Moderna COVID-19 vaccine, third dose administration at St. Charles Prineville

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Moderna Covid-19 Vaccine Administration - Third Do

Prineville, OR

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Pricing by billing methodology

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How this price compares nationally

St. Charles Prineville’s median price of $103 is 114% above the median hospital's median price ($48), higher than 87% of the 504 hospitals reporting CPT 0013A. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0013A at St. Charles Prineville

Negotiated rates from the hospital’s own file: 12 payers, 19 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	Aetna medicare percent of total billed charges · bothfrom % of charges	$33.48	$33.48	$33.48 – $33.48
2	Cigna medicare percent of total billed charges · bothfrom % of charges	$33.48	$33.48	$33.48 – $33.48
3	Devoted medicare percent of total billed charges · bothfrom % of charges	$33.48	$33.48	$33.48 – $33.48
4	Humana medicare percent of total billed charges · bothfrom % of charges	$33.48	$33.48	$33.48 – $33.48
5	Kaiser medicare percent of total billed charges · bothfrom % of charges	$33.48	$33.48	$33.48 – $33.48
6	Medicare medicare percent of total billed charges · bothfrom % of charges	$33.48	$33.48	$33.48 – $33.48
7	UnitedHealthcare medicare percent of total billed charges · bothfrom % of charges	$33.48	$33.48	$33.48 – $33.48
8	WellCare medicare percent of total billed charges · bothfrom % of charges	$33.48	$33.48	$33.48 – $33.48
9	Tricare tricare percent of total billed charges · bothfrom % of charges	$36.48	$36.48	$36.48 – $36.48
10	Blue Cross Blue Shield blue cross medicare percent of total billed charges · bothfrom % of charges	$36.82	$36.82	$36.82 – $36.82
11	Kaiser oregon medicaid cco percent of total billed charges · bothfrom % of charges	$41.85	$41.85	$41.85 – $41.85
12	Cigna cigna percent of total billed charges · bothfrom % of charges	$75.32	$75.32	$75.32 – $75.32
13	Kaiser first choice health network percent of total billed charges · bothfrom % of charges	$103.54	$103.54	$103.54 – $103.54
14	Aetna aetna percent of total billed charges · bothfrom % of charges	$104.02	$104.02	$104.02 – $104.02
15	UnitedHealthcare united healthcare percent of total billed charges · bothfrom % of charges	$110.49	$110.49	$110.49 – $110.49
16	First Health first health percent of total billed charges · bothfrom % of charges	$117.17	$117.17	$117.17 – $117.17
17	Blue Cross Blue Shield blue cross individual fee schedule · both	$126.35	$126.35	$126.35 – $126.35
18	Blue Cross Blue Shield blue cross ppo fee schedule · both	$148.64	$148.64	$148.64 – $148.64
19	Regence blue cross ppo fee schedule · both	$148.64	$148.64	$148.64 – $148.64

Last updated: Apr 1, 2026

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