CPT 90653

Vaccine Product

Current code31 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 90653 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Highline Medical CenterBurienFile dated 2026-02-28—$82.89$271
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$14.27 – $31.20$21.96 – $48.00
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$77.00$110
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$77.00$110
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$52.52$101
St Anthony HospitalGig HarborFile dated 2026-02-28—$82.57$271
St Clare HospitalLakewoodFile dated 2026-02-28—$78.25$271
St Elizabeth HospitalEnumclawFile dated 2026-02-28$76.01 – $90.045 plans$95.93$271
St Francis Community HospitalFederal WayFile dated 2026-02-28—$85.19$271
St Joseph Medical CenterTacomaFile dated 2026-02-28—$89.91$271
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$120$271
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$177$368
Swedish IssaquahIssaquahFile dated 2026-04-01—$177$368
Swedish Medical CenterSeattleFile dated 2026-04-01—$177$368
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$177$368
Virginia Mason Medical CenterSeattle—$53.55$105

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.