CPT 90694

Vaccine Product

Current code21 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 90694 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$20.21 – $29.945 plans$47.20$118
Deaconess Medical CenterSpokaneFile dated 2026-08-27$18.49 – $19.585 plans$48.80$122
EvergreenHealth Medical CenterKirkland—$44.80$56.00
Island HospitalAnacortes$19.08 – $20.703 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$19.12 – $20.655 plans$54.00$135
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$18.78 – $20.285 plans$54.00$135
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$18.78 – $20.285 plans$54.00$135
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$19.21 – $20.755 plans$54.00$135
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$18.36 – $19.445 plans$48.80$122
Olympic Medical CenterPort AngelesFile dated 2026-06-24$23.64 – $25.895 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01———
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01———
Swedish Medical CenterSeattleFile dated 2026-04-01———
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01———
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$19.22 – $20.765 plans$54.00$135
Virginia Mason Medical CenterSeattle———
Yakima Valley MemorialYakimaFile dated 2026-08-27$18.37 – $21.345 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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.