Meningococcal ACWY vaccine (tetanus toxoid conjugate) at Dukes Health System LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

49281-0590-05 - meningococcal conjugate vaccine po

Peru, IN

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Pricing by billing methodology

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How this price compares nationally

Dukes Health System LLC’s median price of $399 is 59% above the median hospital's median price ($252), higher than 75% of the 1,381 hospitals reporting CPT 90619. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90619 at Dukes Health System LLC

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	Tricare node tricare facility · fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
2	Anthem node anthem in mcr select facility · fee schedule · outpatient	$218	$218	—	—	—	$218 – $218
3	Humana node humana mcr adv facility · fee schedule · outpatient	$218	$218	—	—	—	$218 – $218
4	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$218	$218	—	—	—	$218 – $218
5	Anthem anthem in hip facility · fee schedule · outpatient	$222	$222	—	—	—	$222 – $222
6	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$222	$222	—	—	—	$222 – $222
7	Optum node united optum va ccn facility · per diem · outpatient	$222	$222	—	—	—	$222 – $222
8	Aetna node aetna mcr adv facility · fee schedule · outpatient	$223	$223	—	—	—	$223 – $223
9	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$333	$333	—	—	—	$333 – $333
10	Anthem anthem in work comp facility · other · outpatient	$355	$355	—	—	—	$355 – $355
11	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$399	$399	—	—	—	$399 – $399
12	Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges	$399	$399	—	—	—	$399 – $399
13	Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges	$399	$399	—	—	—	$399 – $399
14	Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges	$399	$399	—	—	—	$399 – $399
15	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$444	$444	$444	100%	—	$0 – $888
16	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$444	$444	$444	100%	—	$0 – $888
17	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$449	$449	$449	100%	—	$0 – $899
18	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$449	$449	$449	100%	—	$0 – $899
19	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$449	$449	$449	100%	—	$0 – $899
20	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$449	$449	$449	100%	—	$0 – $899
21	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$471	$471	—	—	—	$471 – $471
22	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$528	$528	—	—	—	$528 – $528
23	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$546	$546	—	—	—	$546 – $546
24	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$546	$546	—	—	—	$546 – $546
25	Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges	$555	$555	$555	100%	—	$0 – $1.1k

Page 1 of 2 · 26 rates

Last updated: Apr 1, 2026

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See Meningococcal ACWY vaccine (tetanus toxoid conjugate) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.