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 IIV3 VACCINE 3 YRS & OLDER FOR IM USE
River, SC
See all hospitals reporting CPT 90658 →Price type
McLeod Health’s median price of $26 is 3% below the median hospital's median price ($26), higher than 47% of the 1,354 hospitals reporting CPT 90658. 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, 11 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 fee schedule · both | $7 | $7 | — | — | — | $7 – $7 |
| 2 | UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Blue Cross Blue Shield state fee schedule · both | $17 | $17 | — | — | — | $17 – $17 |
| 4 | Blue Cross Blue Shield preferred fee schedule · both | $19 | $19 | — | — | — | $19 – $19 |
| 5 | Blue Cross Blue Shield choice fee schedule · both | $20 | $20 | — | — | — | $20 – $20 |
| 6 | Tricare dha fee schedule · both | $21 | $21 | — | — | — | $21 – $21 |
| 7 | Aetna commercial percent of total billed charges · bothfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 8 | Blue Cross Blue Shield medicaid fee schedule · both | $35 | $35 | — | — | — | $35 – $35 |
| 9 | Medicaid medicaid fee schedule · both | $35 | $35 | — | — | — | $35 – $35 |
| 10 | Molina medicaid fee schedule · both | $37 | $37 | — | — | — | $37 – $37 |
| 11 | Cigna commercial fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
Last updated: Jul 20, 2026
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