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
VARICELLA-ZOSTER GMLYCOE VACC-AS01B ADJ(PF) 50 MCGM/0.5 ML IM SUSP KIT
Garrison, ND
See all hospitals reporting CPT 90750 →Price type
Garrison Memorial Hospital’s median price of $157 is 43% below the median hospital's median price ($274), higher than 11% of the 1,512 hospitals reporting CPT 90750. 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 | $92 | $92 | — | — | — | $92 – $92 |
| 2 | Medica medicare|all plans fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 3 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 5 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $135 | $135 | — | — | — | $135 – $135 |
| 6 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 7 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 8 | Medica commercial|all plans fee schedule · inpatient | $159 | $159 | — | — | — | $159 – $159 |
| 9 | Medica commercial|all plans fee schedule · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 10 | MultiPlan commercial|all plans fee schedule · inpatient | $165 | $165 | — | — | — | $165 – $165 |
| 11 | MultiPlan commercial|all plans fee schedule · outpatient | $165 | $165 | — | — | — | $165 – $165 |
| 12 | Sanford Health Plan commercial|all plans fee schedule · inpatient | $174 | $174 | — | — | — | $174 – $174 |
| 13 | Sanford Health Plan commercial|all plans fee schedule · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 14 | Blue Cross Blue Shield commercial|all plans fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
Last updated: Feb 28, 2026
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