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
PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE
Rocky Mount, NC
See all hospitals reporting CPT 90684 →Price type
Nash Hospitals’s median price of $170 is 62% below the median hospital's median price ($443), higher than 5% of the 1,296 hospitals reporting CPT 90684. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 13 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 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $164 | $164 | — | — | — | $164 – $164 |
| 2 | Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $165 | $165 | — | — | — | $165 – $165 |
| 3 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $165 | $165 | — | — | — | $165 – $165 |
| 4 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $165 | $165 | — | — | — | $165 – $165 |
| 5 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $377 | $377 | — | — | — | $377 – $377 |
| 6 | Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $398 | $398 | — | — | — | $398 – $398 |
| 7 | Cigna commercial facility · fee schedule · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 8 | Medcost ultra facility · percent of total billed charges · inpatientfrom % of charges | $555 | $555 | — | — | — | $555 – $555 |
| 9 | Medcost ultra facility · percent of total billed charges · outpatientfrom % of charges | $591 | $591 | — | — | — | $591 – $591 |
| 10 | Medcost administrator id: 580 facility · percent of total billed charges · inpatientfrom % of charges | $664 | $664 | — | — | — | $664 – $664 |
| 11 | Medcost administrator id: 580 facility · percent of total billed charges · outpatientfrom % of charges | $719 | $719 | — | — | — | $719 – $719 |
| 12 | Medcost all other business/commercial facility · percent of total billed charges · inpatientfrom % of charges | $728 | $728 | — | — | — | $728 – $728 |
| 13 | Medcost all other business/commercial facility · percent of total billed charges · outpatientfrom % of charges | $746 | $746 | — | — | — | $746 – $746 |
Last updated: Jun 18, 2026
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