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
INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY [156008]
Gary, IN
See all hospitals reporting CPT 90653 →Price type
The Methodist Hospitals, Inc.’s median price of $187 is 89% above the median hospital's median price ($99), higher than 85% of the 1,601 hospitals reporting CPT 90653. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 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 | Aetna hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Aetna medicare advantage facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Anthem medicare advantage facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Anthem pathway essentials facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Caresource caresource facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Humana medicare advantage facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Medicare medicare facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 9 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 10 | UnitedHealthcare navigate and core payer facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 11 | Anthem individual on exchange facility · fee schedule · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 12 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 13 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $252 | $252 | — | — | — | $252 – $252 |
| 14 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $273 | $273 | — | — | — | $273 – $273 |
| 15 | Aetna firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $408 | $408 | — | — | — | $408 – $408 |
| 16 | Phcs ppo facility · percent of total billed charges · outpatientfrom % of charges | $446 | $446 | — | — | — | $446 – $446 |
| 17 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $478 | $478 | — | — | — | $478 – $478 |
| 18 | Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges | $485 | $485 | — | — | — | $485 – $485 |
Last updated: Aug 18, 2026
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