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
HC ADM SARSCOV2 30MCG/0.3ML BST
Longmont, CO
See all hospitals reporting CPT 0004A →Price type
Longmont United Hospital’s median price of $50 is 4% above the median hospital's median price ($48), higher than 55% of the 470 hospitals reporting CPT 0004A. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 16 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 | Kaiser commercial hmo percent of total billed charges · outpatientfrom % of charges | $34.11 | $34.11 | $34.11 – $34.11 |
| 2 | Kaiser commercial hmo percent of total billed charges · inpatientfrom % of charges | $34.35 | $34.35 | $34.35 – $34.35 |
| 3 | Kaiser commercial ppo percent of total billed charges · outpatientfrom % of charges | $39.89 | $39.89 | $39.89 – $39.89 |
| 4 | Kaiser commercial ppo percent of total billed charges · inpatientfrom % of charges | $41.02 | $41.02 | $41.02 – $41.02 |
| 5 | Anthem commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges | $47.91 | $47.91 | $47.91 – $47.91 |
| 6 | UnitedHealthcare commercial navigate epo case rate · outpatient | $57.00 | $57.00 | $57.00 – $57.00 |
| 7 | Cigna commercial local plus percent of total billed charges · outpatientfrom % of charges | $58.59 | $58.59 | $58.59 – $58.59 |
| 8 | UnitedHealthcare commercial ppo/pos/hmo/epo case rate · outpatient | $63.00 | $63.00 | $63.00 – $63.00 |
| 9 | UnitedHealthcare commercial select epo case rate · outpatient | $73.00 | $73.00 | $73.00 – $73.00 |
| 10 | Cigna commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges | $74.80 | $74.80 | $74.80 – $74.80 |
| 11 | Aetna commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges | $87.27 | $87.27 | $62.34 – $112.20 |
| 12 | MultiPlan commercial primary/complementary percent of total billed charges · inpatientfrom % of charges | $92.26 | $92.26 | $92.26 – $92.26 |
| 13 | MultiPlan commercial primary/complementary percent of total billed charges · outpatientfrom % of charges | $92.26 | $92.26 | $92.26 – $92.26 |
| 14 | Anthem commercial indemnity percent of total billed charges · inpatientfrom % of charges | $109.71 | $109.71 | $109.71 – $109.71 |
| 15 | Anthem commercial indemnity percent of total billed charges · outpatientfrom % of charges | $109.71 | $109.71 | $109.71 – $109.71 |
| 16 | Aetna commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges | $112.20 | $112.20 | $112.20 – $112.20 |
Last updated: Feb 5, 2026
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