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Procedure price report

COVID-19 vaccine shot, Novavax, second dose

CPT 0042Athe billing code this page is about

Covers giving the second dose of the Novavax adjuvanted COVID-19 vaccine, including the counseling that goes with the injection; the vaccine product itself is billed separately.

Hospitals typically charge $45 cash for this outpatient procedure — the median across 120 hospitals that filed a usable cash price; the average of the middle 60% is $41. Most fall between $20 and $52 (20th–80th percentile).

Hospitals
120
States
25
Filings dated
Sep 2025 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 120 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$17$30$45$48$84

The most expensive tenth of hospitals charges at least 4.9× what the cheapest tenth charges ($17 vs $84).

How the prices are spread

$17 – $21: 19 hospitals$17$21 – $25: 4 hospitals$25 – $31: 2 hospitals$25$31 – $37: 16 hospitals$37 – $46: 16 hospitals$37$46 – $55: 36 hospitals$55 – $67: 5 hospitals$55$67 – $82: 4 hospitals$82 – $100: 3 hospitals$82$100 – $121: 6 hospitals$100median $45price bands are equal on a log scale
Hospitals per price band (111 of 120 — the bands cover the 5th to 95th percentile)
FromToHospitals
$17$2119
$21$254
$25$312
$31$3716
$37$4616
$46$5536
$55$675
$67$824
$82$1003
$100$1216

By state

The median cash price in each state, against the national median of $45.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: 9 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: no hospital in the corpus filed a usable priceMINew York: 5 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: no hospital in the corpus filed a usable priceORNevada: no hospital in the corpus filed a usable priceNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: 1 hospital filed a usable price — fewer than 10, so no figureOHPennsylvania: 3 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: 2 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: 3 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: no hospital in the corpus filed a usable priceCONebraska: median $39 across 11 hospitalsNE$39Missouri: no hospital in the corpus filed a usable priceMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: no hospital in the corpus filed a usable priceOKLouisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $21 across 12 hospitalsMS$21Alabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $48 across 28 hospitalsTX$48Florida: no hospital in the corpus filed a usable priceFL
Cash price by state, most expensive first. National median $45. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX28$48+7%$48 – $48
Nebraska NE11$39−14%$32 – $62
Mississippi MS12$21−54%$19 – $38
Illinois IL9not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
New York NY5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
California CA3not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Pennsylvania PA3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
New Jersey NJ2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Ohio OH1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Washington WA1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $45.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care91$48$20 – $51
Children’s1fewer than 20 hospitals
Critical access28$38$32 – $62
Ownership
For-profit15fewer than 20 hospitals
Government9fewer than 20 hospitals
Non-profit96$46$21 – $58
System affiliation
Part of a system113$45$20 – $51
Independent7fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$80
Median cash price$45
Cash as a share of list, median hospital59%

At the typical hospital, asking for the cash price cuts the list price by about 41%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

How complete is this

120 of the 3,956 hospitals with a price file in our corpus (3%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 120 hospitals that filed this code at all gave us
Usable cash price — counted120
Cash price carrying a plausibility flag — shown on the compare tool, excluded here0
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded0
Hospitals that filed this code120

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 5, 2026 and September 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as All Outpatient.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “COVID-19 vaccine shot, Novavax, second dose (CPT 0042A) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-0042a-covid-19-vaccine-shot-novavax-second-dose