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
PR HEPA VACCINE PED/ADOL-2 DOSE
Quitman, MS
See all hospitals reporting CPT 90633 →Price type
Rush Medical Foundation’s median price of $46 is 28% below the median hospital's median price ($65), higher than 34% of the 1,686 hospitals reporting CPT 90633. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 19 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 | Bcbs Ms all payor fee schedule · outpatient | $30 | $30 | $1 | 3% | — | $29 – $31 |
| 2 | Humana all payor fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 3 | MultiPlan all payor fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 4 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 5 | Cigna all payor fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 6 | UnitedHealthcare all payor fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 7 | Cigna all payor other · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 8 | Aetna all payor fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 9 | Cigna Healthspring all payor other · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 10 | Humana all payor other · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 11 | Optum all payor other · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 12 | UnitedHealthcare all payor other · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 13 | Ambetter all payor other · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 14 | Molina all payor other · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 15 | WellCare all payor other · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 16 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 17 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 18 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
| 19 | Bcbs Ms all payor other · outpatient | $64 | $64 | — | — | — | $64 – $64 |
Last updated: Apr 1, 2026
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