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Procedure price report · Prophylactic vaccinations and inoculations

Vaccine shot given to a child with counseling, first part

CPT 90460the billing code this page is about

Payment for giving one vaccine component to a patient age 18 or younger, by any route, when a clinician counsels the family; covers the first component of the vaccine, not the vaccine product itself.

Hospitals typically charge $33 cash for this outpatient procedure — the median across 1,374 hospitals that filed a usable cash price; the average of the middle 60% is $35. Most fall between $15 and $63 (20th–80th percentile).

Hospitals
1,374
States
50
Filings dated
Dec 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 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 1,374 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
$12$17$33$56$101

The most expensive tenth of hospitals charges at least 8.7× what the cheapest tenth charges ($12 vs $101).

How the prices are spread

$8 – $11: 41 hospitals$8$11 – $15: 159 hospitals$15 – $20: 169 hospitals$15$20 – $28: 143 hospitals$28 – $38: 196 hospitals$28$38 – $52: 219 hospitals$52 – $71: 161 hospitals$52$71 – $97: 77 hospitals$97 – $132: 47 hospitals$97$132 – $180: 26 hospitals$132median $33price bands are equal on a log scale
Hospitals per price band (1,238 of 1,374 — the bands cover the 5th to 95th percentile)
FromToHospitals
$8$1141
$11$15159
$15$20169
$20$28143
$28$38196
$38$52219
$52$71161
$71$9777
$97$13247
$132$18026

By state

The median cash price in each state, against the national median of $33.

Alaska: median $44 across 10 hospitalsAK$44Maine: median $20 across 13 hospitalsME$20Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $23 across 13 hospitalsNH$23Washington: median $32 across 22 hospitalsWA$32Idaho: median $38 across 17 hospitalsID$38Montana: median $21 across 21 hospitalsMT$21North Dakota: median $44 across 11 hospitalsND$44Minnesota: median $23 across 39 hospitalsMN$23Illinois: median $38 across 50 hospitalsIL$38Wisconsin: median $62 across 50 hospitalsWI$62Michigan: median $23 across 64 hospitalsMI$23New York: median $37 across 76 hospitalsNY$37Massachusetts: median $31 across 24 hospitalsMA$31Oregon: median $42 across 27 hospitalsOR$42Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: median $22 across 10 hospitalsWY$22South Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $31 across 60 hospitalsIA$31Indiana: median $28 across 36 hospitalsIN$28Ohio: median $29 across 66 hospitalsOH$29Pennsylvania: median $60 across 42 hospitalsPA$60New Jersey: median $29 across 14 hospitalsNJ$29Connecticut: median $40 across 10 hospitalsCT$40Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $91 across 78 hospitalsCA$91Utah: median $17 across 22 hospitalsUT$17Colorado: median $46 across 20 hospitalsCO$46Nebraska: median $39 across 40 hospitalsNE$39Missouri: median $33 across 39 hospitalsMO$33Kentucky: median $24 across 24 hospitalsKY$24West Virginia: median $20 across 26 hospitalsWV$20Virginia: median $23 across 22 hospitalsVA$23Maryland: 7 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $55 across 13 hospitalsAZ$55New Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $20 across 32 hospitalsKS$20Arkansas: median $20 across 17 hospitalsAR$20Tennessee: median $21 across 16 hospitalsTN$21North Carolina: median $24 across 48 hospitalsNC$24South Carolina: median $13 across 25 hospitalsSC$13Oklahoma: median $9 across 29 hospitalsOK$9Louisiana: median $13 across 18 hospitalsLA$13Mississippi: median $26 across 22 hospitalsMS$26Alabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $32 across 43 hospitalsGA$32Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $36 across 71 hospitalsTX$36Florida: median $62 across 34 hospitalsFL$62
Cash price by state, most expensive first. National median $33. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA78$91+180%$34 – $202
Florida FL34$62+91%$23 – $158
Wisconsin WI50$62+90%$35 – $66
Pennsylvania PA42$60+85%$34 – $182
Arizona AZ13$55+68%$38 – $69
Colorado CO20$46+42%$13 – $57
North Dakota ND11$44+36%$34 – $57
Alaska AK10$44+35%$19 – $72
Oregon OR27$42+30%$35 – $69
Connecticut CT10$40+23%$12 – $72
Nebraska NE40$39+20%$22 – $50
Illinois IL50$38+18%$19 – $65
Idaho ID17$38+16%$16 – $110
New York NY76$37+14%$17 – $68
Texas TX71$36+11%$6 – $46
Missouri MO39$33+2%$28 – $40
Georgia GA43$32−3%$30 – $128
Washington WA22$32−3%$20 – $54
Iowa IA60$31−4%$13 – $46
Massachusetts MA24$31−4%$17 – $138
New Jersey NJ14$29−10%$8 – $188
Ohio OH66$29−10%$14 – $63
Indiana IN36$28−13%$19 – $43
Mississippi MS22$26−21%$18 – $88
Kentucky KY24$24−26%$14 – $248
North Carolina NC48$24−26%$19 – $64
Minnesota MN39$23−28%$14 – $45
New Hampshire NH13$23−29%$7 – $35
Michigan MI64$23−29%$15 – $35
Virginia VA22$23−30%$14 – $48
Wyoming WY10$22−33%$15 – $37
Montana MT21$21−34%$14 – $36
Tennessee TN16$21−35%$6 – $48
Kansas KS32$20−38%$14 – $37
Arkansas AR17$20−38%$17 – $41
Maine ME13$20−39%$11 – $30
West Virginia WV26$20−40%$15 – $54
Utah UT22$17−48%$17 – $17
Louisiana LA18$13−60%$6 – $31
South Carolina SC25$13−60%$13 – $17
Oklahoma OK29$9−72%$7 – $36
Alabama AL9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Maryland MD7not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Rhode Island RI4not 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 $33.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care879$35$15 – $70
Children’s27$21$11 – $59
Critical access465$31$16 – $54
Ownership
For-profit91$46$19 – $103
Government295$31$17 – $51
Non-profit985$34$15 – $66
System affiliation
Part of a system1,074$32$15 – $64
Independent300$34$18 – $57

Cash price vs list price

Median list price (chargemaster)$54
Median cash price$33
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

867 hospitals filed a usable inpatient cash price for this code. The median is $34 and the average of the middle 60% is $36; most fall between $15 and $66.

Cash price percentiles, inpatient, across 867 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
$13$17$34$60$116

The most expensive tenth of hospitals charges at least 9.2× what the cheapest tenth charges ($13 vs $116).

Of the 933 hospitals that filed this code inpatient, 867 gave a usable cash price; 17 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 48 a list price only.

How complete is this

1,374 of the 3,956 hospitals with a price file in our corpus (35%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,488 hospitals that filed this code at all gave us
Usable cash price — counted1,374
Cash price carrying a plausibility flag — shown on the compare tool, excluded here26
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded86
Hospitals that filed this code1,488

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 July 20, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Prophylactic vaccinations and inoculations family.

Hospitals file this code under descriptions such as Im Adm Thru 18yr Any Rte 1st/Only Compt Vac/Tox.

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, “Vaccine shot given to a child with counseling, first part (CPT 90460) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90460-vaccine-shot-given-to-a-child-with-counseling-first-part