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 VAC 2024-25 (6MO-11YR)(MODERNA) (PF) 25 MCG/0.25 ML IM SYR (EUA)
Hanover, PA
See all hospitals reporting CPT 91321 →Price type
UPMC Hanover’s median price of $196 is 10% above the median hospital's median price ($178), higher than 57% of the 1,398 hospitals reporting CPT 91321. 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, 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 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 2 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 3 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 4 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
| 5 | Highmark medicaid facility · fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
| 6 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $183 | $183 | — | — | — | $183 – $183 |
| 7 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $194 | $194 | — | — | — | $194 – $194 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 9 | Cigna commercial facility · fee schedule · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 10 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $219 | $219 | — | — | — | $219 – $219 |
| 11 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $219 | $219 | — | — | — | $219 – $219 |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $234 | $234 | — | — | — | $234 – $234 |
| 13 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $248 | $248 | — | — | — | $248 – $248 |
| 14 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $274 | $274 | — | — | — | $274 – $274 |
| 15 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $274 | $274 | — | — | — | $274 – $274 |
| 16 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $274 | $274 | — | — | — | $274 – $274 |
| 17 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $274 | $274 | — | — | — | $274 – $274 |
| 18 | UnitedHealthcare commercial facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Mar 6, 2026
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