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
TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP
Ozark, MO
See all hospitals reporting CPT 90714 →Price type
Mercy Hospital Springfield’s median price of $103 is 62% above the median hospital's median price ($64), higher than 77% of the 2,199 hospitals reporting CPT 90714. 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, 26 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 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 2 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 3 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 4 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 5 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 6 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 7 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 8 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 9 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 10 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 11 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 12 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 13 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 14 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 15 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 16 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 17 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 18 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
| 19 | Cigna hb sprg cigna hmo facility · fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 20 | Cigna hb sprg cigna ppo facility · fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 21 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 22 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 23 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $140 | $140 | — | — | — | $140 – $140 |
| 24 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 25 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $158 | $158 | — | — | — | $158 – $158 |
Last updated: Jun 4, 2026
See Tetanus and diphtheria vaccine, no preservative, intramuscular pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.