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Procedure price report · Prophylactic vaccinations and inoculations

Meningococcal ACWY vaccine with tetanus carrier, muscle shot

CPT 90619the billing code this page is about

Covers one dose of the four-strain meningococcal conjugate vaccine that uses a tetanus toxoid carrier, given as a muscle injection; the administration service is billed separately.

Hospitals typically charge $245 cash for this outpatient procedure — the median across 1,035 hospitals that filed a usable cash price; the average of the middle 60% is $277. Most fall between $137 and $568 (20th–80th percentile).

Hospitals
1,035
States
50
Filings dated
Jan 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 1,035 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
$82$149$245$474$797

The most expensive tenth of hospitals charges at least 9.8× what the cheapest tenth charges ($82 vs $797).

How the prices are spread

$48 – $66: 21 hospitals$48$66 – $92: 56 hospitals$92 – $127: 66 hospitals$92$127 – $177: 148 hospitals$177 – $245: 193 hospitals$177$245 – $341: 119 hospitals$341 – $473: 122 hospitals$341$473 – $658: 112 hospitals$658 – $913: 62 hospitals$658$913 – $1,268: 36 hospitals$913median $245price bands are equal on a log scale
Hospitals per price band (935 of 1,035 — the bands cover the 5th to 95th percentile)
FromToHospitals
$48$6621
$66$9256
$92$12766
$127$177148
$177$245193
$245$341119
$341$473122
$473$658112
$658$91362
$913$1,26836

By state

The median cash price in each state, against the national median of $245.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $132 across 26 hospitalsWA$132Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $221 across 10 hospitalsMT$221North Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $144 across 38 hospitalsMN$144Illinois: median $251 across 52 hospitalsIL$251Wisconsin: median $163 across 48 hospitalsWI$163Michigan: median $227 across 41 hospitalsMI$227New York: median $250 across 41 hospitalsNY$250Massachusetts: median $375 across 15 hospitalsMA$375Oregon: median $157 across 18 hospitalsOR$157Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $156 across 38 hospitalsIA$156Indiana: median $290 across 41 hospitalsIN$290Ohio: median $400 across 38 hospitalsOH$400Pennsylvania: median $244 across 43 hospitalsPA$244New Jersey: median $64 across 20 hospitalsNJ$64Connecticut: 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 $245 across 52 hospitalsCA$245Utah: 5 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $287 across 10 hospitalsCO$287Nebraska: median $153 across 19 hospitalsNE$153Missouri: median $241 across 20 hospitalsMO$241Kentucky: median $570 across 21 hospitalsKY$570West Virginia: median $147 across 24 hospitalsWV$147Virginia: median $273 across 17 hospitalsVA$273Maryland: median $351 across 12 hospitalsMD$351Delaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $268 across 10 hospitalsAZ$268New Mexico: median $505 across 10 hospitalsNM$505Kansas: median $182 across 13 hospitalsKS$182Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $311 across 21 hospitalsTN$311North Carolina: median $263 across 33 hospitalsNC$263South Carolina: median $238 across 28 hospitalsSC$238Oklahoma: median $217 across 15 hospitalsOK$217Louisiana: median $196 across 20 hospitalsLA$196Mississippi: median $112 across 16 hospitalsMS$112Alabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $217 across 17 hospitalsGA$217Hawaii: median $374 across 11 hospitalsHI$374Texas: median $630 across 57 hospitalsTX$630Florida: median $604 across 62 hospitalsFL$604
Cash price by state, most expensive first. National median $245. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX57$630+157%$197 – $1,012
Florida FL62$604+146%$308 – $932
Kentucky KY21$570+132%$232 – $1,508
New Mexico NM10$505+106%$233 – $505
Ohio OH38$400+63%$240 – $401
Massachusetts MA15$375+53%$153 – $602
Hawaii HI11$374+53%$327 – $416
Maryland MD12$351+43%$198 – $444
Tennessee TN21$311+27%$193 – $865
Indiana IN41$290+18%$180 – $450
Colorado CO10$287+17%$154 – $494
Virginia VA17$273+11%$101 – $1,548
Arizona AZ10$268+9%$97 – $521
North Carolina NC33$263+7%$67 – $1,414
Illinois IL52$251+2%$140 – $382
New York NY41$250+2%$185 – $418
California CA52$2450%$245 – $289
Pennsylvania PA43$244−1%$82 – $1,268
Missouri MO20$241−2%$100 – $533
South Carolina SC28$238−3%$207 – $716
Michigan MI41$227−7%$153 – $265
Montana MT10$221−10%$187 – $356
Georgia GA17$217−12%$36 – $673
Oklahoma OK15$217−12%$217 – $217
Louisiana LA20$196−20%$48 – $393
Kansas KS13$182−26%$108 – $621
Wisconsin WI48$163−34%$148 – $216
Oregon OR18$157−36%$82 – $481
Iowa IA38$156−36%$142 – $316
Nebraska NE19$153−38%$20 – $260
West Virginia WV24$147−40%$143 – $221
Minnesota MN38$144−41%$63 – $235
Washington WA26$132−46%$82 – $165
Mississippi MS16$112−54%$95 – $520
New Jersey NJ20$64−74%$56 – $135
Idaho ID9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Utah UT5not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
New Hampshire NH2not enough hospitals filed a usable price
Vermont VT1not 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 $245.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care739$273$143 – $619
Children’s24$216$24 – $460
Critical access269$211$123 – $360
Ownership
For-profit153$590$220 – $1,045
Government169$182$106 – $368
Non-profit710$236$127 – $505
System affiliation
Part of a system883$245$141 – $583
Independent152$221$127 – $393

Cash price vs list price

Median list price (chargemaster)$412
Median cash price$245
Cash as a share of list, median hospital69%

At the typical hospital, asking for the cash price cuts the list price by about 31%. 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

662 hospitals filed a usable inpatient cash price for this code. The median is $236 and the average of the middle 60% is $250; most fall between $142 and $477.

Cash price percentiles, inpatient, across 662 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
$82$152$236$400$673

The most expensive tenth of hospitals charges at least 8.2× what the cheapest tenth charges ($82 vs $673).

Of the 742 hospitals that filed this code inpatient, 662 gave a usable cash price; 29 carried a plausibility flag, 10 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

1,035 of the 3,956 hospitals with a price file in our corpus (26%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,140 hospitals that filed this code at all gave us
Usable cash price — counted1,035
Cash price carrying a plausibility flag — shown on the compare tool, excluded here41
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded16
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded48
Hospitals that filed this code1,140

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 4, 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.

Related procedures

Part of the Prophylactic vaccinations and inoculations family.

Hospitals file this code under descriptions such as MENACWY-TT VACCINE IM.

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, “Meningococcal ACWY vaccine with tetanus carrier, muscle shot (CPT 90619) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90619-meningococcal-acwy-vaccine-with-tetanus-carrier-muscle-shot