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
TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ
Lancaster, PA
See all hospitals reporting CPT 90714 →Price type
Lancaster General Health’s median price of $28 is 57% below the median hospital's median price ($64), higher than 7% of the 2,199 hospitals reporting CPT 90714. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 30 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 | $14 | $7 | 52% | — | $5 – $23 |
| 4 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $16 | $14 | $7 | 52% | — | $5 – $24 |
| 5 | Devoted devoted health medicare advantage facility · other · outpatient | $27 | $23 | $12 | 52% | — | $9 – $40 |
| 6 | Tricare tricare facility · fee schedule · outpatient | $34 | $26 | $10 | 37% | — | $14 – $34 |
| 7 | Amerihealth Caritas amerihealth caritas medicaid hmo facility · fee schedule · outpatient | $28 | $26 | $2 | 8% | — | $23 – $28 |
| 8 | Highmark highmark chip facility · other · outpatient | $33 | $28 | $15 | 52% | — | $11 – $48 |
| 9 | Oscar oscar health plan facility · other · outpatient | $33 | $29 | $15 | 52% | — | $11 – $49 |
| 10 | Highmark highmark aca facility · other · outpatient | $40 | $34 | $18 | 52% | — | $13 – $58 |
| 11 | Cigna cigna new business facility · fee schedule · outpatient | $47 | $38 | $12 | 31% | — | $23 – $47 |
| 12 | Highmark highmark commercial preferred facility · other · outpatient | $45 | $39 | $20 | 52% | — | $15 – $66 |
| 13 | Blue Cross Blue Shield independence blue cross commercial facility · fee schedule · outpatient | $49 | $39 | $13 | 32% | — | $23 – $49 |
| 14 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $46 | $39 | $20 | 52% | — | $16 – $67 |
| 15 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $51 | $44 | $23 | 52% | — | $17 – $75 |
| 16 | Highmark highmark commercial facility · other · outpatient | $57 | $48 | $25 | 52% | — | $19 – $82 |
| 17 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $57 | $49 | $25 | 52% | — | $19 – $83 |
| 18 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $58 | $49 | $26 | 52% | — | $20 – $84 |
| 19 | Blue Cross Blue Shield cbc commercial facility · fee schedule · outpatient | $68 | $56 | $27 | 49% | — | $23 – $88 |
| 20 | Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges | $68 | $58 | $30 | 52% | — | $23 – $99 |
| 21 | Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges | $68 | $58 | $30 | 52% | — | $23 – $99 |
| 22 | Highmark highmark commercial facility · percent of total billed charges · inpatientfrom % of charges | $68 | $58 | $30 | 52% | — | $23 – $99 |
| 23 | Highmark highmark commercial non-preferred facility · percent of total billed charges · inpatientfrom % of charges | $68 | $58 | $30 | 52% | — | $23 – $99 |
| 24 | Highmark highmark commercial preferred facility · percent of total billed charges · inpatientfrom % of charges | $68 | $58 | $30 | 52% | — | $23 – $99 |
| 25 | Magellan magellan facility · percent of total billed charges · inpatientfrom % of charges | $68 | $58 | $30 | 52% | — | $23 – $99 |
Last updated: Mar 31, 2026
See Tetanus and diphtheria vaccine, no preservative, intramuscular pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.