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
COVID-19 SPIKEVAX MODERNA 12+Y
Everett, PA
See all hospitals reporting CPT 91322 →Price type
UPMC Bedford’s median price of $220 is 16% above the median hospital's median price ($189), higher than 58% of the 1,495 hospitals reporting CPT 91322. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 35 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 | UnitedHealthcare unison medplus facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 2 | UnitedHealthcare unison kids facility · fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 3 | Aetna medicaid facility · fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 4 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $95 | $95 | $12 | 12% | — | $83 – $106 |
| 5 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $151 | $151 | $19 | 12% | — | $133 – $170 |
| 6 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $151 | $151 | $19 | 12% | — | $133 – $170 |
| 7 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $151 | $151 | $19 | 12% | — | $133 – $170 |
| 8 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $151 | $151 | $19 | 12% | — | $133 – $170 |
| 9 | Cigna ebr facility · percent of total billed charges · inpatientfrom % of charges | $151 | $151 | $19 | 12% | — | $133 – $170 |
| 10 | Cigna ebr facility · percent of total billed charges · outpatientfrom % of charges | $151 | $151 | $19 | 12% | — | $133 – $170 |
| 11 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 12 | Highmark medicaid facility · fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 13 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $185 | $185 | $23 | 12% | — | $163 – $208 |
| 14 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $189 | $189 | $23 | 12% | — | $166 – $213 |
| 15 | UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges | $216 | $216 | $27 | 12% | — | $189 – $242 |
| 16 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $235 | $235 | $29 | 12% | — | $206 – $264 |
| 17 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $235 | $235 | $29 | 12% | — | $206 – $264 |
| 18 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $241 | $241 | $30 | 12% | — | $211 – $271 |
| 19 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $242 | $242 | $30 | 12% | — | $212 – $272 |
| 20 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $246 | $246 | $30 | 12% | — | $216 – $276 |
| 21 | Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $246 | $246 | $30 | 12% | — | $216 – $276 |
| 22 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $246 | $246 | $30 | 12% | — | $216 – $276 |
| 23 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $249 | $249 | $31 | 12% | — | $218 – $279 |
| 24 | Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $254 | $254 | $31 | 12% | — | $222 – $285 |
| 25 | Cigna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $254 | $254 | $31 | 12% | — | $222 – $285 |
Last updated: Mar 6, 2026
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