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
PR NOVAVAX COVID-19 VACCINE, 5 MCG/0.5ML IM
Rochester, MN
See all hospitals reporting CPT 91304 →Price type
Mayo Clinic’s median price of $155 is 20% below the median hospital's median price ($193), higher than 17% 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: 16 payers, 53 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 blue cross blue shield mayo aco [612] professional · percent of total billed charges · outpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 2 | Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 3 | Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · percent of total billed charges · outpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 4 | Blue Cross Blue Shield blue cross blue shield fep [869] professional · percent of total billed charges · outpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 5 | Anthem blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 6 | Blue Cross Blue Shield blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | 1–10 | $147 – $147 |
| 7 | Blue Cross Blue Shield complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 8 | Blue Cross Blue Shield transplant bcbs [1141] professional · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 9 | Healthpartners complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 10 | Medica deanhp by medica west mc hmo [1263] professional · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 11 | Medica medica engage [666] professional · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 12 | Medica medica ifb midlands choice ia and ne [48] professional · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 13 | Medica medica non mayo employees group [755] professional · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 14 | Healthpartners transplant [629] professional · percent of total billed charges · outpatientfrom % of charges | $148 | $148 | — | — | — | $148 – $148 |
| 15 | Optum united healthcare [1039] professional · percent of total billed charges · outpatientfrom % of charges | $148 | $148 | — | — | 1–10 | $148 – $148 |
| 16 | UnitedHealthcare united healthcare [1039] professional · percent of total billed charges · outpatientfrom % of charges | $148 | $148 | — | — | — | $148 – $148 |
| 17 | UnitedHealthcare united healthcare gap exception [1388] professional · percent of total billed charges · outpatientfrom % of charges | $148 | $148 | — | — | — | $148 – $148 |
| 18 | Medica medica [1040] professional · percent of total billed charges · outpatientfrom % of charges | $152 | $152 | — | — | — | $152 – $152 |
| 19 | Medica medica complete health [17] professional · percent of total billed charges · outpatientfrom % of charges | $152 | $152 | — | — | — | $152 – $152 |
| 20 | Aetna aetna [1086] professional · percent of total billed charges · outpatientfrom % of charges | $155 | $155 | — | — | — | $155 – $155 |
| 21 | Aetna transplant [351] professional · percent of total billed charges · outpatientfrom % of charges | $155 | $155 | — | — | — | $155 – $155 |
| 22 | Blue Cross Blue Shield blue cross blue shield tiered network [892] professional · percent of total billed charges · outpatientfrom % of charges | $155 | $155 | — | — | — | $155 – $155 |
| 23 | Cigna cigna [46] professional · percent of total billed charges · outpatientfrom % of charges | $155 | $155 | — | — | — | $155 – $155 |
| 24 | Cigna cigna gap expection [1391] professional · percent of total billed charges · outpatientfrom % of charges | $155 | $155 | — | — | — | $155 – $155 |
| 25 | Cigna transplant cigna [842] professional · percent of total billed charges · outpatientfrom % of charges | $155 | $155 | — | — | — | $155 – $155 |
Last updated: Aug 14, 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.