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
COVID VAC 2023-24 (5-11 YR) (RAXTOZIN)(PF) 10 MCG/0.3 ML IM SUSP (EUA)
Enumclaw, WA
See all hospitals reporting CPT 91319 →Price type
Enumclaw Regional Hospital Association’s median price of $106 is 4% below the median hospital's median price ($111), higher than 46% of the 1,275 hospitals reporting CPT 91319. 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, 24 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 | Kaiser medicare|all plans fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 2 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 4 | Optum medicare|all plans fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 5 | Premera medicare|all plans fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 6 | Regence medicare|all plans fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 7 | Humana medicare|all plans fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 8 | Molina medicare|all plans fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 10 | Aetna medicare|all plans fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 11 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $111 | $111 | — | — | — | $111 – $111 |
| 12 | Molina medicaid|all plans fee schedule · inpatient | $111 | $111 | — | — | — | $111 – $111 |
| 13 | Molina commercial|marketplace exchange fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 14 | UnitedHealthcare commercial|cascade care fee schedule · inpatient | $134 | $134 | — | — | — | $134 – $134 |
| 15 | UnitedHealthcare commercial|navigate fee schedule · inpatient | $138 | $138 | — | — | — | $138 – $138 |
| 16 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $145 | $145 | — | — | — | $145 – $145 |
| 17 | Aetna commercial|awh fee schedule · inpatient | $149 | $149 | — | — | — | $149 – $149 |
| 18 | Aetna commercial|all other plans fee schedule · inpatient | $179 | $179 | — | — | — | $179 – $179 |
| 19 | Cigna commercial|all plans fee schedule · outpatient | $186 | $186 | — | — | — | $186 – $186 |
| 20 | Cigna commercial|all plans fee schedule · inpatient | $205 | $205 | — | — | — | $205 – $205 |
| 21 | Aetna commercial|rental fee schedule · inpatient | $268 | $268 | — | — | — | $268 – $268 |
| 22 | Aetna commercial|rental fee schedule · outpatient | $268 | $268 | — | — | — | $268 – $268 |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $335 | $335 | — | — | — | $335 – $335 |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $335 | $335 | — | — | — | $335 – $335 |
Last updated: Feb 28, 2026
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