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) SARSCV2 VAC 10MCG TRS-SUC IM
Utica, NY
See all hospitals reporting CPT 91319 →Price type
MVHS, Inc.’s median price of $145 is 30% above the median hospital's median price ($111), higher than 63% of the 1,275 hospitals reporting CPT 91319. 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, 23 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 | $37 | $37 | — | — | — | $37 – $37 |
| 2 | Excellus excellus bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 3 | Humana humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 4 | UnitedHealthcare uhc medicare advantage percent of total billed charges · outpatientfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 5 | Aetna aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 6 | WellCare wellcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 7 | Humana humana military fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 8 | Tricare humana military fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 9 | Excellus excellus bcbs medicaid fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 10 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 11 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $115 | $115 | — | — | — | $115 – $115 |
| 12 | UnitedHealthcare uhc commercial fee schedule · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 13 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $171 | $171 | — | — | — | $171 – $171 |
| 14 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $187 | $187 | — | — | — | $187 – $187 |
| 15 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $195 | $195 | — | — | — | $195 – $195 |
| 16 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $195 | $195 | — | — | — | $195 – $195 |
| 17 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $195 | $195 | — | — | — | $195 – $195 |
| 18 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $195 | $195 | — | — | — | $195 – $195 |
| 19 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 20 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $215 | $215 | — | — | — | $215 – $215 |
| 21 | Molina misc medicaid mco percent of total billed charges · outpatientfrom % of charges | $287 | $287 | — | — | — | $287 – $287 |
| 22 | UnitedHealthcare uhc essential plan percent of total billed charges · outpatientfrom % of charges | $287 | $287 | — | — | — | $287 – $287 |
| 23 | UnitedHealthcare uhc medicaid percent of total billed charges · outpatientfrom % of charges | $287 | $287 | — | — | — | $287 – $287 |
Last updated: Aug 7, 2026
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