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
Adm sarscov2 30mcg/0.3ml bst
Garfield Heights, OH
See all hospitals reporting CPT 0004A →Price type
Marymount Hospital Inc’s median price of $15 is 70% below the median hospital's median price ($48), higher than 1% 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: 5 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 | Optum managed medicaid transplant facility · case rate · outpatient | $13.16 | $13.16 | $13.16 – $13.16 |
| 2 | Anthem managed medicaid facility · case rate · outpatient | $14.54 | $14.54 | $14.54 – $14.54 |
| 3 | Molina managed medicaid facility · case rate · outpatient | $14.54 | $14.54 | $14.54 – $14.54 |
| 4 | Caresource managed medicaid facility · case rate · outpatient | $14.82 | $14.82 | $14.82 – $14.82 |
| 5 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $14.82 | $14.82 | $14.82 – $14.82 |
Last updated: Jun 15, 2026
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