Tetanus and diphtheria vaccine, no preservative, intramuscular at Pmc Hospital, Llc

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

DIPTH/TET/PERTUSS0.5ML SYRINGE

Pasadena, TX

See all hospitals reporting CPT 90714 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Pmc Hospital, Llc’s median price of $60 is 6% below the median hospital's median price ($64), higher than 47% of the 2,199 hospitals reporting CPT 90714. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90714 at Pmc Hospital, Llc

Negotiated rates from the hospital’s own file: 8 payers, 35 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.

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield commercial\|myblue health exchange fee schedule · outpatient	$20	$20	—	—	—	$20 – $20
2	Blue Cross Blue Shield commercial\|exchange fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
3	Aetna commercial\|hmo fee schedule · inpatient	$31	$32	$12	37%	—	$19 – $48
4	Aetna commercial\|hmo fee schedule · outpatient	$31	$32	$12	37%	—	$19 – $48
5	Aetna commercial\|ppo fee schedule · inpatient	$35	$35	$13	36%	—	$22 – $48
6	Aetna commercial\|ppo fee schedule · outpatient	$35	$35	$13	36%	—	$22 – $48
7	UnitedHealthcare commercial\|exchange fee schedule · inpatient	$35	$35	$13	36%	—	$22 – $48
8	Blue Cross Blue Shield commercial\|blue premier fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
9	Aetna commercial\|transplant fee schedule · inpatient	$43	$43	$16	36%	—	$28 – $59
10	Aetna commercial\|transplant fee schedule · outpatient	$43	$43	$16	36%	—	$28 – $59
11	UnitedHealthcare commercial\|charter fee schedule · inpatient	$46	$46	$17	36%	—	$29 – $62
12	UnitedHealthcare commercial\|exchange fee schedule · outpatient	$48	$48	—	—	—	$48 – $48
13	Cigna commercial\|hmo fee schedule · inpatient	$49	$49	$18	36%	—	$31 – $66
14	Cigna commercial\|ppo fee schedule · inpatient	$49	$49	$18	36%	—	$31 – $66
15	Cigna commercial\|surefit fee schedule · inpatient	$49	$49	$18	36%	—	$31 – $66
16	Blue Cross Blue Shield commercial\|hmo fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
17	UnitedHealthcare commercial\|hmo fee schedule · inpatient	$51	$51	$19	36%	—	$33 – $70
18	UnitedHealthcare commercial\|ppo fee schedule · inpatient	$51	$51	$19	36%	—	$33 – $70
19	Blue Cross Blue Shield commercial\|ppo fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
20	Humana commercial\|hmo fee schedule · outpatient	$65	$65	$23	36%	—	$41 – $88
21	Humana commercial\|ppo fee schedule · outpatient	$65	$65	$23	36%	—	$41 – $88
22	UnitedHealthcare commercial\|charter fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
23	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
24	UnitedHealthcare commercial\|ppo fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
25	Cigna commercial\|transplant fee schedule · outpatient	$85	$88	$33	37%	—	$52 – $129

Page 1 of 2 · 35 rates

Last updated: Feb 28, 2026

Compare to other hospitals

See Tetanus and diphtheria vaccine, no preservative, intramuscular pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.