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
PEDVAXHIB 3 DOSE VAC IM
CONROE, TX
See all hospitals reporting CPT 90647 →Price type
Hca Houston Healthcare Conroe’s median price of $62 is 16% above the median hospital's median price ($53), higher than 58% 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: 9 payers, 26 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 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 6 | Aetna mcr percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 7 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $31 | $31 | — | — | — | $31 – $31 |
| 8 | Molina hix percent of total billed charges · outpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 9 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 10 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 11 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 12 | UnitedHealthcare smallgroup fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 13 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 14 | Blue Cross Blue Shield bav fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 15 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 16 | Blue Cross Blue Shield hmo fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 17 | Blue Cross Blue Shield ppo fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 18 | UnitedHealthcare globalappendix percent of total billed charges · outpatientfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 19 | Cigna csn fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 20 | Cigna openaccessplus fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 21 | First Health comm percent of total billed charges · outpatientfrom % of charges | $95 | $95 | — | — | — | $95 – $95 |
| 22 | Cigna ppo fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 23 | MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges | $133 | $133 | — | — | — | $133 – $133 |
| 24 | MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 25 | Humana hmo fee schedule · outpatient | $290 | $290 | — | — | — | $290 – $290 |
Last updated: May 14, 2026
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