$222	—	—	—	$222 – $222
7	UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges	$222	$222	—	—	—	$222 – $222
8	Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges	$370	$370	—	—	—	$370 – $370
9	Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges	$398	$398	—	—	—	$398 – $398
10	Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges	$398	$398	—	—	—	$398 – $398
11	Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges	$398	$398	—	—	—	$398 – $398
12	Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges	$413	$413	—	—	—	$413 – $413
13	Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges	$413	$413	—	—	—	$413 – $413
14	UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges	$413	$413	—	—	—	$413 – $413
15	Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges	$427	$427	—	—	—	$427 – $427
16	Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges	$427	$427	—	—	—	$427 – $427
17	Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges	$483	$483	—	—	—	$483 – $483
18	MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges	$483	$483	—	—	—	$483 – $483

Last updated: Feb 12, 2026

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