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 PRP-OMP VACC 3 DOSE IM
Jasper, TX
See all hospitals reporting CPT 90647 →Price type
Southeast Texas - Jasper Memorial’s median price of $136 is 154% above the median hospital's median price ($53), higher than 92% of the 1,506 hospitals reporting CPT 90647. 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 | $37 | $37 | — | — | — | $37 – $37 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 3 | Humana choicecare fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 4 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 5 | Bcbs Tx heb fee schedule · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 6 | Bcbs Tx hmo fee schedule · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 7 | Bcbs Tx ppo fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 8 | Bcbs Tx traditional fee schedule · outpatient | $168 | $168 | — | — | — | $168 – $168 |
Last updated: Jan 13, 2026
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