Tetanus and diphtheria vaccine, no preservative, intramuscular at Mercy Perry

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE

Perryville, MO

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How this price compares nationally

Mercy Perry’s median price of $128 is 101% above the median hospital's median price ($64), higher than 87% of the 2,199 hospitals reporting CPT 90714. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90714 at Mercy Perry

Negotiated rates from the hospital’s own file: 16 payers, 29 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 wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
2	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$41	$41	—	—	—	$41 – $41
3	Medicaid hb pcmh mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$41	$41	—	—	—	$41 – $41
4	UnitedHealthcare hb pcmh uhc managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$41	$41	—	—	—	$41 – $41
5	Optum hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
6	UnitedHealthcare hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
7	UnitedHealthcare hb pcmh uhc core facility · fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
8	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$63	$63	—	—	—	$63 – $63
9	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$63	$63	—	—	—	$63 – $63
10	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$63	$63	—	—	—	$63 – $63
11	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$63	$63	—	—	—	$63 – $63
12	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$63	$63	—	—	—	$63 – $63
13	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$63	$63	—	—	—	$63 – $63
14	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$64	$64	—	—	—	$64 – $64
15	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$65	$65	—	—	—	$65 – $65
16	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$65	$65	—	—	—	$65 – $65
17	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$75	$75	—	—	—	$75 – $75
18	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	—	$87 – $87
19	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$98	$98	—	—	—	$98 – $98
20	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$98	$98	—	—	—	$98 – $98
21	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$128	$128	—	—	—	$128 – $128
22	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$128	$128	—	—	—	$128 – $128
23	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$135	$135	—	—	—	$135 – $135
24	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$135	$135	—	—	—	$135 – $135
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$145	$145	—	—	—	$145 – $145

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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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.