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
FLUZONE TRIVALENT 2025-26 PF 45 MCG(15MCG X3)/0.5 ML IM SYRINGE
Ketchum, ID
See all hospitals reporting CPT 90656 →Price type
St Luke's Wood River Medical Center, LTD’s median price of $30 is 1% above the median hospital's median price ($29), higher than 51% of the 2,171 hospitals reporting CPT 90656. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 18 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 | Molina hb wr molina mmcp percent of total billed charges · bothfrom % of charges | $20.52 | $20.52 | $20.52 – $20.52 |
| 2 | Regence hb wr medicare advantage percent of total billed charges · bothfrom % of charges | $20.52 | $20.52 | $20.52 – $20.52 |
| 3 | Blue Cross Blue Shield hb wr bci true & secure med adv percent of total billed charges · bothfrom % of charges | $20.73 | $20.73 | $20.73 – $20.73 |
| 4 | Molina hb wr molina med adv percent of total billed charges · bothfrom % of charges | $20.93 | $20.93 | $20.93 – $20.93 |
| 5 | UnitedHealthcare hb wr aarp med adv percent of total billed charges · inpatientfrom % of charges | $21.55 | $21.55 | $21.55 – $21.55 |
| 6 | Bcbs Id hb wr bci ppo fep fee schedule · outpatient | $22.00 | $22.00 | $22.00 – $22.00 |
| 7 | Blue Cross Blue Shield hb wr bci ppo fep fee schedule · outpatient | $22.00 | $22.00 | $22.00 – $22.00 |
| 8 | Aetna hb wr aetna med adv percent of total billed charges · bothfrom % of charges | $22.57 | $22.57 | $22.57 – $22.57 |
| 9 | UnitedHealthcare hb wr aarp med adv fee schedule · outpatient | $24.38 | $24.38 | $24.38 – $24.38 |
| 10 | Cigna hb wr cigna percent of total billed charges · outpatientfrom % of charges | $28.80 | $28.80 | $28.80 – $28.80 |
| 11 | Bcbs Id hb wr bci ppo fep percent of total billed charges · inpatientfrom % of charges | $29.52 | $29.52 | $29.52 – $29.52 |
| 12 | Blue Cross Blue Shield hb wr bci ppo fep percent of total billed charges · inpatientfrom % of charges | $29.52 | $29.52 | $29.52 – $29.52 |
| 13 | Aetna hb wr aetna trinity health (st al's) percent of total billed charges · bothfrom % of charges | $32.40 | $32.40 | $32.40 – $32.40 |
| 14 | UnitedHealthcare hb wr united healthcare percent of total billed charges · bothfrom % of charges | $32.58 | $32.58 | $32.58 – $32.58 |
| 15 | Cigna hb wr cigna percent of total billed charges · inpatientfrom % of charges | $33.48 | $33.48 | $33.48 – $33.48 |
| 16 | Aetna hb wr bp aetna percent of total billed charges · bothfrom % of charges | $34.20 | $34.20 | $34.20 – $34.20 |
| 17 | First Health hb wr first choice health percent of total billed charges · bothfrom % of charges | $34.20 | $34.20 | $34.20 – $34.20 |
| 18 | First Health hb wr ccn first health percent of total billed charges · bothfrom % of charges | $34.92 | $34.92 | $34.92 – $34.92 |
Last updated: Mar 25, 2026
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