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
HEPA VACC PED/ADOL 2 DOSE IM
Alice, TX
See all hospitals reporting CPT 90633 →Price type
Spohn Hospital Alice’s median price of $142 is 119% above the median hospital's median price ($65), higher than 88% of the 1,686 hospitals reporting CPT 90633. 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 | $42 | $42 | — | — | — | $42 – $42 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 3 | Humana choicecare fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 4 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 5 | Bcbs Tx hmo fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 6 | Bcbs Tx heb fee schedule · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 7 | Bcbs Tx ppo fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 8 | Bcbs Tx traditional fee schedule · outpatient | $194 | $194 | — | — | — | $194 – $194 |
Last updated: Jan 13, 2026
See Hepatitis A vaccine, children and teens, two-dose series pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.