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
HC ADM SARSCOV2 30MCG/0.3ML BST
Canon City, CO
See all hospitals reporting CPT 0004A →Price type
Catholic Health Initiatives Colorado’s median price of $85 is 76% above the median hospital's median price ($48), higher than 82% 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: 10 payers, 26 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 managed medicare percent of total billed charges · outpatientfrom % of charges | $18.65 | $18.65 | $18.65 – $18.65 |
| 2 | Anthem managed medicare percent of total billed charges · outpatientfrom % of charges | $18.65 | $18.65 | $18.65 – $18.65 |
| 3 | Cigna managed medicare percent of total billed charges · outpatientfrom % of charges | $18.65 | $18.65 | $18.65 – $18.65 |
| 4 | Devoted managed medicare percent of total billed charges · outpatientfrom % of charges | $18.65 | $18.65 | $18.65 – $18.65 |
| 5 | Humana managed medicare percent of total billed charges · outpatientfrom % of charges | $18.65 | $18.65 | $18.65 – $18.65 |
| 6 | Kaiser managed medicare percent of total billed charges · outpatientfrom % of charges | $18.65 | $18.65 | $18.65 – $18.65 |
| 7 | Medicare managed medicare percent of total billed charges · outpatientfrom % of charges | $18.65 | $18.65 | $18.65 – $18.65 |
| 8 | Optum managed medicare percent of total billed charges · outpatientfrom % of charges | $18.65 | $18.65 | $18.65 – $18.65 |
| 9 | UnitedHealthcare managed medicare percent of total billed charges · outpatientfrom % of charges | $19.89 | $19.89 | $19.89 – $19.89 |
| 10 | Cigna commercial ppo/pos/hmo fee schedule · outpatient | $40.00 | $40.00 | $40.00 – $40.00 |
| 11 | Anthem commercial pathways public options percent of total billed charges · inpatientfrom % of charges | $71.31 | $71.31 | $71.31 – $71.31 |
| 12 | Anthem commercial pathways public options percent of total billed charges · outpatientfrom % of charges | $71.31 | $71.31 | $71.31 – $71.31 |
| 13 | Kaiser commercial public options percent of total billed charges · inpatientfrom % of charges | $84.54 | $84.54 | $84.54 – $84.54 |
| 14 | Kaiser commercial public options percent of total billed charges · outpatientfrom % of charges | $84.54 | $84.54 | $84.54 – $84.54 |
| 15 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $105.67 | $105.67 | $105.67 – $105.67 |
| 16 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $105.67 | $105.67 | $105.67 – $105.67 |
| 17 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $105.67 | $105.67 | $105.67 – $105.67 |
| 18 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $105.67 | $105.67 | $105.67 – $105.67 |
| 19 | Aetna commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges | $105.68 | $105.68 | $99.46 – $111.89 |
| 20 | Aetna commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges | $105.68 | $105.68 | $99.46 – $111.89 |
| 21 | Kaiser commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges | $106.87 | $106.87 | $106.87 – $106.87 |
| 22 | Kaiser commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges | $106.87 | $106.87 | $106.87 – $106.87 |
| 23 | Cigna commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges | $106.92 | $106.92 | $106.92 – $106.92 |
| 24 | Anthem commercial indemnity percent of total billed charges · inpatientfrom % of charges | $109.40 | $109.40 | $109.40 – $109.40 |
| 25 | Anthem commercial indemnity percent of total billed charges · outpatientfrom % of charges | $109.40 | $109.40 | $109.40 – $109.40 |
Last updated: Feb 4, 2026
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