COVID-19 vaccine administration, single dose at St. David's Georgetown Hospital

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

ADMIN SARS-COV-2 IM INJ

Georgetown, TX

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Pricing by billing methodology

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How this price compares nationally

St. David's Georgetown Hospital’s median price of $23 is 51% below the median hospital's median price ($47), higher than 6% of the 1,841 hospitals reporting CPT 90480. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90480 at St. David's Georgetown Hospital

Negotiated rates from the hospital’s own file: 10 payers, 38 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	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$3	$3	—	—	—	$3 – $3
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$3	$3	—	—	—	$3 – $3
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$3	$3	—	—	—	$3 – $3
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$3	$3	—	—	—	$3 – $3
5	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
6	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
7	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
8	Oscar hix percent of total billed charges · outpatientfrom % of charges	$12	$12	—	—	—	$12 – $12
9	Oscar hmo percent of total billed charges · outpatientfrom % of charges	$12	$12	—	—	—	$12 – $12
10	Oscar epo percent of total billed charges · outpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
11	Oscar pos percent of total billed charges · outpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
12	Oscar ppo percent of total billed charges · outpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
13	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
14	Humana hmo percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
15	Humana ppo percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
16	Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
17	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$19	$19	—	—	—	$19 – $19
18	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$20	$20	—	—	—	$20 – $20
19	Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges	$20	$20	—	—	—	$20 – $20
20	Cigna hmo percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
21	Cigna openaccess percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
22	Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
23	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$25	$25	—	—	—	$25 – $25
24	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
25	Aetna narrownetwork percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28

Page 1 of 2 · 38 rates

Last updated: Sep 1, 2026

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