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
Jamestown, NY
See all hospitals reporting CPT 91322 →Price type
UPMC Chautauqua’s median price of $249 is 32% above the median hospital's median price ($189), higher than 66% of the 1,513 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: 5 payers, 10 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare facility · fee schedule · outpatient | $168 | $168 | — | — | — | $168 – $168 |
| 2 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $242 | $242 | $30 | 12% | — | $212 – $272 |
| 3 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $246 | $246 | $30 | 12% | — | $216 – $276 |
| 4 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $246 | $246 | $30 | 12% | — | $216 – $276 |
| 5 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $246 | $246 | $30 | 12% | — | $216 – $276 |
| 6 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $284 | $284 | $35 | 12% | — | $249 – $319 |
| 7 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $284 | $284 | $35 | 12% | — | $249 – $319 |
| 8 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $284 | $284 | $35 | 12% | — | $249 – $319 |
| 9 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $303 | $303 | $37 | 12% | — | $266 – $340 |
| 10 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $341 | $341 | $42 | 12% | — | $299 – $383 |
Last updated: Mar 6, 2026
See COVID-19 mRNA vaccine, 50 mcg dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.