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
INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY
River, MA
See all hospitals reporting CPT 90653 →Price type
Southcoast Hospitals Group, Inc.’s median price of $102 is 3% above the median hospital's median price ($99), higher than 54% of the 1,606 hospitals reporting CPT 90653. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 11 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 Ri bcbs rhode island hmo [101050101] fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Bcbs Ma bcbs massachusetts hmo [101040122] fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 3 | Aetna aetna medicare managed care [101030101] fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 4 | Blue Cross Blue Shield bcbs mass medicare managed care [101030201] fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 5 | UnitedHealthcare united medicare managed care [101031001] fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 6 | UnitedHealthcare united health one care [101031004] fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 7 | UnitedHealthcare united healthcare [101080105] fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 8 | Phcs phcs [100012501] percent of total billed charges · outpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 9 | Aetna aetna [100010801] percent of total billed charges · outpatientfrom % of charges | $179 | $179 | — | — | — | $179 – $179 |
| 10 | First Health first health [100013001] percent of total billed charges · outpatientfrom % of charges | $179 | $179 | — | — | — | $179 – $179 |
| 11 | Cigna cigna [100011201] fee schedule · outpatient | $227 | $227 | — | — | — | $227 – $227 |
Last updated: Dec 15, 2025
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