Chickenpox vaccine, live, subcutaneous injection 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

54569-4056-00 - varicella virus vaccine - Powder

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 $339 is 33% above the median hospital's median price ($256), higher than 64% of the 1,851 hospitals reporting CPT 90716. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90716 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	$319	$240	$129	54%	—	$26 – $319
2	Anthem node anthem in mcr select facility · fee schedule · outpatient	$339	$255	$138	54%	—	$27 – $339
3	Humana node humana mcr adv facility · fee schedule · outpatient	$339	$255	$138	54%	—	$27 – $339
4	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$339	$255	$138	54%	—	$27 – $339
5	Anthem anthem in hip facility · fee schedule · outpatient	$345	$259	$140	54%	—	$28 – $345
6	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$345	$259	$140	54%	—	$28 – $345
7	Optum node united optum va ccn facility · per diem · outpatient	$345	$259	$140	54%	—	$28 – $345
8	Aetna node aetna mcr adv facility · fee schedule · outpatient	$346	$260	$140	54%	—	$28 – $346
9	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$517	$388	$210	54%	—	$42 – $517
10	Anthem anthem in work comp facility · other · outpatient	$551	$414	$224	54%	—	$44 – $551
11	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$620	$466	$252	54%	—	$50 – $620
12	Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges	$620	$466	$252	54%	—	$50 – $620
13	Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges	$620	$466	$252	54%	—	$50 – $620
14	Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges	$620	$466	$252	54%	—	$50 – $620
15	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$730	$549	$297	54%	—	$59 – $730
16	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$112	$600	$665	111%	—	$0 – $1.4k
17	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$112	$600	$665	111%	—	$0 – $1.4k
18	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$113	$607	$674	111%	—	$0 – $1.4k
19	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$113	$607	$674	111%	—	$0 – $1.4k
20	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$113	$607	$674	111%	—	$0 – $1.4k
21	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$113	$607	$674	111%	—	$0 – $1.4k
22	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$820	$616	$333	54%	—	$66 – $820
23	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$848	$637	$344	54%	—	$68 – $848
24	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$863	$648	$350	54%	—	$70 – $863
25	Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges	$140	$749	$832	111%	—	$0 – $1.7k

Page 1 of 2 · 26 rates

Last updated: Apr 1, 2026

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