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
Adm Sarscov2 30mcg/0.3ml Booster
Normal, IL
See all hospitals reporting CPT 0004A →Price type
Carle BroMenn Medical Center’s median price of $73 is 52% above the median hospital's median price ($48), higher than 80% of the 470 hospitals reporting CPT 0004A. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 12 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 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $23.80 | $23.80 | $23.80 – $23.80 |
| 2 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $23.80 | $23.80 | $23.80 – $23.80 |
| 3 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $23.80 | $23.80 | $23.80 – $23.80 |
| 4 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $23.80 | $23.80 | $23.80 – $23.80 |
| 5 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $73.07 | $73.07 | $73.07 – $73.07 |
| 6 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $73.19 | $73.19 | $73.19 – $73.19 |
| 7 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $73.42 | $73.42 | $73.42 – $73.42 |
| 8 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $73.78 | $73.78 | $73.78 – $73.78 |
| 9 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $73.78 | $73.78 | $73.78 – $73.78 |
| 10 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $78.66 | $78.66 | $78.66 – $78.66 |
| 11 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $78.66 | $78.66 | $78.66 – $78.66 |
| 12 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $89.25 | $89.25 | $89.25 – $89.25 |
Last updated: Apr 15, 2026
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