CPT 90621 · 657 hospitals reporting

Trumenba 0.5 ml syringe

The same procedure costs $52.2 at one hospital and $2,145 at another — a 41× spread for what's billed under the same code. Median: $255.

Cheapest published

$52.2

15 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 657 hospitals

$255

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$2,145

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

221 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
BARNESVILLE HOSPITAL ASSOCIATION, INC	OH	$509	$255	—	—	2 insurers
BERKELEY MEDICAL CENTER	WV	$509	$255	—	—	2 insurers
BRAXTON COUNTY MEMORIAL HOSPITAL, INC	WV	$509	$255	—	—	1 insurers
POTOMAC VALLEY HOSPITAL	WV	$509	$255	—	—	1 insurers
JACKSON GENERAL HOSPITAL	WV	$509	$255	—	—	1 insurers
COQUILLE VALLEY HOSPITAL	OR	—	$256	$141	$256	5 insurers
UNITYPOINT HEALTH - MERITER	WI	$316	$253	—	—	4 insurers
ACADIA ST LANDRY	LA	$342	$257	—	—	0 insurers
COLLETON MEDICAL CENTER	SC	$257	$257	—	—	0 insurers
SOUTHWESTERN VERMONT MEDICAL CENTER	VT	$370	$259	—	—	1 insurers
LASALLE GENERAL HOSPITAL	LA	$436	$262	—	—	5 insurers
HURON VALLEY-SINAI HOSPITAL	MI	$323	$242	$93	$261	5 insurers
UPHS MARQUETTE DLP HOSPITAL	MI	$448	$269	—	—	0 insurers
SANFORD JACKSON MEDICAL CENTER	MN	$298	$238	—	—	5 insurers
SANFORD CANBY MEDICAL CENTER	MN	$298	$238	—	—	5 insurers
SANFORD MEDICAL CENTER BISMARCK	ND	$339	$271	—	—	5 insurers
CENTRAL VERMONT MEDICAL CENTER	VT	$273	$273	—	—	5 insurers
CHILDREN'S HOSPITAL OF MICHIGAN	MI	$372	$279	—	—	0 insurers
ST LUKE'S THE WOODLANDS HOSPITAL	TX	$649	$227	$143	$649	5 insurers
ST LUKE'S THE WOODLANDS HOSPITAL	TX	$649	$227	$143	$649	5 insurers
ST LUKE'S SUGAR LAND HOSPITAL	TX	$649	$227	$143	$649	5 insurers
ST LUKE'S SUGAR LAND HOSPITAL	TX	$649	$227	$143	$649	5 insurers
ST LUKE'S HOSPITAL AT THE VINTAGE	TX	$649	$227	$143	$649	5 insurers
ST LUKE'S HOSPITAL AT THE VINTAGE	TX	$649	$227	$143	$649	5 insurers
SIDNEY HEALTH CENTER	MT	$463	$287	—	—	5 insurers
SANFORD MEDICAL CENTER FARGO	ND	$276	$220	—	—	5 insurers
PIONEER MEDICAL CENTER	MT	$220	$220	—	—	5 insurers
SANFORD WORTHINGTON MEDICAL CENTER	MN	$361	$289	—	—	5 insurers
SOUTH TEXAS HEALTH SYSTEM	TX	$726	$290	—	—	5 insurers
SANFORD TRACY MEDICAL CENTER	MN	$368	$294	—	—	5 insurers
BRIDGEPORT HOSPITAL	CT	$581	$296	—	—	5 insurers
WARD MEMORIAL HOSPITAL	TX	$425	$298	—	—	0 insurers
FLUSHING HOSPITAL MEDICAL CENTER	NY	$300	$300	—	—	5 insurers
GREENWICH HOSPITAL ASSOCIATION -	CT	$581	$302	—	—	5 insurers
University of Arkansas Medical Sciences	AR	$510	$306	—	—	2 insurers
RED BAY HOSPITAL	AL	$360	$202	—	—	3 insurers
SANTA CLARA VALLEY MEDICAL CENTER	CA	$360	$202	—	—	3 insurers
KAISER FOUNDATION HOSPITAL - WALNUT CREEK	CA	$360	$202	—	—	3 insurers
SUTTER MEDICAL CENTER, SACRAMENTO	CA	$360	$202	—	—	3 insurers
SUTTER ROSEVILLE MEDICAL CENTER	CA	$360	$202	—	—	3 insurers