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 PBB PCV21 VACCINE FOR INTRAMUSCULAR USE
Manning, SC
See all hospitals reporting CPT 90684 →Price type
McLeod Health’s median price of $524 is 19% above the median hospital's median price ($440), higher than 61% of the 1,301 hospitals reporting CPT 90684. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 8 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 hix percent of total billed charges · bothfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 2 | UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges | $184 | $184 | — | — | — | $184 – $184 |
| 3 | Aetna commercial percent of total billed charges · bothfrom % of charges | $294 | $294 | — | — | — | $294 – $294 |
| 4 | Tricare dha fee schedule · both | $312 | $312 | — | — | — | $312 – $312 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $524 | $524 | — | — | — | $524 – $524 |
| 6 | Medicaid medicaid fee schedule · both | $524 | $524 | — | — | — | $524 – $524 |
| 7 | Molina medicaid fee schedule · both | $550 | $550 | — | — | — | $550 – $550 |
| 8 | Cigna commercial fee schedule · both | $761 | $761 | — | — | — | $761 – $761 |
Last updated: Jul 20, 2026
See Pneumococcal conjugate vaccine injection (PCV21) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.