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 SARSCOV2 VAC 5MCG/0.5ML IM
Manning, SC
See all hospitals reporting CPT 91304 →Price type
McLeod Health’s median price of $262 is 36% above the median hospital's median price ($193), higher than 71% 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: 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 | $84 | $84 | — | — | — | $84 – $84 |
| 2 | Tricare dha fee schedule · both | $153 | $153 | — | — | — | $153 – $153 |
| 3 | UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges | $215 | $215 | — | — | — | $215 – $215 |
| 4 | Blue Cross Blue Shield medicaid fee schedule · both | $258 | $258 | — | — | — | $258 – $258 |
| 5 | Medicaid medicaid fee schedule · both | $258 | $258 | — | — | — | $258 – $258 |
| 6 | Molina medicaid fee schedule · both | $271 | $271 | — | — | — | $271 – $271 |
| 7 | Aetna commercial percent of total billed charges · bothfrom % of charges | $344 | $344 | — | — | — | $344 – $344 |
| 8 | Cigna commercial fee schedule · both | $375 | $375 | — | — | — | $375 – $375 |
Last updated: Jul 20, 2026
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