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
Pcv21 vaccine im
Isle, ME
See all hospitals reporting CPT 90684 →Price type
The Aroostook Medical Center’s median price of $336 is 24% below the median hospital's median price ($440), higher than 27% of the 1,301 hospitals reporting CPT 90684. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 24 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 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $290 | $290 | $96 | 33% | 1–10 | $194 – $385 |
| 2 | Anthem commercial professional · fee schedule · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 3 | Anthem enhanced pathways professional · fee schedule · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 4 | Aetna mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $305 | $305 | $43 | 14% | 1–10 | $261 – $348 |
| 5 | Anthem enhanced pathways facility · fee schedule · outpatient | $317 | $317 | — | — | — | $317 – $317 |
| 6 | Aetna mcr advantage professional · fee schedule · outpatient | $328 | $328 | — | — | — | $328 – $328 |
| 7 | Anthem mcr advantage professional · fee schedule · outpatient | $328 | $328 | — | — | — | $328 – $328 |
| 8 | UnitedHealthcare mcr advantage professional · fee schedule · outpatient | $334 | $334 | — | — | — | $334 – $334 |
| 9 | WellCare mcr advantage professional · fee schedule · outpatient | $334 | $334 | — | — | — | $334 – $334 |
| 10 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $336 | $336 | — | — | — | $336 – $336 |
| 11 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $336 | $336 | — | — | — | $336 – $336 |
| 12 | Anthem enhanced pathways facility · percent of total billed charges · inpatientfrom % of charges | $336 | $336 | — | — | — | $336 – $336 |
| 13 | Anthem enhanced pathways facility · percent of total billed charges · outpatientfrom % of charges | $336 | $336 | — | — | — | $336 – $336 |
| 14 | Cigna commercial professional · fee schedule · outpatient | $338 | $338 | — | — | — | $338 – $338 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $360 | $360 | — | — | — | $360 – $360 |
| 16 | UnitedHealthcare mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $361 | $361 | — | — | 12 | $361 – $361 |
| 17 | WellCare mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $361 | $361 | — | — | 41 | $361 – $361 |
| 18 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $384 | $384 | — | — | — | $384 – $384 |
| 19 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $385 | $385 | — | — | — | $385 – $385 |
| 20 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $402 | $402 | — | — | — | $402 – $402 |
| 21 | Anthem commercial facility · fee schedule · outpatient | $407 | $407 | — | — | — | $407 – $407 |
| 22 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $418 | $418 | — | — | — | $418 – $418 |
| 23 | UnitedHealthcare commercial professional · fee schedule · outpatient | $504 | $504 | — | — | — | $504 – $504 |
| 24 | Aetna commercial professional · fee schedule · outpatient | $574 | $574 | — | — | — | $574 – $574 |
Last updated: Mar 30, 2026
See Pneumococcal conjugate vaccine injection (PCV21) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.