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
HZV VAC RECOM NJX (SHINGRIX)
Pittsburgh, PA
See all hospitals reporting CPT 90750 →Price type
UPMC Mercy’s median price of $110 is 60% below the median hospital's median price ($274), higher than 5% of the 1,512 hospitals reporting CPT 90750. 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, 28 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 | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Highmark medicaid facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 3 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $63 | $63 | — | — | — | $63 – $63 |
| 5 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 6 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $76 | $76 | — | — | — | $76 – $76 |
| 7 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $77 | $77 | — | — | — | $77 – $77 |
| 8 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $78 | $78 | — | — | — | $78 – $78 |
| 9 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 10 | Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $85 | $85 | — | — | — | $85 – $85 |
| 11 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $85 | $85 | — | — | — | $85 – $85 |
| 12 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $95 | $95 | — | — | — | $95 – $95 |
| 13 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $95 | $95 | — | — | — | $95 – $95 |
| 14 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $100 | $100 | — | — | — | $100 – $100 |
| 15 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $100 | $100 | — | — | — | $100 – $100 |
| 16 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 17 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 18 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 19 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 20 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $125 | $125 | $25 | 20% | — | $100 – $150 |
| 21 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $125 | $125 | $25 | 20% | — | $100 – $150 |
| 22 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $125 | $125 | — | — | — | $125 – $125 |
| 23 | MultiPlan ppo (inc. auto and worker's compensation) facility · percent of total billed charges · inpatientfrom % of charges | $225 | $225 | — | — | — | $225 – $225 |
| 24 | MultiPlan ppo (inc. auto and worker's compensation) facility · percent of total billed charges · outpatientfrom % of charges | $225 | $225 | — | — | — | $225 – $225 |
| 25 | Highmark managed care - social mission facility · fee schedule · outpatient | $288 | $288 | — | — | — | $288 – $288 |
Last updated: Mar 6, 2026
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