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
varicella-zoster gE 50 0.5 mL suspension for reconstitution 1 each KIT
San Angelo, TX
See all hospitals reporting CPT 90750 →Price type
Shannon River Crest Hospital’s median price of $782 is 185% above the median hospital's median price ($274), higher than 93% of the 1,512 hospitals reporting CPT 90750. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 15 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 Tx hmo facility · fee schedule · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 2 | Bcbs Tx bav facility · fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 3 | Bcbs Tx ppo facility · fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 4 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $717 | $717 | — | — | — | $717 – $717 |
| 5 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $717 | $717 | — | — | — | $717 – $717 |
| 6 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $782 | $782 | — | — | — | $782 – $782 |
| 7 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $815 | $815 | — | — | — | $815 – $815 |
| 8 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $815 | $815 | — | — | — | $815 – $815 |
| 9 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $815 | $815 | — | — | — | $815 – $815 |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $815 | $815 | — | — | — | $815 – $815 |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $815 | $815 | — | — | — | $815 – $815 |
| 12 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $847 | $847 | — | — | — | $847 – $847 |
| 13 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $847 | $847 | — | — | — | $847 – $847 |
| 14 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $869 | $869 | — | — | — | $869 – $869 |
| 15 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $869 | $869 | — | — | — | $869 – $869 |
Last updated: Dec 8, 2025
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