COVID-19 mRNA vaccine, 3 mcg dose at Northside Hospital, 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

SARSCOV2 PED VAC 3MCG TRS-SUC IM

Duluth, GA

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Pricing by billing methodology

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How this price compares nationally

Northside Hospital, Inc.’s median price of $209 is 149% above the median hospital's median price ($84), higher than 91% of the 1,212 hospitals reporting CPT 91318. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 91318 at Northside Hospital, Inc.

Negotiated rates from the hospital’s own file: 14 payers, 72 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	Blue Cross Blue Shield bcbs_pathway fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
2	Blue Cross Blue Shield bcbs_pathway-l fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
3	Caresource caresource other · outpatient	$45	$45	—	—	—	$45 – $45
4	Blue Cross Blue Shield bcbs medicare advantage-p fee schedule · outpatient	$51	$51	—	—	—	$51 – $51
5	Medicare medicare fee schedule · outpatient	$51	$51	—	—	—	$51 – $51
6	UnitedHealthcare uhc medicare fee schedule · outpatient	$51	$51	—	—	—	$51 – $51
7	Aetna aetna medicare fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
8	Humana humana medicare advantage hmo fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
9	Blue Cross Blue Shield bcbs_hmo fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
10	Blue Cross Blue Shield bcbs_hmo-l fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
11	Caresource caresource medicare advantage fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
12	Kaiser kaiser medicare advantage fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
13	WellCare wellcare medicare advantage fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
14	Humana humana medicare advantage ppo fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
15	Clover clover health fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
16	Blue Cross Blue Shield blue hpn fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
17	Blue Cross Blue Shield blue hpn-l fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
18	UnitedHealthcare uhc ga individual exchange fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
19	UnitedHealthcare uhc heritage select fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
20	UnitedHealthcare uhc hmo/pos/ppo fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
21	UnitedHealthcare uhc hmo/pos/ppo-g fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
22	UnitedHealthcare uhc hmo/pos/ppo-t fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
23	Cigna cigna healthsprings medicare advantage other · outpatient	$60	$60	—	—	—	$60 – $60
24	Tricare tricare fee schedule · outpatient	$66	$66	—	—	—	$66 – $66
25	Blue Cross Blue Shield bcbs_ppo fee schedule · outpatient	$83	$83	—	—	—	$83 – $83

Page 1 of 3 · 72 rates

Last updated: Feb 14, 2026

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