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Procedure price report

Covid-19 vaccine shot, first dose (ages 6 months–4 years)

CPT 0081Athe billing code this page is about

Covers giving the first injection of the 3-microgram infant and toddler Covid-19 mRNA vaccine; the charge is for administering one shot.

Hospitals typically charge $48 cash for this outpatient procedure — the median across 187 hospitals that filed a usable cash price; the average of the middle 60% is $44. Most fall between $22 and $66 (20th–80th percentile).

Hospitals
187
States
37
Filings dated
Nov 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 187 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$28$48$60$86

The most expensive tenth of hospitals charges at least 5.0× what the cheapest tenth charges ($17 vs $86).

How the prices are spread

$15 – $19: 21 hospitals$15$19 – $23: 12 hospitals$23 – $28: 5 hospitals$23$28 – $35: 11 hospitals$35 – $43: 24 hospitals$35$43 – $53: 54 hospitals$53 – $65: 13 hospitals$53$65 – $80: 18 hospitals$80 – $99: 8 hospitals$80$99 – $122: 3 hospitals$99median $48price bands are equal on a log scale
Hospitals per price band (169 of 187 — the bands cover the 5th to 95th percentile)
FromToHospitals
$15$1921
$19$2312
$23$285
$28$3511
$35$4324
$43$5354
$53$6513
$65$8018
$80$998
$99$1223

By state

The median cash price in each state, against the national median of $48.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: no hospital in the corpus filed a usable priceWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: median $64 across 12 hospitalsIL$64Wisconsin: no hospital in the corpus filed a usable priceWIMichigan: 6 hospitals filed a usable price — fewer than 10, so no figureMINew York: 9 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 4 hospitals filed a usable price — fewer than 10, so no figureORNevada: no hospital in the corpus filed a usable priceNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: 4 hospitals 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: 5 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: 9 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $46 across 13 hospitalsNE$46Missouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 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: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 5 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: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $21 across 12 hospitalsMS$21Alabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $48 across 28 hospitalsTX$48Florida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $48. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Illinois IL12$64+33%$17 – $69
Texas TX28$480%$48 – $48
Nebraska NE13$46−4%$32 – $63
Mississippi MS12$21−56%$17 – $38
Colorado CO9not enough hospitals filed a usable price
New York NY9not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
Michigan MI6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Ohio OH4not enough hospitals filed a usable price
Oregon OR4not enough hospitals filed a usable price
California CA3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Pennsylvania PA3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
New Jersey NJ2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Wyoming WY1not 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 $48.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care134$48$21 – $61
Children’s9fewer than 20 hospitals
Critical access44$45$23 – $66
Ownership
For-profit17fewer than 20 hospitals
Government12fewer than 20 hospitals
Non-profit158$48$28 – $69
System affiliation
Part of a system166$48$20 – $60
Independent21$61$38 – $80

Cash price vs list price

Median list price (chargemaster)$80
Median cash price$48
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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.

The same procedure, inpatient

141 hospitals filed a usable inpatient cash price for this code. The median is $48 and the average of the middle 60% is $42; most fall between $22 and $62.

Cash price percentiles, inpatient, across 141 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$25$48$50$77

The most expensive tenth of hospitals charges at least 4.5× what the cheapest tenth charges ($17 vs $77).

Of the 147 hospitals that filed this code inpatient, 141 gave a usable cash price; 0 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 6 a list price only.

How complete is this

187 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 190 hospitals that filed this code at all gave us
Usable cash price — counted187
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 — excluded3
Hospitals that filed this code190

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 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, first dose (ages 6 months–4 years) (CPT 0081A) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-0081a-covid-19-vaccine-shot-first-dose-ages-6-months4-years