COVID-19 vaccine administration, single dose at Samaritan 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

PR Covid-19 Admin Imm Im Inj Sars-Cov-2 Covid-19 Vacc 1st/Only Comp Ea Vacc

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $77 is 65% above the median hospital's median price ($47), higher than 81% of the 1,841 hospitals reporting CPT 90480. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90480 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 106 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	Anthem empire medicaid facility · fee schedule · both	$16	$16	—	—	—	$16 – $16
2	Excellus empire medicaid facility · fee schedule · both	$16	$16	—	—	—	$16 – $16
3	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$32	$32	$18	57%	—	$14 – $50
4	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$32	$32	$18	57%	—	$14 – $50
5	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$32	$32	$18	57%	—	$14 – $50
6	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$32	$32	$18	57%	—	$14 – $50
7	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$32	$32	$18	57%	—	$14 – $50
8	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$32	$32	$18	57%	—	$14 – $50
9	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$32	$32	$18	57%	—	$14 – $50
10	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$32	$32	$18	57%	—	$14 – $50
11	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$32	$32	$18	57%	—	$14 – $50
12	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$32	$32	$18	57%	—	$14 – $50
13	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$32	$32	$18	57%	—	$14 – $50
14	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$32	$32	$18	57%	—	$14 – $50
15	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both	$33	$33	—	—	—	$33 – $33
16	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both	$33	$33	—	—	—	$33 – $33
17	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$41	$41	—	—	—	$41 – $41
18	Humana tricare professional · fee schedule · inpatient	$42	$42	—	—	—	$42 – $42
19	Humana tricare professional · fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
20	Tricare tricare professional · fee schedule · inpatient	$42	$42	—	—	—	$42 – $42
21	Tricare tricare professional · fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
22	First Health first health facility · percent of total billed charges · bothfrom % of charges	$46	$46	$26	57%	—	$20 – $73
23	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$49	$49	$28	57%	—	$21 – $77
24	Anthem empire bcbs medicare advantage facility · other · both	$50	$50	—	—	2–20	$50 – $50
25	UnitedHealthcare united healthcare medicare advantage facility · other · both	$52	$52	—	—	103	$52 – $52

Page 1 of 5 · 106 rates

Last updated: Mar 31, 2026

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See COVID-19 vaccine administration, single dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.