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
SARSCOV2 VAC 5MCG/0.5ML IM
Carmel, IN
See all hospitals reporting CPT 91304 →Price type
Endo Surgery Center’s median price of $148 is 23% below the median hospital's median price ($193), higher than 12% of the 1,155 hospitals reporting CPT 91304. 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, 14 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare 6575_united health care self funded non-contracted vein 20221002 fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 2 | UnitedHealthcare 6793_united healthcare new business outpatient ecin 20230101 fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | UnitedHealthcare 9470_united healthcare vein 20250101 fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Anthem 8255_anthem connect medicaid replacement outpatient 20240101 fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 5 | Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 6 | Anthem 9399_anthem healthsync hmo vein 20250101 fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 7 | Anthem 9401_anthem healthsync pos vein 20250101 fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 8 | Anthem 9403_anthem hmo pos vein 20250101 fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 9 | Anthem 9404_anthem pathway vein 20250101 fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 10 | Anthem 9405_anthem pathway x vein 20250101 fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 11 | Anthem 9406_anthem preferred vein 20250101 fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 12 | Anthem 9407_anthem short term limited duration vein 20250101 fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 13 | Anthem 9408_anthem traditional vein 20250101 fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 14 | Aetna 9398_aetna vein 20250101 other · outpatient | $363 | $363 | — | — | — | $363 – $363 |
Last updated: Jan 1, 2026
See COVID-19 vaccine, recombinant nanoparticle, 5 mcg dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.