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
Iiv3 vacc no prsv 0.5 ml im
Lebanon, NH
See all hospitals reporting CPT 90656 →Price type
Mary Hitchcock Memorial Hospital’s median price of $24 is 16% below the median hospital's median price ($29), higher than 36% of the 2,171 hospitals reporting CPT 90656. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 72 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 | Anthem anthem - federal employee program professional · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Anthem anthem - indemnity professional · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch professional · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Anthem anthem indiv qhp - exchange professional · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 5 | Anthem anthem ppo professional · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 6 | Anthem anthem shop - exchange professional · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 7 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · percent of total billed charges · outpatientfrom % of charges | $5.08 | $5.08 | $5.08 – $5.08 |
| 8 | UnitedHealthcare uhc - freedom plan professional · fee schedule · outpatient | $16.60 | $16.60 | $16.60 – $16.60 |
| 9 | Aetna aetna hmo/pos/ppo professional · fee schedule · outpatient | $17.69 | $17.69 | $17.69 – $17.69 |
| 10 | Aetna aetna hmo/pos/ppo - arnb professional · fee schedule · outpatient | $17.69 | $17.69 | $17.69 – $17.69 |
| 11 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $17.69 | $17.69 | $17.69 – $17.69 |
| 12 | Cigna cigna hmo-pos professional · fee schedule · outpatient | $19.57 | $19.57 | $19.57 – $19.57 |
| 13 | Cigna cigna hmo-pos - dhp professional · fee schedule · outpatient | $19.57 | $19.57 | $19.57 – $19.57 |
| 14 | Cigna cigna ppo professional · fee schedule · outpatient | $19.57 | $19.57 | $19.57 – $19.57 |
| 15 | Cigna cigna ppo - dhp professional · fee schedule · outpatient | $19.57 | $19.57 | $19.57 – $19.57 |
| 16 | Anthem anthem - indemnity/federal employee program professional · fee schedule · outpatient | $20.12 | $20.12 | $20.12 – $20.12 |
| 17 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch - dhp professional · fee schedule · outpatient | $20.12 | $20.12 | $20.12 – $20.12 |
| 18 | Anthem anthem indiv qhp - exchange - dhp professional · fee schedule · outpatient | $20.12 | $20.12 | $20.12 – $20.12 |
| 19 | Anthem anthem ppo - dhp professional · fee schedule · outpatient | $20.12 | $20.12 | $20.12 – $20.12 |
| 20 | Anthem anthem shop - exchange - dhp professional · fee schedule · outpatient | $20.12 | $20.12 | $20.12 – $20.12 |
| 21 | UnitedHealthcare uhc - freedom plan - dhp professional · fee schedule · outpatient | $20.44 | $20.44 | $20.44 – $20.44 |
| 22 | UnitedHealthcare uhc - tiered freedom plan professional · fee schedule · outpatient | $20.44 | $20.44 | $20.44 – $20.44 |
| 23 | WellCare wellcare - medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $21.24 | $21.24 | $21.24 – $21.24 |
| 24 | UnitedHealthcare uhc - freedom plan professional · percent of total billed charges · outpatientfrom % of charges | $22.03 | $22.03 | $22.03 – $22.03 |
| 25 | UnitedHealthcare uhc - freedom plan professional · percent of total billed charges · inpatientfrom % of charges | $22.79 | $22.79 | $22.79 – $22.79 |
Last updated: Jan 1, 2026
See Trivalent flu shot, preservative-free, 0.5 mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.