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
HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE/VIAL WRAPPER
Hanover, PA
See all hospitals reporting CPT 90633 →Price type
UPMC Hanover’s median price of $45 is 31% below the median hospital's median price ($65), higher than 32% of the 1,671 hospitals reporting CPT 90633. 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, 17 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 pa medicaid facility · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 3 | Highmark medicaid facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 4 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 5 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 6 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 7 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 9 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 10 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 11 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $53 | $53 | — | — | — | $53 – $53 |
| 12 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 13 | Cigna commercial facility · fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 14 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 15 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 16 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 17 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
Last updated: Mar 6, 2026
See Hepatitis A vaccine, children and teens, two-dose series pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.