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
Alice, TX
See all hospitals reporting CPT 90647 →Price type
Spohn Hospital Alice’s median price of $109 is 104% above the median hospital's median price ($53), higher than 83% 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 | $57 | $57 | — | — | — | $57 – $57 |
| 4 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 5 | Bcbs Tx hmo fee schedule · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 6 | Bcbs Tx heb fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 7 | Bcbs Tx ppo fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 8 | Bcbs Tx traditional fee schedule · outpatient | $149 | $149 | — | — | — | $149 – $149 |
Last updated: Jan 13, 2026
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