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
Im Adm Prq ID Subq/Im Njxs 1 Vaccine
Utica, NY
See all hospitals reporting CPT 90471 →Price type
MVHS, Inc.’s median price of $53 is 26% below the median hospital's median price ($72), higher than 29% of the 2,544 hospitals reporting CPT 90471. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 37 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 fee schedule · outpatient | $10.00 | $10.00 | $10.00 – $10.00 |
| 2 | UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges | $14.70 | $14.70 | $14.70 – $14.70 |
| 3 | UnitedHealthcare uhc medicare advantage percent of total billed charges · outpatientfrom % of charges | $14.70 | $14.70 | $14.70 – $14.70 |
| 4 | Cigna mvp hmo/ppo fee schedule · both | $15.00 | $15.00 | $15.00 – $15.00 |
| 5 | Humana humana military fee schedule · both | $18.28 | $18.28 | $18.28 – $18.28 |
| 6 | Humana humana military fee schedule · outpatient | $18.28 | $18.28 | $18.28 – $18.28 |
| 7 | Tricare humana military fee schedule · both | $18.28 | $18.28 | $18.28 – $18.28 |
| 8 | Tricare humana military fee schedule · outpatient | $18.28 | $18.28 | $18.28 – $18.28 |
| 9 | WellCare wellcare fee schedule · outpatient | $18.60 | $18.60 | $18.60 – $18.60 |
| 10 | Humana choicecare fee schedule · both | $19.24 | $19.24 | $19.24 – $19.24 |
| 11 | Humana humana medicare advantage fee schedule · both | $19.24 | $19.24 | $19.24 – $19.24 |
| 12 | Excellus excellus bcbs medicaid fee schedule · outpatient | $19.71 | $19.71 | $19.71 – $19.71 |
| 13 | Medicare medicare fee schedule · both | $21.14 | $21.14 | $21.14 – $21.14 |
| 14 | WellCare wellcare fee schedule · both | $21.77 | $21.77 | $21.77 – $21.77 |
| 15 | WellCare wellcare fee schedule · inpatient | $21.77 | $21.77 | $21.77 – $21.77 |
| 16 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $22.71 | $22.71 | $22.71 – $22.71 |
| 17 | Excellus excellus bcbs medicaid percent of total billed charges · inpatientfrom % of charges | $18.90 | $25.05 | $18.77 – $43.61 |
| 18 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $28.60 | $37.90 | $28.40 – $66.00 |
| 19 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $42.62 | $56.47 | $42.32 – $98.34 |
| 20 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $46.48 | $61.59 | $46.15 – $107.25 |
| 21 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $48.69 | $64.53 | $48.35 – $112.37 |
| 22 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $48.69 | $64.53 | $48.35 – $112.37 |
| 23 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $48.69 | $64.53 | $48.35 – $112.37 |
| 24 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $48.69 | $64.53 | $48.35 – $112.37 |
| 25 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $50.63 | $67.09 | $50.27 – $116.82 |
Last updated: Aug 7, 2026
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