CPT 91304
Vaccine Product
Current code25 hospitals with prices
What Washington hospitals publish for this code
Unknown: The source file doesn't say which population this rate applies to.
| Hospital | Unknown rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Deaconess Medical Center | — | — | — |
| Island Hospital | $21.60 | — | — |
| Kadlec Regional Medical Center | — | $207 | $296 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $207 | $296 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $207 | $296 |
| Providence Mount Carmel Hospital | — | $207 | $296 |
| Providence Regional Medical Center Everett | — | $154 | $296 |
| Providence St Joseph Hospital | — | $207 | $296 |
| Providence St Mary Medical Center | — | $207 | $296 |
| Swedish Issaquah | — | $142 | $296 |
| Swedish Medical Center | — | $142 | $296 |
| Swedish Medical Center / Cherry Hill | — | $142 | $296 |
| Tacoma General Allenmore Hospital | — | — | — |
| Virginia Mason Medical Center | — | $11.95 – $71.91 | $23.44 – $141 |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.