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Procedure price report · Prophylactic vaccinations and inoculations

Giving a vaccine by injection, first shot

CPT 90471the billing code this page is about

Payment for administering one vaccine by injection into muscle or under the skin; covers the first injected vaccine at the visit, not the cost of the vaccine itself.

Hospitals typically charge $51 cash for this outpatient procedure — the median across 3,462 hospitals that filed a usable cash price; the average of the middle 60% is $53. Most fall between $20 and $104 (20th–80th percentile).

Hospitals
3,462
States
50
Filings dated
Aug 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 3,462 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$23$51$88$153

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($13 vs $153).

How the prices are spread

$10 – $13: 190 hospitals$10$13 – $18: 267 hospitals$18 – $24: 314 hospitals$18$24 – $33: 286 hospitals$33 – $45: 334 hospitals$33$45 – $61: 450 hospitals$61 – $83: 475 hospitals$61$83 – $112: 388 hospitals$112 – $152: 237 hospitals$112$152 – $207: 177 hospitals$152median $51price bands are equal on a log scale
Hospitals per price band (3,118 of 3,462 — the bands cover the 5th to 95th percentile)
FromToHospitals
$10$13190
$13$18267
$18$24314
$24$33286
$33$45334
$45$61450
$61$83475
$83$112388
$112$152237
$152$207177

Against Medicare

Medicare pays (OPPS 2026, national rate)$74
Median cash price$51
Cash as a multiple of Medicare0.69×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $51.

Alaska: median $31 across 19 hospitalsAK$31Maine: median $13 across 28 hospitalsME$13Vermont: median $34 across 14 hospitalsVT$34New Hampshire: median $29 across 25 hospitalsNH$29Washington: median $41 across 78 hospitalsWA$41Idaho: median $20 across 25 hospitalsID$20Montana: median $21 across 33 hospitalsMT$21North Dakota: median $21 across 33 hospitalsND$21Minnesota: median $33 across 108 hospitalsMN$33Illinois: median $57 across 130 hospitalsIL$57Wisconsin: median $33 across 104 hospitalsWI$33Michigan: median $23 across 97 hospitalsMI$23New York: median $83 across 118 hospitalsNY$83Massachusetts: median $74 across 52 hospitalsMA$74Oregon: median $28 across 54 hospitalsOR$28Nevada: median $71 across 24 hospitalsNV$71Wyoming: median $30 across 16 hospitalsWY$30South Dakota: median $35 across 45 hospitalsSD$35Iowa: median $24 across 95 hospitalsIA$24Indiana: median $40 across 97 hospitalsIN$40Ohio: median $35 across 132 hospitalsOH$35Pennsylvania: median $50 across 124 hospitalsPA$50New Jersey: median $78 across 58 hospitalsNJ$78Connecticut: median $75 across 23 hospitalsCT$75Rhode Island: median $95 across 10 hospitalsRI$95California: median $104 across 214 hospitalsCA$104Utah: median $14 across 41 hospitalsUT$14Colorado: median $65 across 73 hospitalsCO$65Nebraska: median $40 across 80 hospitalsNE$40Missouri: median $55 across 80 hospitalsMO$55Kentucky: median $49 across 69 hospitalsKY$49West Virginia: median $15 across 42 hospitalsWV$15Virginia: median $53 across 73 hospitalsVA$53Maryland: median $104 across 37 hospitalsMD$104Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $47 across 56 hospitalsAZ$47New Mexico: median $54 across 31 hospitalsNM$54Kansas: median $28 across 91 hospitalsKS$28Arkansas: median $25 across 41 hospitalsAR$25Tennessee: median $35 across 83 hospitalsTN$35North Carolina: median $62 across 95 hospitalsNC$62South Carolina: median $59 across 52 hospitalsSC$59Oklahoma: median $60 across 70 hospitalsOK$60Louisiana: median $23 across 49 hospitalsLA$23Mississippi: median $37 across 58 hospitalsMS$37Alabama: median $59 across 44 hospitalsAL$59Georgia: median $56 across 109 hospitalsGA$56Hawaii: median $79 across 20 hospitalsHI$79Texas: median $74 across 240 hospitalsTX$74Florida: median $118 across 165 hospitalsFL$118
Cash price by state, most expensive first. National median $51. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL165$118+132%$51 – $239
California CA214$104+104%$40 – $175
Maryland MD37$104+103%$67 – $175
Rhode Island RI10$95+86%$62 – $143
New York NY118$83+63%$22 – $131
Hawaii HI20$79+54%$29 – $170
New Jersey NJ58$78+53%$38 – $94
Connecticut CT23$75+47%$30 – $85
Massachusetts MA52$74+45%$17 – $131
Texas TX240$74+44%$25 – $124
Nevada NV24$71+38%$23 – $138
Colorado CO73$65+28%$38 – $131
North Carolina NC95$62+22%$43 – $91
Oklahoma OK70$60+19%$21 – $93
Alabama AL44$59+16%$24 – $102
South Carolina SC52$59+16%$24 – $91
Illinois IL130$57+11%$32 – $102
Georgia GA109$56+10%$29 – $116
Missouri MO80$55+7%$27 – $83
New Mexico NM31$54+6%$14 – $101
Virginia VA73$53+4%$23 – $121
Pennsylvania PA124$50−2%$13 – $88
Kentucky KY69$49−4%$15 – $83
Arizona AZ56$47−7%$18 – $78
Washington WA78$41−20%$17 – $84
Indiana IN97$40−21%$10 – $82
Nebraska NE80$40−22%$16 – $72
Mississippi MS58$37−28%$21 – $88
Ohio OH132$35−31%$21 – $78
Tennessee TN83$35−31%$22 – $119
South Dakota SD45$35−31%$16 – $77
Vermont VT14$34−33%$11 – $70
Minnesota MN108$33−35%$16 – $46
Wisconsin WI104$33−36%$20 – $56
Alaska AK19$31−39%$24 – $130
Wyoming WY16$30−40%$20 – $65
New Hampshire NH25$29−42%$12 – $46
Oregon OR54$28−44%$19 – $104
Kansas KS91$28−46%$14 – $55
Arkansas AR41$25−52%$15 – $57
Iowa IA95$24−53%$13 – $59
Louisiana LA49$23−54%$11 – $66
Michigan MI97$23−55%$15 – $45
Montana MT33$21−58%$14 – $55
North Dakota ND33$21−59%$16 – $56
Idaho ID25$20−61%$18 – $61
West Virginia WV42$15−70%$10 – $74
Utah UT41$14−72%$14 – $131
Maine ME28$13−75%$6 – $56
Delaware DE7not 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 $51.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,398$59$22 – $116
Children’s56$34$15 – $96
Critical access998$36$16 – $72
Ownership
For-profit479$85$37 – $209
Government654$41$18 – $79
Non-profit2,319$48$18 – $95
System affiliation
Part of a system2,807$51$20 – $105
Independent655$47$20 – $92

Cash price vs list price

Median list price (chargemaster)$87
Median cash price$51
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

2,407 hospitals filed a usable inpatient cash price for this code. The median is $52 and the average of the middle 60% is $54; most fall between $20 and $104.

Cash price percentiles, inpatient, across 2,407 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
$14$23$52$90$143

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($14 vs $143).

Of the 2,559 hospitals that filed this code inpatient, 2,407 gave a usable cash price; 40 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 111 a list price only.

How complete is this

3,462 of the 3,956 hospitals with a price file in our corpus (88%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,661 hospitals that filed this code at all gave us
Usable cash price — counted3,462
Cash price carrying a plausibility flag — shown on the compare tool, excluded here71
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded126
Hospitals that filed this code3,661

Sections not shown for this setting

  • 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 Prq ID Subq/Im Njxs 1 Vaccine.

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, “Giving a vaccine by injection, first shot (CPT 90471) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90471-giving-a-vaccine-by-injection-first-shot