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
HIB-MENCY VACC 6WK-18M0 IM
Jasper, TX
See all hospitals reporting CPT 90644 →Price type
Southeast Texas - Jasper Memorial’s median price of $113 is 187% above the median hospital's median price ($39), higher than 88% of the 948 hospitals reporting CPT 90644. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 8 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 all payer fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Humana choicecare fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 4 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 5 | Bcbs Tx heb fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 6 | Bcbs Tx hmo fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 7 | Bcbs Tx ppo fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 8 | Bcbs Tx traditional fee schedule · outpatient | $139 | $139 | — | — | — | $139 – $139 |
Last updated: Jan 13, 2026
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