Meningococcal five-strain vaccine (A, B, C, W, Y) injection at MVHS, Inc.

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

MENINGOCOCCAL VAC A,C,Y,W135-B 5-120 MCG/0.5 ML (WRAPPED)

Utica, NY

See all hospitals reporting CPT 90623 →

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How this price compares nationally

MVHS, Inc.’s median price of $688 is 121% above the median hospital's median price ($311), higher than 86% of the 903 hospitals reporting CPT 90623. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90623 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 9 payers, 25 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	Humana humana military fee schedule · both	$232	$236	$6	2%	—	$232 – $245
2	Tricare humana military fee schedule · both	$232	$236	$6	2%	—	$232 – $245
3	Humana humana military fee schedule · outpatient	$238	$238	$6	3%	1–10	$232 – $245
4	Tricare humana military fee schedule · outpatient	$238	$238	$6	3%	50	$232 – $245
5	Bcbs Ny excellus bcbs commercial fee schedule · both	$242	$242	—	—	—	$242 – $242
6	Blue Cross Blue Shield excellus bcbs commercial fee schedule · both	$242	$242	—	—	5–50	$242 – $242
7	Excellus excellus bcbs commercial fee schedule · both	$242	$242	—	—	24–78	$242 – $242
8	UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges	$336	$336	—	—	—	$336 – $336
9	UnitedHealthcare uhc medicare advantage percent of total billed charges · outpatientfrom % of charges	$336	$336	—	—	—	$336 – $336
10	UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges	$654	$570	$118	21%	—	$404 – $654
11	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$657	$657	—	—	—	$657 – $657
12	Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$758	$758	—	—	—	$758 – $758
13	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$974	$850	$175	21%	—	$602 – $974
14	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$1.1k	$971	$200	21%	—	$688 – $1.1k
15	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$1.1k	$971	$200	21%	—	$688 – $1.1k
16	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$1.1k	$971	$200	21%	—	$688 – $1.1k
17	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$1.1k	$971	$200	21%	—	$688 – $1.1k
18	Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges	$1.2k	$1.0k	$208	21%	—	$715 – $1.2k
19	Molina misc medicaid mco percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
20	UnitedHealthcare uhc essential plan percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
21	UnitedHealthcare uhc medicaid percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
22	Humana humana hmo/pos percent of total billed charges · bothfrom % of charges	$1.2k	$1.2k	$0	0%	—	$1.2k – $1.2k
23	Molina misc medicaid mco percent of total billed charges · bothfrom % of charges	$1.6k	$1.6k	$0	0%	—	$1.6k – $1.6k
24	UnitedHealthcare uhc essential plan percent of total billed charges · bothfrom % of charges	$1.6k	$1.6k	$0	0%	—	$1.6k – $1.6k
25	UnitedHealthcare uhc medicaid percent of total billed charges · bothfrom % of charges	$1.6k	$1.6k	$0	0%	—	$1.6k – $1.6k

Last updated: Aug 7, 2026

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