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
HB Imadm Prq ID Subq/Im Njxs 1 Vaccine
Rochester, NY
See all hospitals reporting CPT 90471 →Price type
Highland Hospital’s median price of $90 is 25% above the median hospital's median price ($72), higher than 75% of the 2,544 hospitals reporting CPT 90471. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 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 | Excellus blue choice option medicaid [170601] fee schedule · outpatient | $14.78 | $14.78 | $14.78 – $14.78 |
| 2 | Excellus excellus child health plus [220108] fee schedule · outpatient | $14.78 | $14.78 | $14.78 – $14.78 |
| 3 | Excellus excellus essential (no medicaid) [220109] fee schedule · outpatient | $14.78 | $14.78 | $14.78 – $14.78 |
| 4 | Excellus excellus essential (w/ medicaid) [170604] fee schedule · outpatient | $14.78 | $14.78 | $14.78 – $14.78 |
| 5 | Molina molina child health plus [518901], molina healthcare [172301] fee schedule · outpatient | $14.78 | $14.78 | $14.78 – $14.78 |
| 6 | Molina molina essential (no medicaid) [518902], molina essential pa 3 and 4 [172302] fee schedule · outpatient | $14.78 | $14.78 | $14.78 – $14.78 |
| 7 | UnitedHealthcare united healthcare essential (no medicaid [515812] fee schedule · outpatient | $14.78 | $14.78 | $14.78 – $14.78 |
| 8 | UnitedHealthcare united healthcare medicaid [171601] fee schedule · outpatient | $14.78 | $14.78 | $14.78 – $14.78 |
| 9 | Highmark highmark bcbs medicare [130101] fee schedule · outpatient | $89.88 | $89.88 | $89.88 – $89.88 |
| 10 | UnitedHealthcare united healthcare medicare [130901] fee schedule · outpatient | $92.73 | $92.73 | $92.64 – $92.82 |
| 11 | Excellus excellus metal tiers [220102] fee schedule · outpatient | $101.94 | $101.94 | $101.94 – $101.94 |
| 12 | Humana humana medicare [131201] fee schedule · outpatient | $102.96 | $102.96 | $98.12 – $107.80 |
| 13 | Aetna aetna medicare [130001] fee schedule · outpatient | $104.09 | $104.09 | $98.70 – $109.48 |
| 14 | Excellus excellus [220101], excellus simply blue [220106], excellus blue choice [220107] fee schedule · outpatient | $126.79 | $126.79 | $126.79 – $126.79 |
| 15 | Excellus excellus high performance [220103] fee schedule · outpatient | $126.79 | $126.79 | $126.79 – $126.79 |
| 16 | Cigna cigna healthcare (pob 182223) [514405] fee schedule · outpatient | $207.75 | $207.75 | $152.64 – $262.85 |
| 17 | UnitedHealthcare united healthcare [515803] percent of total billed charges · outpatientfrom % of charges | $263.00 | $263.00 | $263.00 – $263.00 |
Last updated: Jul 1, 2026
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