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Procedure price report · Prophylactic vaccinations and inoculations

Giving a vaccine by mouth or nasal spray, first dose

CPT 90473the billing code this page is about

Payment for administering one vaccine given orally or as a nasal spray; covers the first such vaccine at the visit, not the vaccine product itself.

Hospitals typically charge $33 cash for this outpatient procedure — the median across 1,481 hospitals that filed a usable cash price; the average of the middle 60% is $36. Most fall between $15 and $72 (20th–80th percentile).

Hospitals
1,481
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 1,481 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
$11$16$33$62$105

The most expensive tenth of hospitals charges at least 9.2× what the cheapest tenth charges ($11 vs $105).

How the prices are spread

$8 – $10: 48 hospitals$8$10 – $14: 148 hospitals$14 – $19: 170 hospitals$14$19 – $25: 166 hospitals$25 – $34: 140 hospitals$25$34 – $45: 166 hospitals$45 – $60: 194 hospitals$45$60 – $81: 130 hospitals$81 – $108: 99 hospitals$81$108 – $145: 72 hospitals$108median $33price bands are equal on a log scale
Hospitals per price band (1,333 of 1,481 — the bands cover the 5th to 95th percentile)
FromToHospitals
$8$1048
$10$14148
$14$19170
$19$25166
$25$34140
$34$45166
$45$60194
$60$81130
$81$10899
$108$14572

Against Medicare

Medicare pays (OPPS 2026, national rate)$74
Median cash price$33
Cash as a multiple of Medicare0.45×

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 $33.

Alaska: median $27 across 11 hospitalsAK$27Maine: median $11 across 17 hospitalsME$11Vermont: median $29 across 11 hospitalsVT$29New Hampshire: median $13 across 12 hospitalsNH$13Washington: median $39 across 47 hospitalsWA$39Idaho: median $20 across 16 hospitalsID$20Montana: median $21 across 20 hospitalsMT$21North Dakota: median $42 across 17 hospitalsND$42Minnesota: median $28 across 57 hospitalsMN$28Illinois: median $45 across 44 hospitalsIL$45Wisconsin: median $48 across 59 hospitalsWI$48Michigan: median $23 across 70 hospitalsMI$23New York: median $77 across 75 hospitalsNY$77Massachusetts: median $62 across 19 hospitalsMA$62Oregon: median $25 across 30 hospitalsOR$25Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $35 across 18 hospitalsSD$35Iowa: median $20 across 60 hospitalsIA$20Indiana: median $8 across 30 hospitalsIN$8Ohio: median $56 across 59 hospitalsOH$56Pennsylvania: median $70 across 35 hospitalsPA$70New Jersey: median $44 across 44 hospitalsNJ$44Connecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $64 across 98 hospitalsCA$64Utah: median $11 across 26 hospitalsUT$11Colorado: median $42 across 31 hospitalsCO$42Nebraska: median $33 across 39 hospitalsNE$33Missouri: median $34 across 25 hospitalsMO$34Kentucky: median $59 across 19 hospitalsKY$59West Virginia: median $37 across 32 hospitalsWV$37Virginia: median $30 across 12 hospitalsVA$30Maryland: median $104 across 20 hospitalsMD$104Delaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $43 across 11 hospitalsAZ$43New Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $18 across 35 hospitalsKS$18Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $28 across 17 hospitalsTN$28North Carolina: median $13 across 26 hospitalsNC$13South Carolina: median $26 across 37 hospitalsSC$26Oklahoma: median $14 across 20 hospitalsOK$14Louisiana: median $15 across 29 hospitalsLA$15Mississippi: median $17 across 19 hospitalsMS$17Alabama: median $24 across 11 hospitalsAL$24Georgia: median $30 across 38 hospitalsGA$30Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $15 across 102 hospitalsTX$15Florida: median $71 across 38 hospitalsFL$71
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
Maryland MD20$104+214%$65 – $180
New York NY75$77+133%$21 – $126
Florida FL38$71+116%$44 – $134
Pennsylvania PA35$70+112%$37 – $90
California CA98$64+93%$30 – $94
Massachusetts MA19$62+88%$17 – $131
Kentucky KY19$59+80%$13 – $90
Ohio OH59$56+70%$31 – $139
Wisconsin WI59$48+46%$17 – $51
Illinois IL44$45+36%$21 – $70
New Jersey NJ44$44+33%$19 – $93
Arizona AZ11$43+31%$20 – $60
Colorado CO31$42+27%$29 – $55
North Dakota ND17$42+27%$18 – $82
Washington WA47$39+18%$20 – $50
West Virginia WV32$37+12%$14 – $55
South Dakota SD18$35+7%$21 – $162
Missouri MO25$34+4%$21 – $75
Nebraska NE39$330%$17 – $44
Georgia GA38$30−9%$10 – $50
Virginia VA12$30−10%$11 – $33
Vermont VT11$29−13%$21 – $40
Minnesota MN57$28−14%$15 – $37
Tennessee TN17$28−15%$8 – $90
Alaska AK11$27−18%$24 – $38
South Carolina SC37$26−21%$16 – $116
Oregon OR30$25−23%$15 – $53
Alabama AL11$24−26%$20 – $50
Michigan MI70$23−30%$15 – $36
Montana MT20$21−36%$14 – $33
Idaho ID16$20−39%$16 – $58
Iowa IA60$20−40%$13 – $46
Kansas KS35$18−45%$15 – $32
Mississippi MS19$17−49%$10 – $21
Louisiana LA29$15−55%$8 – $32
Texas TX102$15−55%$12 – $59
Oklahoma OK20$14−58%$14 – $96
New Hampshire NH12$13−60%$7 – $35
North Carolina NC26$13−62%$13 – $54
Utah UT26$11−65%$11 – $18
Maine ME17$11−67%$5 – $34
Indiana IN30$8−75%$6 – $14
Connecticut CT7not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Rhode Island RI3not 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 care979$37$15 – $83
Children’s45$30$11 – $67
Critical access454$27$15 – $50
Ownership
For-profit106$43$13 – $92
Government322$28$14 – $57
Non-profit1,050$35$15 – $75
System affiliation
Part of a system1,187$33$14 – $73
Independent294$32$18 – $71

Cash price vs list price

Median list price (chargemaster)$53
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

959 hospitals filed a usable inpatient cash price for this code. The median is $35 and the average of the middle 60% is $36; most fall between $15 and $71.

Cash price percentiles, inpatient, across 959 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
$11$15$35$60$111

The most expensive tenth of hospitals charges at least 9.7× what the cheapest tenth charges ($11 vs $111).

Of the 1,016 hospitals that filed this code inpatient, 959 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 41 a list price only.

How complete is this

1,481 of the 3,956 hospitals with a price file in our corpus (37%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,570 hospitals that filed this code at all gave us
Usable cash price — counted1,481
Cash price carrying a plausibility flag — shown on the compare tool, excluded here33
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded55
Hospitals that filed this code1,570

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 Intransl/Oral 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 mouth or nasal spray, first dose (CPT 90473) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90473-giving-a-vaccine-by-mouth-or-nasal-spray-first-dose