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
C IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE
Puyallup, WA
See all hospitals reporting CPT 90656 →Price type
Good Samaritan Hospital’s median price of $15 is 50% below the median hospital's median price ($29), higher than 6% of the 2,171 hospitals reporting CPT 90656. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 23 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 | Aetna medadvantage percent of total billed charges · outpatientfrom % of charges | $5.35 | $5.61 | $0.45 – $11.28 |
| 2 | Regence medadvantage percent of total billed charges · outpatientfrom % of charges | $5.35 | $5.61 | $0.45 – $11.28 |
| 3 | UnitedHealthcare medadvantage percent of total billed charges · outpatientfrom % of charges | $5.38 | $5.64 | $0.45 – $11.35 |
| 4 | Molina medadvantage percent of total billed charges · outpatientfrom % of charges | $5.44 | $5.71 | $0.46 – $11.48 |
| 5 | Ambetter coordinated care exchange percent of total billed charges · outpatientfrom % of charges | $10.34 | $10.85 | $0.87 – $21.83 |
| 6 | Regence blue high performance fee schedule · outpatient | $14.20 | $14.20 | $14.20 – $14.20 |
| 7 | Regence mcc/ahn fee schedule · outpatient | $14.20 | $14.20 | $14.20 – $14.20 |
| 8 | Regence realvalue fee schedule · outpatient | $14.60 | $14.60 | $14.60 – $14.60 |
| 9 | Regence commercial fee schedule · outpatient | $16.23 | $16.23 | $16.23 – $16.23 |
| 10 | Aetna all commercial plans percent of total billed charges · outpatientfrom % of charges | $15.97 | $16.75 | $1.35 – $33.70 |
| 11 | Molina apple health fee schedule · outpatient | $19.21 | $19.21 | $19.21 – $19.21 |
| 12 | UnitedHealthcare all commercial plans percent of total billed charges · inpatientfrom % of charges | $18.66 | $19.57 | $1.58 – $39.38 |
| 13 | Premera hmo percent of total billed charges · outpatientfrom % of charges | $18.98 | $19.90 | $1.60 – $40.05 |
| 14 | Premera other commercial plans percent of total billed charges · outpatientfrom % of charges | $18.98 | $19.90 | $1.60 – $40.05 |
| 15 | Premera prime percent of total billed charges · outpatientfrom % of charges | $18.98 | $19.90 | $1.60 – $40.05 |
| 16 | Premera signature percent of total billed charges · outpatientfrom % of charges | $18.98 | $19.90 | $1.60 – $40.05 |
| 17 | UnitedHealthcare apple health fee schedule · outpatient | $20.75 | $20.75 | $20.75 – $20.75 |
| 18 | First Health all commercial plans percent of total billed charges · inpatientfrom % of charges | $23.09 | $24.21 | $1.95 – $48.73 |
| 19 | First Health all commercial plans percent of total billed charges · outpatientfrom % of charges | $23.09 | $24.21 | $1.95 – $48.73 |
| 20 | MultiPlan all commercial plans percent of total billed charges · inpatientfrom % of charges | $23.09 | $24.21 | $1.95 – $48.73 |
| 21 | MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges | $23.09 | $24.21 | $1.95 – $48.73 |
| 22 | Cigna all commercial plans fee schedule · outpatient | $30.94 | $30.94 | $30.94 – $30.94 |
| 23 | UnitedHealthcare all commercial plans fee schedule · outpatient | $31.73 | $31.73 | $31.73 – $31.73 |
Last updated: Aug 27, 2026
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