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
HIB VAC PRP-OMP 3DOSE IM
Argyle, TX
See all hospitals reporting CPT 90647 →Price type
Medical City Argyle’s median price of $62 is 16% above the median hospital's median price ($53), higher than 58% of the 1,506 hospitals reporting CPT 90647. 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, 35 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 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 2 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 3 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 6 | Aetna qhphix percent of total billed charges · outpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 7 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 8 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 9 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 10 | Aetna newbusiness percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 11 | Aetna meritain percent of total billed charges · outpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 12 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
| 13 | Humana tricare fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 14 | Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges | $34 | $34 | — | — | — | $34 – $34 |
| 15 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 16 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $47 | $47 | $26 | 55% | — | $21 – $73 |
| 17 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $53 | $53 | — | — | — | $53 – $53 |
| 18 | Aetna wcomp percent of total billed charges · outpatientfrom % of charges | $55 | $55 | — | — | — | $55 – $55 |
| 19 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 20 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 21 | UnitedHealthcare smallgroup fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 22 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 23 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 24 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 25 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
Last updated: Mar 1, 2026
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