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
HC 90471 IMMUN ADMIN VACCINE 1 VACCINE
San Antonio, TX
See all hospitals reporting CPT 90471 →Price type
Santa Rosa Hospital - Westover Hills’s median price of $67 is 7% below the median hospital's median price ($72), higher than 40% of the 2,544 hospitals reporting CPT 90471. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 35 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 | Aetna chip km percent of total billed charges · outpatientfrom % of charges | $25.58 | $25.58 | $23.98 – $27.17 |
| 2 | Aetna star km percent of total billed charges · outpatientfrom % of charges | $25.58 | $25.58 | $23.98 – $27.17 |
| 3 | Bcbs Tx star chip km percent of total billed charges · outpatientfrom % of charges | $25.58 | $25.58 | $23.98 – $27.17 |
| 4 | UnitedHealthcare all payer fee schedule · outpatient | $34.00 | $34.00 | $34.00 – $34.00 |
| 5 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $41.85 | $41.85 | $39.24 – $44.46 |
| 6 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $41.85 | $41.85 | $39.24 – $44.46 |
| 7 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $41.85 | $41.85 | $39.24 – $44.46 |
| 8 | Humana choicecare fee schedule · outpatient | $46.85 | $46.85 | $46.85 – $46.85 |
| 9 | Aetna mm fee schedule · outpatient | $66.83 | $66.83 | $66.83 – $66.83 |
| 10 | Bcbs Tx mm fee schedule · outpatient | $66.83 | $66.83 | $66.83 – $66.83 |
| 11 | Humana gold choice mm fee schedule · outpatient | $66.83 | $66.83 | $66.83 – $66.83 |
| 12 | Humana gold plus mm fee schedule · outpatient | $66.83 | $66.83 | $66.83 – $66.83 |
| 13 | Molina medicare adv mm fee schedule · outpatient | $66.83 | $66.83 | $66.83 – $66.83 |
| 14 | UnitedHealthcare mm fee schedule · outpatient | $66.83 | $66.83 | $66.83 – $66.83 |
| 15 | WellCare mm fee schedule · outpatient | $66.83 | $66.83 | $66.83 – $66.83 |
| 16 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $69.75 | $69.75 | $65.40 – $74.10 |
| 17 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $69.75 | $69.75 | $65.40 – $74.10 |
| 18 | Devoted mm fee schedule · outpatient | $72.18 | $72.18 | $72.18 – $72.18 |
| 19 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $86.03 | $86.03 | $80.66 – $91.39 |
| 20 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $104.63 | $104.63 | $98.10 – $111.15 |
| 21 | First Health hmo percent of total billed charges · outpatientfrom % of charges | $118.58 | $118.58 | $111.18 – $125.97 |
| 22 | Aetna new business percent of total billed charges · outpatientfrom % of charges | $125.55 | $125.55 | $117.72 – $133.38 |
| 23 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $127.88 | $127.88 | $119.90 – $135.85 |
| 24 | Aetna epo percent of total billed charges · outpatientfrom % of charges | $139.50 | $139.50 | $130.80 – $148.20 |
| 25 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $139.50 | $139.50 | $130.80 – $148.20 |
Last updated: Jan 13, 2026
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