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
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus
Lee's Summit, MO
See all hospitals reporting CPT 91304 →Price type
Lee's Summit Medical Center’s median price of $199 is 3% above the median hospital's median price ($193), higher than 54% of the 1,155 hospitals reporting CPT 91304. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 5 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 tricare fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 2 | UnitedHealthcare ksmgmcd fee schedule · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 3 | Aetna Better Health mcd fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 4 | UnitedHealthcare momgmcd fee schedule · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 5 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $317 | $317 | — | — | — | $317 – $317 |
Last updated: Mar 1, 2026
See COVID-19 vaccine, recombinant nanoparticle, 5 mcg dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.