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
Phc-vaxelis
Perryton, TX
See all hospitals reporting CPT 90697 →Price type
Ochiltree General Hospital’s median price of $126 is 39% below the median hospital's median price ($206), higher than 12% of the 1,223 hospitals reporting CPT 90697. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 8 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 fee schedule · outpatient | $109 | $99 | $27 | 27% | — | $62 – $126 |
| 2 | Humana medicare advantage fee schedule · outpatient | $109 | $99 | $27 | 27% | — | $62 – $126 |
| 3 | Superior Healthplan commercial fee schedule · outpatient | $109 | $99 | $27 | 27% | — | $62 – $126 |
| 4 | Superior Healthplan medicare advantage fee schedule · outpatient | $109 | $99 | $27 | 27% | — | $62 – $126 |
| 5 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $189 | $172 | $47 | 28% | — | $107 – $219 |
| 6 | Bcbs Tx commercial percent of total billed charges · outpatientfrom % of charges | $200 | $182 | $50 | 28% | — | $113 – $232 |
| 7 | Bcbs Tx ppo percent of total billed charges · outpatientfrom % of charges | $200 | $182 | $50 | 28% | — | $113 – $232 |
| 8 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $200 | $182 | $50 | 28% | — | $113 – $232 |
Last updated: Nov 9, 2026
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