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
SARSCV2 VAC 30MCG TRS-SUC IM
Duluth, GA
See all hospitals reporting CPT 91320 →Price type
Northside Hospital, Inc.’s median price of $393 is 97% above the median hospital's median price ($199), higher than 85% of the 1,494 hospitals reporting CPT 91320. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 14 payers, 75 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 | $81 | $81 | — | — | — | $81 – $81 |
| 2 | Blue Cross Blue Shield bcbs_pathway-l fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 3 | Caresource caresource other · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 4 | Blue Cross Blue Shield bcbs medicare advantage-p fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 5 | Medicare medicare fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 6 | UnitedHealthcare uhc medicare fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 7 | Aetna aetna medicare fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 8 | Humana humana medicare advantage hmo fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 9 | Caresource caresource medicare advantage fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 10 | Kaiser kaiser medicare advantage fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 11 | WellCare wellcare medicare advantage fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 12 | Humana humana medicare advantage ppo fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 13 | Clover clover health fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 14 | Cigna cigna healthsprings medicare advantage other · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 15 | UnitedHealthcare uhc ga individual exchange fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 16 | UnitedHealthcare uhc heritage select fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 17 | UnitedHealthcare uhc hmo/pos/ppo fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 18 | UnitedHealthcare uhc hmo/pos/ppo-g fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 19 | UnitedHealthcare uhc hmo/pos/ppo-t fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 20 | Blue Cross Blue Shield bcbs_hmo fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 21 | Blue Cross Blue Shield bcbs_hmo-l fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 22 | Blue Cross Blue Shield blue hpn fee schedule · outpatient | $158 | $158 | — | — | — | $158 – $158 |
| 23 | Blue Cross Blue Shield blue hpn-l fee schedule · outpatient | $158 | $158 | — | — | — | $158 – $158 |
| 24 | Aetna aetna hmo/pos/ppo fee schedule · outpatient | $164 | $164 | — | — | — | $164 – $164 |
| 25 | Aetna aetna hmo/pos/ppo-g fee schedule · outpatient | $164 | $164 | — | — | — | $164 – $164 |
Last updated: Feb 14, 2026
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