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
PR IMM ADMN SARSCOV2 100 MCG/0.5 ML 3RD DOSE
Hudson, NY
See all hospitals reporting CPT 0013A →Price type
Columbia Memorial Hospital’s median price of $21 is 56% below the median hospital's median price ($48), higher than 10% of the 504 hospitals reporting CPT 0013A. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 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 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $9.75 | $9.75 | $9.75 – $9.75 |
| 2 | Blue Cross Blue Shield blue access small group facility · percent of total billed charges · outpatientfrom % of charges | $17.00 | $17.00 | $17.00 – $17.00 |
| 3 | UnitedHealthcare medicaid_fac professional · percent of total billed charges · outpatientfrom % of charges | $17.50 | $17.50 | $17.50 – $17.50 |
| 4 | UnitedHealthcare medicaid_nonfac professional · percent of total billed charges · outpatientfrom % of charges | $17.50 | $17.50 | $17.50 – $17.50 |
| 5 | UnitedHealthcare medicare_fac professional · percent of total billed charges · outpatientfrom % of charges | $17.50 | $17.50 | $17.50 – $17.50 |
| 6 | UnitedHealthcare medicare_nonfac professional · percent of total billed charges · outpatientfrom % of charges | $17.50 | $17.50 | $17.50 – $17.50 |
| 7 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $18.00 | $18.00 | $18.00 – $18.00 |
| 8 | Blue Cross Blue Shield blue access large group facility · percent of total billed charges · outpatientfrom % of charges | $18.00 | $18.00 | $18.00 – $18.00 |
| 9 | Blue Cross Blue Shield individual plan facility · percent of total billed charges · outpatientfrom % of charges | $18.75 | $18.75 | $18.75 – $18.75 |
| 10 | UnitedHealthcare all products_fac professional · percent of total billed charges · outpatientfrom % of charges | $20.00 | $20.00 | $20.00 – $20.00 |
| 11 | UnitedHealthcare all products_nonfac professional · percent of total billed charges · outpatientfrom % of charges | $20.00 | $20.00 | $20.00 – $20.00 |
| 12 | Blue Cross Blue Shield commercial all products facility · percent of total billed charges · outpatientfrom % of charges | $21.25 | $21.25 | $21.25 – $21.25 |
| 13 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $22.50 | $22.50 | $22.50 – $22.50 |
| 14 | Blue Cross Blue Shield managed medicaid facility · case rate · outpatient | $28.60 | $28.60 | $28.60 – $28.60 |
| 15 | Highmark medicare_loc professional · fee schedule · outpatient | $40.00 | $40.00 | $40.00 – $40.00 |
| 16 | Highmark medicare_without loc professional · fee schedule · outpatient | $40.00 | $40.00 | $40.00 – $40.00 |
| 17 | Highmark all products_loc professional · fee schedule · outpatient | $41.01 | $41.01 | $41.01 – $41.01 |
| 18 | Highmark all products_without loc professional · fee schedule · outpatient | $41.01 | $41.01 | $41.01 – $41.01 |
| 19 | Blue Cross Blue Shield essential plans aliessa facility · case rate · outpatient | $52.91 | $52.91 | $52.91 – $52.91 |
| 20 | Blue Cross Blue Shield essential plans non aliessa facility · case rate · outpatient | $52.91 | $52.91 | $52.91 – $52.91 |
| 21 | UnitedHealthcare all products facility · other · outpatient | $121.00 | $121.00 | $121.00 – $121.00 |
Last updated: Dec 31, 2025
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