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 Ea Vaccine
Utica, NY
See all hospitals reporting CPT 90472 →Price type
MVHS, Inc.’s median price of $15 is 60% below the median hospital's median price ($37), higher than 11% of the 2,254 hospitals reporting CPT 90472. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 27 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 | Excellus excellus bcbs medicaid percent of total billed charges · inpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 2 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 3 | UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 4 | UnitedHealthcare uhc medicare advantage percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Humana humana military fee schedule · both | $13 | $13 | — | — | 2–20 | $13 – $13 |
| 6 | Humana humana military fee schedule · outpatient | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 7 | Tricare humana military fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 8 | Tricare humana military fee schedule · outpatient | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 9 | WellCare wellcare fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 10 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 11 | Humana choicecare fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 12 | Humana humana medicare advantage fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 13 | Excellus excellus bcbs medicaid fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 14 | Cigna mvp hmo/ppo fee schedule · both | $15 | $15 | — | — | 1–10 | $15 – $15 |
| 15 | Medicare medicare fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 16 | WellCare wellcare fee schedule · both | $16 | $16 | — | — | — | $16 – $16 |
| 17 | WellCare wellcare fee schedule · inpatient | $16 | $16 | — | — | — | $16 – $16 |
| 18 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $16 | $16 | — | — | 6–60 | $16 – $16 |
| 19 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 20 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 21 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 22 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 23 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 24 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 25 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $24 | $24 | — | — | — | $24 – $24 |
Last updated: Aug 7, 2026
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