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
ADMN SARSCOV2 VACC 1 DOSE
Jasper, TX
See all hospitals reporting CPT 90480 →Price type
Southeast Texas - Jasper Memorial’s median price of $42 is 10% below the median hospital's median price ($47), higher than 34% of the 1,841 hospitals reporting CPT 90480. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 9 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 | UnitedHealthcare hix fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 2 | UnitedHealthcare all payer fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 3 | Aetna mm fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 4 | Bcbs Tx mm fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 5 | Humana gold choice mm fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 6 | Molina medicare adv mm fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 7 | UnitedHealthcare mm fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 8 | WellCare mm fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 9 | Devoted mm fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
Last updated: Jan 13, 2026
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