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 (12 YRS AND UP) (RAXTOZIN)(PF) 30 MCG/0.3 ML IM SUSP
Enumclaw, WA
See all hospitals reporting CPT 91320 →Price type
Enumclaw Regional Hospital Association’s median price of $164 is 17% below the median hospital's median price ($197), higher than 31% of the 1,505 hospitals reporting CPT 91320. 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 | $102 | $102 | $2 | 2% | — | $100 – $104 |
| 2 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $102 | $102 | $2 | 2% | — | $100 – $105 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $103 | $103 | $2 | 2% | — | $101 – $105 |
| 4 | Optum medicare|all plans fee schedule · outpatient | $103 | $103 | $2 | 2% | — | $101 – $105 |
| 5 | Premera medicare|all plans fee schedule · outpatient | $105 | $105 | $2 | 2% | — | $103 – $108 |
| 6 | Regence medicare|all plans fee schedule · outpatient | $105 | $105 | $2 | 2% | — | $103 – $108 |
| 7 | Humana medicare|all plans fee schedule · outpatient | $109 | $109 | $2 | 2% | — | $107 – $112 |
| 8 | Molina medicare|all plans fee schedule · outpatient | $110 | $110 | $2 | 2% | — | $108 – $113 |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $110 | $110 | $2 | 2% | — | $108 – $113 |
| 10 | Aetna medicare|all plans fee schedule · outpatient | $125 | $125 | $3 | 2% | — | $122 – $128 |
| 11 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $169 | $169 | $4 | 2% | — | $165 – $172 |
| 12 | Molina medicaid|all plans fee schedule · inpatient | $169 | $169 | $4 | 2% | — | $166 – $173 |
| 13 | Molina commercial|marketplace exchange fee schedule · outpatient | $196 | $196 | $4 | 2% | — | $192 – $201 |
| 14 | UnitedHealthcare commercial|cascade care fee schedule · inpatient | $205 | $205 | $4 | 2% | — | $200 – $209 |
| 15 | UnitedHealthcare commercial|navigate fee schedule · inpatient | $210 | $210 | $4 | 2% | — | $206 – $215 |
| 16 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $222 | $222 | $5 | 2% | — | $217 – $226 |
| 17 | Aetna commercial|awh fee schedule · inpatient | $227 | $227 | $5 | 2% | — | $222 – $232 |
| 18 | Aetna commercial|all other plans fee schedule · inpatient | $273 | $273 | $6 | 2% | — | $267 – $279 |
| 19 | Cigna commercial|all plans fee schedule · outpatient | $284 | $284 | $6 | 2% | — | $278 – $290 |
| 20 | Cigna commercial|all plans fee schedule · inpatient | $312 | $312 | $7 | 2% | — | $306 – $319 |
| 21 | Aetna commercial|rental fee schedule · inpatient | $409 | $409 | $9 | 2% | — | $400 – $418 |
| 22 | Aetna commercial|rental fee schedule · outpatient | $409 | $409 | $9 | 2% | — | $400 – $418 |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $511 | $511 | $11 | 2% | — | $500 – $522 |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $511 | $511 | $11 | 2% | — | $500 – $522 |
Last updated: Feb 28, 2026
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