Hepatitis A vaccine, children and teens, two-dose series 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

00006-4095-02 - hepatitis A pediatric vaccine 25 u

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 $87 is 34% above the median hospital's median price ($65), higher than 66% of the 1,686 hospitals reporting CPT 90633. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90633 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	$51	$47	$18	39%	—	$11 – $68
2	Anthem node anthem in mcr select facility · fee schedule · outpatient	$54	$50	$19	39%	—	$12 – $72
3	Humana node humana mcr adv facility · fee schedule · outpatient	$54	$50	$19	39%	—	$12 – $72
4	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$54	$50	$19	39%	—	$12 – $72
5	Anthem anthem in hip facility · fee schedule · outpatient	$55	$50	$20	39%	—	$12 – $73
6	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$55	$50	$20	39%	—	$12 – $73
7	Optum node united optum va ccn facility · per diem · outpatient	$55	$50	$20	39%	—	$12 – $73
8	Aetna node aetna mcr adv facility · fee schedule · outpatient	$55	$51	$20	39%	—	$12 – $73
9	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$55	$51	$20	39%	—	$12 – $73
10	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$82	$76	$29	39%	—	$18 – $110
11	Anthem anthem in work comp facility · other · outpatient	$87	$81	$31	39%	—	$20 – $117
12	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$98	$91	$35	39%	—	$22 – $131
13	Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges	$98	$91	$35	39%	—	$22 – $131
14	Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges	$98	$91	$35	39%	—	$22 – $131
15	Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges	$98	$91	$35	39%	—	$22 – $131
16	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$116	$107	$41	39%	—	$26 – $155
17	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$130	$120	$46	39%	—	$29 – $174
18	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$134	$124	$48	39%	—	$30 – $180
19	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$162	$135	$115	85%	—	$0 – $292
20	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$162	$135	$115	85%	—	$0 – $292
21	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$164	$136	$116	85%	—	$0 – $296
22	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$164	$136	$116	85%	—	$0 – $296
23	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$164	$136	$116	85%	—	$0 – $296
24	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$164	$136	$116	85%	—	$0 – $296
25	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$134	$149	$21	14%	—	$134 – $180

Page 1 of 2 · 26 rates

Last updated: Apr 1, 2026

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