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 VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE
Lititz, PA
See all hospitals reporting CPT 91322 →Price type
UPMC Lititz’s median price of $151 is 20% below the median hospital's median price ($189), higher than 17% 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, 16 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 | $64 | $64 | — | — | — | $64 – $64 |
| 4 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 5 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $127 | $127 | — | — | — | $127 – $127 |
| 6 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 7 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 8 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 9 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 10 | Aetna medicare facility · fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 11 | Highmark medicaid facility · fee schedule · outpatient | $165 | $165 | — | — | — | $165 – $165 |
| 12 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 13 | Cigna commercial facility · fee schedule · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 14 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $274 | $274 | — | — | — | $274 – $274 |
| 15 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $274 | $274 | — | — | — | $274 – $274 |
| 16 | UnitedHealthcare commercial facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Mar 6, 2026
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