CPT 90648 · 1,075 hospitals reporting

Acthib vaccine

The same procedure costs $50.11 at one hospital and $582 at another — a 12× spread for what's billed under the same code. Median: $74.45.

Cheapest published

$50.11

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

Median across 1,075 hospitals

$74.45

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

Most expensive

$582

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

Price distribution

222 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
UNITYPOINT HEALTH - MERITER	WI	$93	$74.4	—	—	4 insurers
TRI-CITY MEDICAL CENTER	CA	$124	$74.5	—	—	0 insurers
TRI-CITY MEDICAL CENTER	CA	$124	$74.5	—	—	5 insurers
SANFORD SHELDON MEDICAL CENTER	IA	$92.59	$74.08	—	—	5 insurers
SANFORD VERMILLION MEDICAL CENTER	SD	$92.59	$74.08	—	—	5 insurers
ANTELOPE VALLEY HOSPITAL	CA	$74	$74	—	—	1 insurers
MOSAIC LIFE CARE AT ST JOSEPH	MO	$88.31	$75.07	—	—	5 insurers
MOSAIC MEDICAL CENTER - MARYVILLE	MO	$88.31	$75.07	—	—	3 insurers
SANFORD LUVERNE MEDICAL CENTER	MN	$91.94	$73.56	—	—	5 insurers
DOMINICAN HOSPITAL	CA	$168	$75.63	$134	$143	3 insurers
DOMINICAN HOSPITAL	CA	$168	$75.63	$17.03	$143	5 insurers
HCA FLORIDA GULF COAST HOSPITAL	FL	$76	$76	$146	$153	3 insurers
COQUILLE VALLEY HOSPITAL	OR	—	$76	$41.8	$76	5 insurers
COMMUNITY HOSPITAL OF SAN BERNARDINO	CA	$186	$72.73	$39.06	$186	5 insurers
COMMUNITY HOSPITAL OF SAN BERNARDINO	CA	$186	$72.73	$13.16	$186	5 insurers
MERCY HOSPITAL	CA	$181	$72.32	—	—	5 insurers
LONGMONT UNITED HOSPITAL	CO	$181	$72.32	—	—	5 insurers
ST MARY-CORWIN HOSPITAL	CO	$181	$72.32	—	—	5 insurers
CENTURA HEALTH-ST ANTHONY HOSPITAL	CO	$181	$72.32	—	—	5 insurers
CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS	CO	$181	$72.32	—	—	5 insurers
ST ANTHONY SUMMIT MEDICAL CENTER	CO	$181	$72.32	—	—	5 insurers
ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS	CO	$181	$72.32	—	—	5 insurers
ST FRANCIS HOSPITAL - INTERQUEST	CO	$181	$72.32	—	—	5 insurers
SAINT ANTHONY HOSPITAL	IL	$181	$72.32	—	—	5 insurers
ST. CATHERINE HOSPITAL - GARDEN CITY	KS	$181	$72.32	—	—	5 insurers
CENTURA ST. CATHERINE-DODGE CITY	KS	$181	$72.32	—	—	5 insurers
BOB WILSON MEMORIAL HOSPITAL	KS	$181	$72.32	—	—	5 insurers
HOLY CROSS HOSPITAL - SALT LAKE	UT	$181	$72.32	—	—	5 insurers
HOLY CROSS HOSPITAL-DAVIS	UT	$181	$72.32	—	—	5 insurers
HOLY CROSS HOSPITAL-JORDAN VALLEY	UT	$181	$72.32	—	—	5 insurers
SOUTHWESTERN VERMONT MEDICAL CENTER	VT	$103	$72.1	—	—	3 insurers
BAXTER HEALTH	AR	$129	$77.4	—	—	2 insurers
GLENDALE ADVENTIST MEDICAL CENTER	CA	$218	$71.07	$34.88	$174	5 insurers
GLENDALE ADVENTIST MEDICAL CENTER	CA	$218	$71.07	$9.98	$208	5 insurers
HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER	KS	$218	$71.07	$34.88	$174	5 insurers
HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER	KS	$218	$71.07	$9.98	$208	5 insurers
ATRIUM HEALTH NAVICENT THE MEDICAL CENTER	GA	$156	$77.95	—	—	5 insurers
ADVENTHEALTH SEBRING	FL	$130	$78.26	$16.02	$117	5 insurers
NAVICENT HEALTH BALDWIN	GA	$140	$70.15	—	—	0 insurers
ATRIUM HEALTH NAVICENT PEACH	GA	$140	$70.15	—	—	0 insurers