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
RAXT)/PF 30 MCG/0.3 ML VIAL
Hialeah, FL
See all hospitals reporting CPT 91322 →Price type
Hsa Pgh Llc’s median price of $69 is 64% below the median hospital's median price ($189), higher than 4% of the 1,495 hospitals reporting CPT 91322. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 14 payers, 34 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 2 | Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Humana humana medical plan / fl medicaid facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 4 | UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 5 | Molina molina managed medicaid facility · other · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 6 | Humana humana medicare hmo facility · fee schedule · outpatient | $53 | $49 | $10 | 20% | — | $36 – $59 |
| 7 | Humana humana medicare ppo facility · fee schedule · outpatient | $53 | $49 | $10 | 20% | — | $36 – $59 |
| 8 | Medicare medicare facility · fee schedule · outpatient | $54 | $50 | $10 | 20% | — | $36 – $60 |
| 9 | WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient | $54 | $50 | $10 | 20% | — | $36 – $60 |
| 10 | Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient | $55 | $51 | $10 | 20% | — | $37 – $61 |
| 11 | Devoted devoted health facility · fee schedule · outpatient | $55 | $51 | $10 | 20% | — | $37 – $61 |
| 12 | UnitedHealthcare united healthcare of florida medicare advantage facility · fee schedule · outpatient | $55 | $51 | $10 | 20% | — | $37 – $61 |
| 13 | Molina molina medicare advantage program facility · fee schedule · outpatient | $56 | $52 | $11 | 20% | — | $38 – $63 |
| 14 | Cigna cigna healthsprings facility · fee schedule · outpatient | $57 | $53 | $11 | 20% | — | $38 – $63 |
| 15 | Molina molina marketplace program exchange facility · fee schedule · outpatient | $96 | $89 | $18 | 20% | — | $64 – $107 |
| 16 | Ambetter ambetter by sunshine hix facility · fee schedule · outpatient | $102 | $95 | $19 | 20% | — | $68 – $114 |
| 17 | Amerihealth Caritas amerihealth caritas next exchange facility · fee schedule · outpatient | $119 | $110 | $22 | 20% | — | $79 – $132 |
| 18 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $157 | $157 | — | — | — | $157 – $157 |
| 19 | UnitedHealthcare united healthcare of florida all payer facility · fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 20 | UnitedHealthcare united healthcare of florida exchange facility · fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 21 | UnitedHealthcare united healthcare of florida hmo facility · fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 22 | UnitedHealthcare united healthcare of florida ppo facility · fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 23 | Cigna cigna individual family facility · fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 24 | Cigna cigna surefit facility · fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 25 | Cigna cigna commercial facility · fee schedule · outpatient | $238 | $238 | — | — | — | $238 – $238 |
Last updated: Sep 1, 2026
See COVID-19 mRNA vaccine, 50 mcg dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.