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
YF-VAX (PF) 10 EXP4.74 UNIT/0.5 ML SUBCUTANEOUS SUSPENSION
Eureka, IL
See all hospitals reporting CPT 90717 →Price type
Carle Eureka Hospital’s median price of $186 is 30% below the median hospital's median price ($263), higher than 31% of the 1,267 hospitals reporting CPT 90717. 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 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $62 | $62 | $6 | 10% | — | $56 – $68 |
| 2 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $62 | $62 | $6 | 10% | — | $56 – $68 |
| 3 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $62 | $62 | $6 | 10% | — | $56 – $68 |
| 4 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $139 | $139 | $13 | 10% | — | $126 – $152 |
| 5 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $139 | $139 | $13 | 10% | — | $126 – $152 |
| 6 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $139 | $139 | $13 | 10% | — | $126 – $152 |
| 7 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $148 | $148 | $14 | 10% | — | $134 – $163 |
| 8 | UnitedHealthcare va ccn/optum fee schedule · inpatient | $187 | $187 | — | — | — | $187 – $187 |
| 9 | UnitedHealthcare va ccn/optum fee schedule · outpatient | $187 | $187 | — | — | — | $187 – $187 |
| 10 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $190 | $190 | $18 | 10% | — | $171 – $208 |
| 11 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $191 | $191 | $18 | 10% | — | $172 – $209 |
| 12 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $191 | $191 | $18 | 10% | — | $173 – $210 |
| 13 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $200 | $200 | — | — | — | $200 – $200 |
| 14 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 15 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $204 | $204 | $20 | 10% | — | $184 – $224 |
| 16 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $204 | $204 | $20 | 10% | — | $184 – $224 |
| 17 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $206 | $206 | — | — | — | $206 – $206 |
| 18 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $206 | $206 | — | — | — | $206 – $206 |
| 19 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $207 | $207 | $20 | 10% | — | $187 – $227 |
| 20 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $232 | $232 | $22 | 10% | — | $209 – $254 |
| 21 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $259 | $259 | $25 | 10% | — | $234 – $284 |
Last updated: Apr 15, 2026
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