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 (Pfizer) SARSCOV2 VAC 3MCG TRS-SUC IM
Utica, NY
See all hospitals reporting CPT 91318 →Price type
MVHS, Inc.’s median price of $132 is 57% above the median hospital's median price ($84), higher than 76% of the 1,220 hospitals reporting CPT 91318. 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, 21 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 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 2 | Humana humana military fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 3 | Tricare humana military fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 4 | Excellus excellus bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 5 | Humana humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 6 | UnitedHealthcare uhc medicare advantage percent of total billed charges · outpatientfrom % of charges | $74 | $74 | — | — | — | $74 – $74 |
| 7 | Aetna aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $74 | $74 | — | — | — | $74 – $74 |
| 8 | WellCare wellcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $75 | $75 | — | — | — | $75 – $75 |
| 9 | UnitedHealthcare uhc commercial fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 10 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 11 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $178 | $178 | — | — | — | $178 – $178 |
| 12 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $194 | $194 | — | — | — | $194 – $194 |
| 13 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 14 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 15 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 16 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 17 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $212 | $212 | — | — | — | $212 – $212 |
| 18 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $224 | $224 | — | — | — | $224 – $224 |
| 19 | Molina misc medicaid mco percent of total billed charges · outpatientfrom % of charges | $299 | $299 | — | — | — | $299 – $299 |
| 20 | UnitedHealthcare uhc essential plan percent of total billed charges · outpatientfrom % of charges | $299 | $299 | — | — | — | $299 – $299 |
| 21 | UnitedHealthcare uhc medicaid percent of total billed charges · outpatientfrom % of charges | $299 | $299 | — | — | — | $299 – $299 |
Last updated: Aug 7, 2026
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