UPMC Western Psychiatric Hospital
UPMC Western Psychiatric Hospital in Pittsburgh, PA publishes cash prices for 37 common procedures listed here, from its own machine-readable price file updated Mar 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Pennsylvania median for 7 of 10 procedures and above it for 3. Select a procedure to compare it with other hospitals nearby.
3811 Ohara St, Pittsburgh, PA 15213 Collected Sep 27, 2026 Source price file Check a bill from this hospital
Some prices here are not compared
UPMC Western Psychiatric Hospital is a psychiatric hospital. Its price file also lists scans, lab tests and procedures, but these are generally provided to its own inpatients, not booked by outside patients, so they are not compared with other hospitals here. Only its psychiatric evaluation and therapy prices are compared.
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $1,074.00 | $1,790.00 | $10.28–$1,521.50 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $1,074.00 | $1,790.00 | $1,074.00–$1,521.50 | — | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Electroconvulsive therapy (ECT), one session CPT 90870 ECT SINGLE SEIZURE | $1,226.40 | $2,044.00 | $321.75–$1,737.40 | 3% below | 40% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ECT SINGLE SEIZURE | $1,226.40 | $2,044.00 | $546.00–$1,737.40 | — | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 PARTIAL FAMILY W PT | $67.20 | $112.00 | $63.84–$168.50 | 78% below | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 CHILD/PARENT FAMILY W//PT | $104.40 | $174.00 | $83.92–$168.50 | 66% below | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 PARENT CHILD INTERACTIVE THER | $110.40 | $184.00 | $83.92–$168.50 | 64% below | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 IP FAMILY W/PT | $110.40 | $184.00 | $83.92–$168.50 | 64% below | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 OP FAMILY W/PT | $110.40 | $184.00 | $83.92–$168.50 | 64% below | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCH W/ PAT | $308.40 | $514.00 | $83.92–$436.90 | 2% above | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PARTIAL FAMILY W PT | $67.20 | $112.00 | $67.20–$95.20 | — | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 CHILD/PARENT FAMILY W//PT | $104.40 | $174.00 | $104.40–$147.90 | — | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 OP FAMILY W/PT | $110.40 | $184.00 | $110.40–$156.40 | — | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 IP FAMILY W/PT | $110.40 | $184.00 | $110.40–$156.40 | — | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PARENT CHILD INTERACTIVE THER | $110.40 | $184.00 | $110.40–$156.40 | — | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCH W/ PAT | $308.40 | $514.00 | $308.40–$436.90 | — | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 PARTIAL FAMILY W/O PT | $67.20 | $112.00 | $63.84–$168.50 | 63% below | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 CHILD/PARENT FAMILY COLLATERAL | $104.40 | $174.00 | $72.14–$168.50 | 42% below | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 OP FAMILY W/O PT | $110.40 | $184.00 | $72.14–$168.50 | 38% below | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 COLLATERAL PAR/CHILD INT THER | $110.40 | $184.00 | $72.14–$168.50 | 38% below | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 IP FAMILY W/O PT | $110.40 | $184.00 | $72.14–$168.50 | 38% below | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY MEDICAL PSYCH W/O PAT | $287.40 | $479.00 | $72.14–$407.15 | 60% above | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PARTIAL FAMILY W/O PT | $67.20 | $112.00 | $67.20–$95.20 | — | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 CHILD/PARENT FAMILY COLLATERAL | $104.40 | $174.00 | $104.40–$147.90 | — | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 OP FAMILY W/O PT | $110.40 | $184.00 | $110.40–$156.40 | — | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 COLLATERAL PAR/CHILD INT THER | $110.40 | $184.00 | $110.40–$156.40 | — | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 IP FAMILY W/O PT | $110.40 | $184.00 | $110.40–$156.40 | — | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY MEDICAL PSYCH W/O PAT | $287.40 | $479.00 | $287.40–$407.15 | — | 40% |
| Group psychotherapy session CPT 90853 OP GROUP THERAPY | $46.80 | $78.00 | $44.46–$106.45 | 67% below | 40% |
| Group psychotherapy session CPT 90853 IP GROUP THERAPY | $46.80 | $78.00 | $44.46–$106.45 | 67% below | 40% |
| Group psychotherapy session inpatient CPT 90853 IP GROUP THERAPY | $46.80 | $78.00 | $46.80–$66.30 | — | 40% |
| Group psychotherapy session inpatient CPT 90853 OP GROUP THERAPY | $46.80 | $78.00 | $46.80–$66.30 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 MED INJECTION | $134.40 | $224.00 | $31.88–$190.40 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 MED INJECTION | $134.40 | $224.00 | $134.40–$190.40 | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 D&A INTAKE 60 MINUTES | $60.00 | $100.00 | $29.70–$285.01 | 77% below | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL | $254.40 | $424.00 | $125.93–$360.40 | 5% below | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PES FULL EVAL W/CLINICIAN | $993.00 | $1,655.00 | $165.43–$1,406.75 | 273% above | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 D&A INTAKE 60 MINUTES | $60.00 | $100.00 | $60.00–$85.00 | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVAL | $254.40 | $424.00 | $254.40–$360.40 | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PES FULL EVAL W/CLINICIAN | $993.00 | $1,655.00 | $993.00–$1,406.75 | — | 40% |
| New patient office visit, about 30 minutes CPT 99203 INIT VISIT-INTERMED O/P 30MIN | $259.20 | $432.00 | $94.97–$367.20 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 INIT VISIT-INTERMED O/P 30MIN | $259.20 | $432.00 | $259.20–$367.20 | — | 40% |
| New patient office visit, about 45 minutes CPT 99204 CLINIC VISIT NEW 99204 | $300.00 | $500.00 | $121.78–$425.00 | — | 40% |
| New patient office visit, about 45 minutes CPT 99204 INITIAL VISIT-EXTENDED O/P | $400.80 | $668.00 | $121.78–$567.80 | — | 40% |
| New patient office visit, about 45 minutes CPT 99204 PES BRIEF NEW 99204 | $400.80 | $668.00 | $121.78–$567.80 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 CLINIC VISIT NEW 99204 | $300.00 | $500.00 | $300.00–$425.00 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PES BRIEF NEW 99204 | $400.80 | $668.00 | $400.80–$567.80 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 INITIAL VISIT-EXTENDED O/P | $400.80 | $668.00 | $400.80–$567.80 | — | 40% |
| New patient office visit, about 60 minutes CPT 99205 CLINIC VISIT NEW 99205 | $362.40 | $604.00 | $147.82–$513.40 | — | 40% |
| New patient office visit, about 60 minutes CPT 99205 CRNP CLINIC VISIT NEW 99205 | $362.40 | $604.00 | $147.82–$513.40 | — | 40% |
| New patient office visit, about 60 minutes CPT 99205 INITIAL VISIT-COMPRE O/P | $505.80 | $843.00 | $147.82–$716.55 | — | 40% |
| New patient office visit, about 60 minutes CPT 99205 PES BRIEF NEW 99205 | $505.80 | $843.00 | $147.82–$716.55 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 CLINIC VISIT NEW 99205 | $362.40 | $604.00 | $362.40–$513.40 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 CRNP CLINIC VISIT NEW 99205 | $362.40 | $604.00 | $362.40–$513.40 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 INITIAL VISIT-COMPRE O/P | $505.80 | $843.00 | $505.80–$716.55 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PES BRIEF NEW 99205 | $505.80 | $843.00 | $505.80–$716.55 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 INITIAL VISIT-LIMITED O/P | $200.40 | $334.00 | $73.52–$283.90 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC VISIT NEW 99202 | $200.40 | $334.00 | $73.52–$283.90 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CLINIC VISIT NEW 99202 | $200.40 | $334.00 | $200.40–$283.90 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 INITIAL VISIT-LIMITED O/P | $200.40 | $334.00 | $200.40–$283.90 | — | 40% |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAGNOSTIC INTERVIEW | $615.60 | $1,026.00 | $165.43–$872.10 | 88% above | 40% |
| Psychiatric evaluation with medical services CPT 90792 PES FULL EVAL NO CLINICIAN | $1,276.20 | $2,127.00 | $165.43–$1,807.95 | 289% above | 40% |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAGNOSTIC INTERVIEW | $615.60 | $1,026.00 | $615.60–$872.10 | — | 40% |
| Psychiatric evaluation with medical services inpatient CPT 90792 PES FULL EVAL NO CLINICIAN | $1,276.20 | $2,127.00 | $1,276.20–$1,807.95 | — | 40% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCH TEST MD/PHD 1ST HR | $559.80 | $933.00 | $71.03–$793.05 | — | 40% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PSYCH TEST MD/PHD 1ST HR | $559.80 | $933.00 | $559.80–$793.05 | — | 40% |
| Psychotherapy session, 30 minutes CPT 90832 OP INDIV THER 30 MIN | $168.00 | $280.00 | $83.16–$238.00 | 32% below | 40% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MINUTES | $168.00 | $280.00 | $83.16–$238.00 | 32% below | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MINUTES | $168.00 | $280.00 | $168.00–$238.00 | — | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 OP INDIV THER 30 MIN | $168.00 | $280.00 | $168.00–$238.00 | — | 40% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MINUTES | $287.40 | $479.00 | $142.26–$407.15 | 12% above | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MINUTES | $287.40 | $479.00 | $287.40–$407.15 | — | 40% |
| Psychotherapy session, 60 minutes CPT 90837 OP INDIV THER 60 MIN | $254.40 | $424.00 | $125.93–$360.40 | 16% below | 40% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 75 MINUTES | $254.40 | $424.00 | $125.93–$360.40 | 16% below | 40% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MINUTES | $254.40 | $424.00 | $125.93–$360.40 | 16% below | 40% |
| Psychotherapy session, 60 minutes CPT 90837 IP INDIV THER 60 MIN | $254.40 | $424.00 | $125.93–$360.40 | 16% below | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MINUTES | $254.40 | $424.00 | $254.40–$360.40 | — | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 IP INDIV THER 60 MIN | $254.40 | $424.00 | $254.40–$360.40 | — | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 OP INDIV THER 60 MIN | $254.40 | $424.00 | $254.40–$360.40 | — | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 75 MINUTES | $254.40 | $424.00 | $254.40–$360.40 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC VISIT EST 99215 | $200.40 | $334.00 | $72.83–$283.90 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 CRNP CLINIC VISIT EST 99215 | $200.40 | $334.00 | $72.83–$283.90 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 FOLLOW-UP VISIT - COMPRE O/P | $355.80 | $593.00 | $72.83–$504.05 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PES BRIEF EST 99215 | $709.20 | $1,182.00 | $72.83–$1,004.70 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CRNP CLINIC VISIT EST 99215 | $200.40 | $334.00 | $200.40–$283.90 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CLINIC VISIT EST 99215 | $200.40 | $334.00 | $200.40–$283.90 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 FOLLOW-UP VISIT - COMPRE O/P | $355.80 | $593.00 | $355.80–$504.05 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PES BRIEF EST 99215 | $709.20 | $1,182.00 | $709.20–$1,004.70 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC VISIT EST 99213 | $147.60 | $246.00 | $53.29–$209.10 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 CRNP CLINIC VISIT EST 99213 | $147.60 | $246.00 | $53.29–$209.10 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 FOLLOW-UP VISIT - LIMITED O/P | $175.80 | $293.00 | $53.29–$249.05 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PES BRIEF EST 99213 | $426.00 | $710.00 | $53.29–$603.50 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CRNP CLINIC VISIT EST 99213 | $147.60 | $246.00 | $147.60–$209.10 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINIC VISIT EST 99213 | $147.60 | $246.00 | $147.60–$209.10 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 FOLLOW-UP VISIT - LIMITED O/P | $175.80 | $293.00 | $175.80–$249.05 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PES BRIEF EST 99213 | $426.00 | $710.00 | $426.00–$603.50 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC VISIT EST 99214 | $168.00 | $280.00 | $62.45–$238.00 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CRNP CLINIC VISIT EST 99214 | $168.00 | $280.00 | $62.45–$238.00 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FOLLOW-UP VISIT - INTERMED O/P | $264.60 | $441.00 | $62.45–$374.85 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PES BRIEF EST 99214 | $568.20 | $947.00 | $62.45–$804.95 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CRNP CLINIC VISIT EST 99214 | $168.00 | $280.00 | $168.00–$238.00 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CLINIC VISIT EST 99214 | $168.00 | $280.00 | $168.00–$238.00 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FOLLOW-UP VISIT - INTERMED O/P | $264.60 | $441.00 | $264.60–$374.85 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PES BRIEF EST 99214 | $568.20 | $947.00 | $568.20–$804.95 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 FOLLOW-UP VISIT - BRIEF O/P | $105.00 | $175.00 | $39.83–$148.75 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC VISIT EST 99212 | $111.60 | $186.00 | $39.83–$158.10 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CRNP CLINIC VISIT EST 99212 | $111.60 | $186.00 | $39.83–$158.10 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PES BRIEF EST 99212 | $283.20 | $472.00 | $39.83–$401.20 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 FOLLOW-UP VISIT - BRIEF O/P | $105.00 | $175.00 | $105.00–$148.75 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CLINIC VISIT EST 99212 | $111.60 | $186.00 | $111.60–$158.10 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CRNP CLINIC VISIT EST 99212 | $111.60 | $186.00 | $111.60–$158.10 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PES BRIEF EST 99212 | $283.20 | $472.00 | $283.20–$401.20 | — | 40% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 INITIAL O/P CONSULT - COMPRE | $487.20 | $812.00 | $133.92–$690.20 | — | 40% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 INITIAL O/P CONSULT - COMPRE | $487.20 | $812.00 | $487.20–$690.20 | — | 40% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 TMS INITIAL PLANNING SESSION | $639.00 | $1,065.00 | $316.31–$905.25 | 62% above | 40% |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 TMS INITIAL PLANNING SESSION | $639.00 | $1,065.00 | $639.00–$905.25 | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 SPIKEVAX MODERNA 12+Y | $340.20 | $567.00 | $141.75–$481.95 | — | 40% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 SPIKEVAX MODERNA 12+Y | $340.20 | $567.00 | $340.20–$481.95 | — | 40% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLUBLOK 0.5ML PFS LTX/EGG FREE | $30.00 | $50.00 | $12.50–$98.16 | — | 40% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLUBLOK 0.5ML PFS LTX/EGG FREE | $30.00 | $50.00 | $30.00–$42.50 | — | 40% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX VACCINE SYR 20MCG/720U | $117.60 | $196.00 | $49.00–$173.58 | — | 40% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 TWINRIX VACCINE SYR 20MCG/720U | $117.60 | $196.00 | $117.60–$166.60 | — | 40% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPAT A VACC 1440U/ML VIAL | $81.00 | $135.00 | $33.75–$114.75 | — | 40% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPAT A VACC 1440U/ML VIAL | $81.00 | $135.00 | $81.00–$114.75 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 VAC HEP B 20MCG/ 1ML ADULT INJ | $64.80 | $108.00 | $27.00–$102.99 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 VAC HEP B 20MCG/ 1ML ADULT INJ | $64.80 | $108.00 | $64.80–$91.80 | — | 40% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC 20MCG/0.5 ML | $126.60 | $211.00 | $52.75–$179.35 | — | 40% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC 20MCG/0.5 ML | $126.60 | $211.00 | $126.60–$179.35 | — | 40% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 VACCINE MEAS/MUMPS/RUBELLA INJ | $48.60 | $81.00 | $20.25–$68.85 | — | 40% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 VACCINE MEAS/MUMPS/RUBELLA INJ | $48.60 | $81.00 | $48.60–$68.85 | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO INJECTION (VACCINE) | $81.60 | $136.00 | $34.00–$171.89 | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO MENINGOC 0.5ML (10-55Y) | $91.80 | $153.00 | $38.25–$171.89 | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO INJECTION (VACCINE) | $81.60 | $136.00 | $81.60–$115.60 | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO MENINGOC 0.5ML (10-55Y) | $91.80 | $153.00 | $91.80–$130.05 | — | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GRP B VACC 0.5ML | $82.20 | $137.00 | $34.25–$126.58 | — | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL GRP B VACC 0.5ML | $82.20 | $137.00 | $82.20–$116.45 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20 VACC 0.5ML INJ | $144.00 | $240.00 | $60.00–$312.90 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20 VACC 0.5ML INJ | $144.00 | $240.00 | $144.00–$204.00 | — | 40% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 CAPVAXIVE VACCINE 0.5 ML SYR | $189.60 | $316.00 | $79.00–$327.89 | — | 40% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 CAPVAXIVE VACCINE 0.5 ML SYR | $189.60 | $316.00 | $189.60–$268.60 | — | 40% |
| Rabies vaccine, one dose CPT 90675 RABIES VAC HUM 1ML | $600.00 | $1,000.00 | $252.84–$850.00 | — | 40% |
| Rabies vaccine, one dose CPT 90675 RABAVERT RABIES VIAL/KIT | $600.00 | $1,000.00 | $252.84–$850.00 | — | 40% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC HUM 1ML | $600.00 | $1,000.00 | $600.00–$850.00 | — | 40% |
| Rabies vaccine, one dose inpatient CPT 90675 RABAVERT RABIES VIAL/KIT | $600.00 | $1,000.00 | $600.00–$850.00 | — | 40% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX VACCINE INJ | $150.00 | $250.00 | $62.50–$212.50 | — | 40% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX VACCINE INJ | $150.00 | $250.00 | $150.00–$212.50 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPTHERIA INJ | $55.80 | $93.00 | $23.25–$79.05 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPTHERIA INJ | $55.80 | $93.00 | $55.80–$79.05 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX VACCINE | $31.80 | $53.00 | $13.25–$73.11 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX VACCINE | $31.80 | $53.00 | $31.80–$45.05 | — | 40% |