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
MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION
Ozark, MO
See all hospitals reporting CPT 90619 →Price type
Mercy Hospital Springfield’s median price of $459 is 83% above the median hospital's median price ($252), higher than 81% of the 1,381 hospitals reporting CPT 90619. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 25 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 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 2 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 3 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 4 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $164 | $164 | — | — | — | $164 – $164 |
| 5 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $164 | $164 | — | — | — | $164 – $164 |
| 6 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $164 | $164 | — | — | — | $164 – $164 |
| 7 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 8 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 9 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 10 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 11 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $304 | $304 | — | — | — | $304 – $304 |
| 12 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $304 | $304 | — | — | — | $304 – $304 |
| 13 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 14 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 15 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 16 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 17 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $324 | $324 | — | — | — | $324 – $324 |
| 18 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $334 | $334 | — | — | — | $334 – $334 |
| 19 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $459 | $459 | — | — | — | $459 – $459 |
| 20 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $558 | $558 | — | — | — | $558 – $558 |
| 21 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $566 | $566 | — | — | — | $566 – $566 |
| 22 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $598 | $598 | — | — | — | $598 – $598 |
| 23 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $627 | $627 | — | — | — | $627 – $627 |
| 24 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $631 | $631 | — | — | — | $631 – $631 |
| 25 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $631 | $631 | — | — | — | $631 – $631 |
Last updated: Jun 4, 2026
See Meningococcal ACWY vaccine (tetanus toxoid conjugate) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.