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
VAXELIS (PF) 15 UNIT-5 UNIT-10 MCG/0.5 ML INTRAMUSCULAR SYRINGE
Eureka, IL
See all hospitals reporting CPT 90697 →Price type
Carle Eureka Hospital’s median price of $148 is 29% below the median hospital's median price ($207), higher than 14% of the 1,216 hospitals reporting CPT 90697. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 21 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 | UnitedHealthcare va ccn/optum fee schedule · inpatient | $28 | $28 | — | — | — | $28 – $28 |
| 2 | UnitedHealthcare va ccn/optum fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 3 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 5 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 6 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 7 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 8 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 9 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $115 | $115 | — | — | — | $115 – $115 |
| 10 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 11 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $148 | $148 | — | — | — | $148 – $148 |
| 12 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
| 13 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $159 | $159 | — | — | — | $159 – $159 |
| 14 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 15 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $159 | $159 | — | — | — | $159 – $159 |
| 16 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $159 | $159 | — | — | — | $159 – $159 |
| 17 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $161 | $161 | — | — | — | $161 – $161 |
| 18 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $163 | $163 | — | — | — | $163 – $163 |
| 19 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 20 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $180 | $180 | — | — | — | $180 – $180 |
| 21 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $202 | $202 | — | — | — | $202 – $202 |
Last updated: Apr 15, 2026
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