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 Imm Admn Sarscov2 30mcg/0.3ml Booster Dose
Utica, NY
See all hospitals reporting CPT 0004A →Price type
MVHS, Inc.’s median price of $45 is 7% below the median hospital's median price ($48), higher than 43% of the 470 hospitals reporting CPT 0004A. 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, 10 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 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $26.40 | $26.40 | $26.40 – $26.40 |
| 2 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $39.34 | $39.34 | $39.34 – $39.34 |
| 3 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $42.90 | $42.90 | $42.90 – $42.90 |
| 4 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $44.95 | $44.95 | $44.95 – $44.95 |
| 5 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $44.95 | $44.95 | $44.95 – $44.95 |
| 6 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $44.95 | $44.95 | $44.95 – $44.95 |
| 7 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $44.95 | $44.95 | $44.95 – $44.95 |
| 8 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $46.73 | $46.73 | $46.73 – $46.73 |
| 9 | UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges | $48.18 | $48.18 | $48.18 – $48.18 |
| 10 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $49.50 | $49.50 | $49.50 – $49.50 |
Last updated: Aug 7, 2026
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