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
HEPB VACC 4 DOSE IMMUNSUP IM
Carmel, IN
See all hospitals reporting CPT 90747 →Price type
Endo Surgery Center’s median price of $141 is 20% below the median hospital's median price ($176), higher than 20% of the 1,317 hospitals reporting CPT 90747. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 16 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 8255_anthem connect medicaid replacement outpatient 20240101 fee schedule · both | $105 | $105 | — | — | — | $105 – $105 |
| 2 | Anthem 7373_anthem medicaid replacement outpatient 20230101 fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 3 | Anthem 9399_anthem healthsync hmo vein 20250101 fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 4 | Anthem 9401_anthem healthsync pos vein 20250101 fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 5 | Anthem 9403_anthem hmo pos vein 20250101 fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 6 | Anthem 9404_anthem pathway vein 20250101 fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 7 | Anthem 9405_anthem pathway x vein 20250101 fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 8 | Anthem 9406_anthem preferred vein 20250101 fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 9 | Anthem 9407_anthem short term limited duration vein 20250101 fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 10 | Anthem 9408_anthem traditional vein 20250101 fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 11 | Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 fee schedule · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 12 | UnitedHealthcare 6575_united health care self funded non-contracted vein 20221002 fee schedule · both | $148 | $148 | — | — | — | $148 – $148 |
| 13 | UnitedHealthcare 9470_united healthcare vein 20250101 fee schedule · both | $148 | $148 | — | — | — | $148 – $148 |
| 14 | UnitedHealthcare 6793_united healthcare new business outpatient ecin 20230101 fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 15 | Aetna 9398_aetna vein 20250101 other · outpatient | $317 | $317 | — | — | — | $317 – $317 |
| 16 | Anthem 4090_anthem behavioral medicaid replacement outpatient 20200201 fee schedule · outpatient | $354 | $354 | — | — | — | $354 – $354 |
Last updated: Jan 1, 2026
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