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
4VHPV VACCINE 3 DOSE IM
Jasper, TX
See all hospitals reporting CPT 90649 →Price type
Southeast Texas - Jasper Memorial’s median price of $738 is 258% above the median hospital's median price ($206), higher than 95% of the 1,239 hospitals reporting CPT 90649. 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 | $105 | $105 | — | — | — | $105 – $105 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 3 | Humana choicecare fee schedule · outpatient | $420 | $420 | — | — | — | $420 – $420 |
| 4 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $703 | $703 | — | — | — | $703 – $703 |
| 5 | Bcbs Tx heb fee schedule · outpatient | $773 | $773 | — | — | — | $773 – $773 |
| 6 | Bcbs Tx hmo fee schedule · outpatient | $773 | $773 | — | — | — | $773 – $773 |
| 7 | Bcbs Tx ppo fee schedule · outpatient | $885 | $885 | — | — | — | $885 – $885 |
| 8 | Bcbs Tx traditional fee schedule · outpatient | $912 | $912 | — | — | — | $912 – $912 |
Last updated: Jan 13, 2026
See HPV vaccine, quadrivalent, three-dose series injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.