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
ADM SARSCOV2 VAC AD26 .5ML J
Teaneck, NJ
See all hospitals reporting CPT 90480 →Price type
Holy Name’s median price of $49 is 4% above the median hospital's median price ($47), higher than 54% of the 1,821 hospitals reporting CPT 90480. 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, 21 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 | UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges | $16 | $14 | $3 | 21% | — | $9 – $16 |
| 2 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $17 | $15 | $3 | 21% | — | $10 – $17 |
| 3 | Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges | $24 | $21 | $4 | 21% | — | $14 – $24 |
| 4 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $25 | $22 | $5 | 21% | — | $15 – $25 |
| 5 | Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges | $32 | $28 | $6 | 21% | — | $19 – $32 |
| 6 | Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $44 | $39 | $8 | 21% | — | $26 – $44 |
| 7 | UnitedHealthcare uhc facility · other · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 8 | Aetna medicare prime facility · fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 9 | Aetna golden medicare facility · fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 10 | Clover clover facility · fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 11 | UnitedHealthcare medicare facility · fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 12 | WellCare medicare facility · fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 13 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $65 | $57 | $12 | 21% | — | $39 – $65 |
| 14 | MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $84 | $75 | $15 | 21% | — | $50 – $84 |
| 15 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $88 | $78 | $16 | 21% | — | $52 – $88 |
| 16 | MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges | $89 | $79 | $16 | 21% | — | $53 – $89 |
| 17 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $92 | $82 | $17 | 21% | — | $55 – $92 |
| 18 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $92 | $82 | $17 | 21% | — | $55 – $92 |
| 19 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $92 | $82 | $17 | 21% | — | $55 – $92 |
| 20 | Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $93 | $83 | $17 | 21% | — | $56 – $93 |
| 21 | Cigna hmo/pos facility · fee schedule · outpatient | $99 | $88 | $18 | 21% | — | $59 – $99 |
Last updated: Nov 10, 2025
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