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
Colorado Springs, CO
See all hospitals reporting CPT 0004A →Price type
Catholic Health Initiatives Colorado’s median price of $63 is 30% above the median hospital's median price ($48), higher than 72% 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, 15 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 | Anthem commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges | $43.58 | $43.58 | $43.58 – $43.58 |
| 2 | Aetna commercial whole health percent of total billed charges · outpatientfrom % of charges | $49.87 | $49.87 | $49.87 – $49.87 |
| 3 | Kaiser commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges | $56.74 | $56.74 | $56.74 – $56.74 |
| 4 | Kaiser commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges | $56.74 | $56.74 | $56.74 – $56.74 |
| 5 | UnitedHealthcare commercial navigate epo case rate · outpatient | $57.00 | $57.00 | $57.00 – $57.00 |
| 6 | UnitedHealthcare commercial ppo/pos/hmo/epo case rate · outpatient | $63.00 | $63.00 | $63.00 – $63.00 |
| 7 | Aetna commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges | $65.46 | $65.46 | $62.34 – $68.57 |
| 8 | UnitedHealthcare commercial select epo case rate · outpatient | $73.00 | $73.00 | $73.00 – $73.00 |
| 9 | Cigna commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges | $74.80 | $74.80 | $74.80 – $74.80 |
| 10 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $87.27 | $87.27 | $87.27 – $87.27 |
| 11 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $105.97 | $105.97 | $105.97 – $105.97 |
| 12 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $105.97 | $105.97 | $105.97 – $105.97 |
| 13 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $105.97 | $105.97 | $105.97 – $105.97 |
| 14 | Anthem commercial indemnity percent of total billed charges · inpatientfrom % of charges | $109.71 | $109.71 | $109.71 – $109.71 |
| 15 | Anthem commercial indemnity percent of total billed charges · outpatientfrom % of charges | $109.71 | $109.71 | $109.71 – $109.71 |
Last updated: Feb 10, 2026
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