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
HAEMOPH B POLYSAC CONJ-MENINGM (PF) 7.5 MCGM/0.5 ML INTRAMUSCULAR SOLN
Garrison, ND
See all hospitals reporting CPT 90647 →Price type
Garrison Memorial Hospital’s median price of $32 is 39% below the median hospital's median price ($53), higher than 20% of the 1,506 hospitals reporting CPT 90647. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana medicare|all plans fee schedule · outpatient | $23 | $23 | $5 | 22% | — | $18 – $28 |
| 2 | Medica medicare|all plans fee schedule · outpatient | $23 | $23 | $5 | 22% | — | $18 – $28 |
| 3 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $23 | $23 | $5 | 22% | — | $18 – $28 |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $24 | $24 | $5 | 22% | — | $18 – $29 |
| 5 | Blue Cross Blue Shield commercial|all plans fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 6 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $34 | $34 | $7 | 22% | — | $27 – $42 |
| 7 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $34 | $34 | $7 | 22% | — | $27 – $42 |
| 8 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $40 | $40 | $9 | 22% | — | $31 – $49 |
| 9 | Medica commercial|all plans fee schedule · inpatient | $40 | $40 | $9 | 22% | — | $31 – $49 |
| 10 | Medica commercial|all plans fee schedule · outpatient | $40 | $40 | $9 | 22% | — | $31 – $49 |
| 11 | MultiPlan commercial|all plans fee schedule · inpatient | $41 | $41 | $9 | 22% | — | $32 – $51 |
| 12 | MultiPlan commercial|all plans fee schedule · outpatient | $41 | $41 | $9 | 22% | — | $32 – $51 |
| 13 | Sanford Health Plan commercial|all plans fee schedule · inpatient | $44 | $44 | $10 | 22% | — | $34 – $53 |
| 14 | Sanford Health Plan commercial|all plans fee schedule · outpatient | $44 | $44 | $10 | 22% | — | $34 – $53 |
Last updated: Feb 28, 2026
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