Meningococcal ACWY vaccine injection at Quitman 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

MENINGOCO C,Y,W-135 VACC 1 OF 2(PF) 5 MCG X3/0.5 ML(FINAL) IM SOLUTION

Quitman, TX

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How this price compares nationally

Quitman Hospital, LLC’s median price of $206 is 10% below the median hospital's median price ($229), higher than 44% of the 1,912 hospitals reporting CPT 90734. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90734 at Quitman Hospital, LLC

Negotiated rates from the hospital’s own file: 9 payers, 16 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 blue cross medicare advantage oos [116005] facility · percent of total billed charges · bothfrom % of charges	$180	$150	$42	28%	—	$90 – $180
2	Cigna cigna medicare replacement [126500] facility · percent of total billed charges · bothfrom % of charges	$180	$150	$42	28%	—	$90 – $180
3	Humana humana medicare advantage/ppo/gold [152503] facility · percent of total billed charges · bothfrom % of charges	$180	$150	$42	28%	—	$90 – $180
4	Medicare medicare part a and b [163500] facility · percent of total billed charges · bothfrom % of charges	$180	$150	$42	28%	—	$90 – $180
5	Medicare medicare part a only [163502] facility · percent of total billed charges · bothfrom % of charges	$180	$150	$42	28%	—	$90 – $180
6	Medicare medicare part b only [163501] facility · percent of total billed charges · bothfrom % of charges	$180	$150	$42	28%	—	$90 – $180
7	WellCare wellcare medicare [377501] facility · percent of total billed charges · bothfrom % of charges	$180	$150	$42	28%	—	$90 – $180
8	Aetna aetna coventry medicare replacement [102002] facility · percent of total billed charges · bothfrom % of charges	$183	$153	$43	28%	—	$92 – $183
9	UnitedHealthcare uhc medicare advantage [206511] facility · percent of total billed charges · bothfrom % of charges	$183	$153	$43	28%	—	$92 – $183
10	Ambetter ambetter [293000] facility · percent of total billed charges · bothfrom % of charges	$206	$171	$48	28%	—	$103 – $206
11	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$321	$268	$76	28%	—	$160 – $321
12	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$321	$268	$76	28%	—	$160 – $321
13	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$321	$268	$76	28%	—	$160 – $321
14	UnitedHealthcare uhc medica choice [206030] facility · percent of total billed charges · bothfrom % of charges	$642	$535	$152	28%	—	$321 – $642
15	UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges	$642	$535	$152	28%	—	$321 – $642
16	UnitedHealthcare united healthcare texas exchange plan [206034] facility · percent of total billed charges · bothfrom % of charges	$642	$535	$152	28%	—	$321 – $642

Last updated: Feb 12, 2026

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