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
Adm sarscov2 30mcg/0.3ml bst
Hill, VA
See all hospitals reporting CPT 0004A →Price type
Community Memorial Hospital’s median price of $60 is 25% above the median hospital's median price ($48), higher than 69% 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: 4 payers, 4 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 managed medicaid case rate · outpatient | $59.40 | $59.40 | $59.40 – $59.40 |
| 2 | Aetna managed medicaid case rate · outpatient | $59.99 | $59.99 | $59.99 – $59.99 |
| 3 | UnitedHealthcare managed medicaid case rate · outpatient | $60.59 | $60.59 | $60.59 – $60.59 |
| 4 | Molina managed medicaid case rate · outpatient | $62.37 | $62.37 | $62.37 – $62.37 |
Last updated: Jan 2, 2026
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