CPT 90739

Vaccine Product

Current code32 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 (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 90739 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$2431 plan	$363	$454
EvergreenHealth Medical CenterKirkland	—	$317	$396
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$212 – $224	$424 – $448
Providence Holy Family HospitalSpokaneFile dated 2026-04-01	—	$200	$285
Virginia Mason Medical CenterSeattle	—	$152	$299

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.