Procedure price report · Prophylactic vaccinations and inoculations

Smallpox and mpox vaccine, single 0.5 mL dose

CPT code CPT 90611the billing code this page is about

Covers one 0.5 mL dose of the non-replicating smallpox and mpox vaccine given as an injection; the administration service is billed separately.

Hospitals typically charge $389 cash for this outpatient procedure — the median across 222 hospitals that filed a usable cash price; the average of the middle 60% is $387. Most fall between $183 and $655 (20th–80th percentile).

Hospitals
222
States
31
Filings dated
Dec 2024 – 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 222 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
$138$189$389$541$1,020

The most expensive tenth of hospitals charges at least 7.4× what the cheapest tenth charges ($138 vs $1,020).

How the prices are spread

$89 – $117: 5 hospitals$89$117 – $154: 9 hospitals$154 – $202: 46 hospitals$154$202 – $265: 7 hospitals$265 – $349: 14 hospitals$265$349 – $458: 36 hospitals$458 – $601: 43 hospitals$458$601 – $789: 22 hospitals$789 – $1,036: 7 hospitals$789$1,036 – $1,361: 11 hospitals$1,036median $389price bands are equal on a log scale
Hospitals per price band (200 of 222 — the bands cover the 5th to 95th percentile)
FromToHospitals
$89$1175
$117$1549
$154$20246
$202$2657
$265$34914
$349$45836
$458$60143
$601$78922
$789$1,0367
$1,036$1,36111

By state

The median cash price in each state, against the national median of $389.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 1 hospital 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: median $85 across 10 hospitalsWA$85Idaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $344 across 11 hospitalsMN$344Illinois: median $389 across 13 hospitalsIL$389Wisconsin: median $468 across 22 hospitalsWI$468Michigan: 1 hospital filed a usable price — fewer than 10, so no figureMINew York: 7 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: no hospital in the corpus filed a usable priceIAIndiana: median $769 across 14 hospitalsIN$769Ohio: median $511 across 15 hospitalsOH$511Pennsylvania: 1 hospital filed a usable price — fewer than 10, so no figurePANew Jersey: median $143 across 13 hospitalsNJ$143Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $189 across 39 hospitalsCA$189Utah: no hospital in the corpus filed a usable priceUTColorado: no hospital in the corpus filed a usable priceCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: no hospital in the corpus filed a usable priceKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 8 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: no hospital in the corpus filed a usable priceTNNorth Carolina: median $655 across 14 hospitalsNC$655South Carolina: no hospital in the corpus filed a usable priceSCOklahoma: no hospital in the corpus filed a usable priceOKLouisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: 2 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $389. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Indiana IN14$769+98%$575 – $1,039
North Carolina NC14$655+68%$456 – $655
Ohio OH15$511+31%$511 – $511
Wisconsin WI22$468+20%$352 – $493
Illinois IL13$3890%$357 – $389
Minnesota MN11$344−12%$344 – $344
California CA39$189−51%$183 – $189
New Jersey NJ13$143−63%$135 – $195
Washington WA10$85−78%$78 – $119
Maryland MD8not enough hospitals filed a usable price
New York NY7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Texas TX2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Michigan MI1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Pennsylvania PA1not 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 $389.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care184$385$183 – $655
Children’s4fewer than 20 hospitals
Critical access34$405$344 – $773
Ownership
For-profit6fewer than 20 hospitals
Government26$655$311 – $655
Non-profit190$375$183 – $541
System affiliation
Part of a system204$389$183 – $655
Independent18fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$519
Median cash price$389
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

169 hospitals filed a usable inpatient cash price for this code. The median is $352 and the average of the middle 60% is $344; most fall between $183 and $511.

Cash price percentiles, inpatient, across 169 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
$119$189$352$511$655

The most expensive tenth of hospitals charges at least 5.5× what the cheapest tenth charges ($119 vs $655).

Of the 280 hospitals that filed this code inpatient, 169 gave a usable cash price; 16 carried a plausibility flag, 59 filed a number their own filing marks as not a price, 0 gave an estimate, and 36 a list price only.

How complete is this

222 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 376 hospitals that filed this code at all gave us
Usable cash price — counted222
Cash price carrying a plausibility flag — shown on the compare tool, excluded here53
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded62
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded39
Hospitals that filed this code376

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 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.

Hospitals file this code under descriptions such as HC Smallpox,Mpox Live Vac Pf Susp-ID 0.5ml.

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, “Smallpox and mpox vaccine, single 0.5 mL dose (CPT 90611) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90611-smallpox-and-mpox-vaccine-single-0-5-ml-dose