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
DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5
Lancaster, PA
See all hospitals reporting CPT 90700 →Price type
Lancaster General Health’s median price of $56 is 1% below the median hospital's median price ($56), higher than 49% of the 1,970 hospitals reporting CPT 90700. 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, 27 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 | Medicaid medicaid facility · fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 2 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Aetna aetna medicare advantage facility · other · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 5 | Devoted devoted health medicare advantage facility · other · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 6 | Highmark highmark chip facility · other · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 7 | Oscar oscar health plan facility · other · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 8 | Cigna cigna new business facility · fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 9 | Blue Cross Blue Shield independence blue cross commercial facility · fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 10 | Highmark highmark aca facility · other · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 11 | Highmark highmark commercial preferred facility · other · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 12 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 13 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 14 | Highmark highmark commercial facility · other · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 15 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 16 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $57 | $57 | — | — | — | $57 – $57 |
| 17 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $57 | $57 | — | — | — | $57 – $57 |
| 18 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $57 | $57 | — | — | — | $57 – $57 |
| 19 | Blue Cross Blue Shield cbc commercial facility · fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 20 | Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 21 | Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 22 | Highmark highmark commercial facility · percent of total billed charges · inpatientfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 23 | Highmark highmark commercial non-preferred facility · percent of total billed charges · inpatientfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 24 | Highmark highmark commercial preferred facility · percent of total billed charges · inpatientfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 25 | Magellan magellan facility · percent of total billed charges · inpatientfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
Last updated: Mar 31, 2026
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