Flu vaccine, trivalent split virus, 0.25 mL intramuscular dose at Saint Thomas Rutherford Hospital

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

IIV3 VACCINE SPLT 0.25 ML IM

Murfreesboro, TN

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Pricing by billing methodology

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How this price compares nationally

Saint Thomas Rutherford Hospital’s median price of $17 is 9% above the median hospital's median price ($15), higher than 53% of the 1,239 hospitals reporting CPT 90657. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90657 at Saint Thomas Rutherford Hospital

Negotiated rates from the hospital’s own file: 3 payers, 24 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 2414_bcbs blue care tenncare (rutherford) 20221001 fee schedule · both	$14	$14	—	—	—	$14 – $14
2	UnitedHealthcare 3167_rptn uhc exchange 20250715 fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
3	UnitedHealthcare 3168_rhtn uhc exchange 20250715 fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
4	UnitedHealthcare 3171_mttn uhc 20250715 fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
5	UnitedHealthcare 3172_rptn uhc 20250715 fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
6	UnitedHealthcare 3173_rhtn uhc 20250715 fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
7	UnitedHealthcare 3174_sdtn uhc 20250715 fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
8	UnitedHealthcare 3175_thtn uhc 20250715 fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
9	UnitedHealthcare 3176_uhc (sttn) 20250715 fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
10	Cigna 3186_mttn cigna localplus 20250601 other · outpatient	$17	$17	—	—	—	$17 – $17
11	Cigna 3187_sttn cigna localplus 20250601 other · outpatient	$17	$17	—	—	—	$17 – $17
12	Cigna 3188_mttn cigna hmo 20250601 other · outpatient	$17	$17	—	—	—	$17 – $17
13	Cigna 3191_rptn cigna localplus 20250601 fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
14	Cigna 3192_rhtn cigna localplus 20250601 other · outpatient	$17	$17	—	—	—	$17 – $17
15	Cigna 3193_cigna localplus (dekalb) 20250601 other · outpatient	$17	$17	—	—	—	$17 – $17
16	Cigna 3194_thtn cigna localplus 20250601 fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
17	Cigna 3196_cigna hmo (dekalb) 20250601 other · outpatient	$17	$17	—	—	—	$17 – $17
18	Cigna 3197_thtn cigna hmo 20250601 fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
19	Cigna 3199_cigna ppo (dekalb) 20250601 other · outpatient	$17	$17	—	—	—	$17 – $17
20	Cigna 3200_thtn cigna ppo 20250601 fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
21	UnitedHealthcare 3165_mttn uhc exchange 20250715 fee schedule · both	$26	$26	—	—	—	$26 – $26
22	UnitedHealthcare 3169_sdtn uhc compass 20250715 fee schedule · both	$26	$26	—	—	—	$26 – $26
23	UnitedHealthcare 3166_uhc sttn exchange 20250715 fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
24	UnitedHealthcare 3170_thtn uhc compass 20250715 fee schedule · outpatient	$29	$29	—	—	—	$29 – $29

Last updated: Jan 1, 2026

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See Flu vaccine, trivalent split virus, 0.25 mL intramuscular dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.