CPT 90717

Vaccine Product

Current code29 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 90717 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth Medical CenterKirkland	—	$702	$877
Island HospitalAnacortes	$77.36 – $83.933 plans	$124	$124
PeaceHealth Peace Island Medical CenterFriday Harbor	—	$174 – $558	$268 – $858
PeaceHealth Southwest Medical CenteVancouver	—	$174 – $558	$268 – $858
PeaceHealth St John Medical CenterLongview	—	$174 – $558	$268 – $858
PeaceHealth St Joseph Medical CenterBellingham	—	$174 – $558	$268 – $858
PeaceHealth United General Medical CenterSedro Woolley	—	$174 – $558	$268 – $858
Virginia Mason Medical CenterSeattle	—	$190 – $200	$374 – $392

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.