Pneumococcal conjugate vaccine (15-valent) injection at Jackson HMA LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

08213-1000-37 - Collagen Matrix 21 cm2 Misc

Jackson, MS

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Pricing by billing methodology

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How this price compares nationally

Jackson HMA LLC’s median price of $95 is 70% below the median hospital's median price ($319), higher than 4% of the 1,378 hospitals reporting CPT 90671. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90671 at Jackson HMA LLC

Negotiated rates from the hospital’s own file: 11 payers, 18 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	Blue Cross Blue Shield bcbs ms fmp facility · other · outpatient	$0	$28	$39	141%	—	$0 – $83
2	Tricare node tricare facility · fee schedule · outpatient	$0	$83	$117	141%	—	$0 – $248
3	UnitedHealthcare uhc iex facility · percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
4	Humana node humana mcr adv facility · fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
5	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
6	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$94	$94	—	—	—	$94 – $94
7	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$95	$95	—	—	—	$95 – $95
8	Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
9	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
10	Molina node molina mcr adv facility · fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
11	Molina molina chip facility · fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
12	Molina molina medicaid ms facility · fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
13	Optum node united optum va ccn facility · fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
14	Aetna node first choice aetna mcr adv facility · fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
15	WellCare node first choice wellcare mcr adv facility · fee schedule · outpatient	$97	$97	—	—	—	$97 – $97
16	UnitedHealthcare uhc options ppo facility · percent of total billed charges · inpatientfrom % of charges	$101	$101	—	—	—	$101 – $101
17	UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges	$101	$101	—	—	—	$101 – $101
18	Molina molina exchange facility · fee schedule · outpatient	$167	$167	—	—	—	$167 – $167

Last updated: Apr 1, 2026

Compare to other hospitals

See Pneumococcal conjugate vaccine (15-valent) injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.