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 FLU VACCINE QIV IM PED 6-35MTHS 0.25ML
Quitman, MS
See all hospitals reporting CPT 90687 →Price type
Rush Medical Foundation’s median price of $15 is 5% below the median hospital's median price ($16), higher than 46% of the 1,153 hospitals reporting CPT 90687. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 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 | Cigna all payor fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Aetna all payor fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Molina all payor fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 5 | UnitedHealthcare all payor fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 6 | Bcbs Ms all payor fee schedule · outpatient | $14 | $14 | $5 | 34% | — | $9 – $18 |
| 7 | Cigna all payor other · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 8 | Cigna Healthspring all payor other · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 9 | Humana all payor other · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 10 | Ambetter all payor other · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 11 | Molina all payor other · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 12 | WellCare all payor other · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 13 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 14 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 15 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $19 | $19 | — | — | — | $19 – $19 |
| 16 | Bcbs Ms all payor other · outpatient | $21 | $21 | $1 | 3% | — | $20 – $21 |
Last updated: Apr 1, 2026
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