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
00005-0100-10 - meningococcal group B vaccine full
Peru, IN
See all hospitals reporting CPT 90621 →Price type
Dukes Health System LLC’s median price of $303 is 12% above the median hospital's median price ($272), higher than 56% of the 1,393 hospitals reporting CPT 90621. 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 | Tricare node tricare facility · fee schedule · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 2 | Anthem node anthem in mcr select facility · fee schedule · outpatient | $303 | $303 | — | — | — | $303 – $303 |
| 3 | Humana node humana mcr adv facility · fee schedule · outpatient | $303 | $303 | — | — | — | $303 – $303 |
| 4 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $303 | $303 | — | — | — | $303 – $303 |
| 5 | Anthem anthem in hip facility · fee schedule · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 6 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 7 | Optum node united optum va ccn facility · per diem · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 8 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 9 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $0 | $411 | $581 | 141% | — | $0 – $1.2k |
| 10 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $0 | $411 | $581 | 141% | — | $0 – $1.2k |
| 11 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $0 | $416 | $588 | 141% | — | $0 – $1.2k |
| 12 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $0 | $416 | $588 | 141% | — | $0 – $1.2k |
| 13 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $0 | $416 | $588 | 141% | — | $0 – $1.2k |
| 14 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $0 | $416 | $588 | 141% | — | $0 – $1.2k |
| 15 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $462 | $462 | — | — | — | $462 – $462 |
| 16 | Anthem anthem in work comp facility · other · outpatient | $493 | $493 | — | — | — | $493 – $493 |
| 17 | Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $0 | $513 | $726 | 141% | — | $0 – $1.5k |
| 18 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $554 | $554 | — | — | — | $554 – $554 |
| 19 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $554 | $554 | — | — | — | $554 – $554 |
| 20 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $554 | $554 | — | — | — | $554 – $554 |
| 21 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $554 | $554 | — | — | — | $554 – $554 |
| 22 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $653 | $653 | — | — | — | $653 – $653 |
| 23 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $733 | $733 | — | — | — | $733 – $733 |
| 24 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $757 | $757 | — | — | — | $757 – $757 |
| 25 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $757 | $757 | — | — | — | $757 – $757 |
Last updated: Apr 1, 2026
See Meningococcal B vaccine (MenB-FHbp) injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.