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Procedure price report · Prophylactic vaccinations and inoculations

Combined meningococcal A, B, C, W and Y vaccine

CPT 90623the billing code this page is about

One injected dose of a single vaccine that protects against meningococcal groups A, B, C, W and Y, given in the muscle.

Hospitals typically charge $291 cash for this outpatient procedure — the median across 132 hospitals that filed a usable cash price; the average of the middle 60% is $291. Most fall between $185 and $481 (20th–80th percentile).

Hospitals
132
States
34
Filings dated
Jan 2025 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 132 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
$90$185$291$426$572

The most expensive tenth of hospitals charges at least 6.4× what the cheapest tenth charges ($90 vs $572).

How the prices are spread

$77 – $94: 11 hospitals$77$94 – $116: 1 hospitals$116 – $143: 4 hospitals$116$143 – $177: 2 hospitals$177 – $218: 26 hospitals$177$218 – $268: 9 hospitals$268 – $331: 16 hospitals$268$331 – $407: 21 hospitals$407 – $502: 11 hospitals$407$502 – $619: 19 hospitals$502median $291price bands are equal on a log scale
Hospitals per price band (120 of 132 — the bands cover the 5th to 95th percentile)
FromToHospitals
$77$9411
$94$1161
$116$1434
$143$1772
$177$21826
$218$2689
$268$33116
$331$40721
$407$50211
$502$61919

By state

The median cash price in each state, against the national median of $291.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: 1 hospital filed a usable price — fewer than 10, so no figureILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $356 across 14 hospitalsMI$356New York: 4 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 3 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: no hospital in the corpus filed a usable priceSDIowa: 2 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: 7 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 9 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: 1 hospital filed a usable price — fewer than 10, so no figureNJConnecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $185 across 22 hospitalsCA$185Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 1 hospital filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 5 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: median $291 across 10 hospitalsOK$291Louisiana: no hospital in the corpus filed a usable priceLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: 1 hospital filed a usable price — fewer than 10, so no figureTXFlorida: 1 hospital filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $291. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Michigan MI14$356+22%$301 – $356
Oklahoma OK10$2910%$291 – $291
California CA22$185−36%$185 – $185
Pennsylvania PA9not enough hospitals filed a usable price
Indiana IN8not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Ohio OH7not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
New York NY4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Oregon OR3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Iowa IA2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Florida FL1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Illinois IL1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Nebraska NE1not enough hospitals filed a usable price
New Jersey NJ1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Texas TX1not enough hospitals filed a usable price
Utah UT1not 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 $291.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care108$291$185 – $457
Children’s2fewer than 20 hospitals
Critical access22$342$186 – $473
Ownership
For-profit8fewer than 20 hospitals
Government20$276$186 – $410
Non-profit104$291$185 – $529
System affiliation
Part of a system105$291$185 – $450
Independent27$365$191 – $577

Cash price vs list price

Median list price (chargemaster)$420
Median cash price$291
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

117 hospitals filed a usable inpatient cash price for this code. The median is $291 and the average of the middle 60% is $284; most fall between $185 and $481.

Cash price percentiles, inpatient, across 117 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
$83$185$291$404$572

The most expensive tenth of hospitals charges at least 6.9× what the cheapest tenth charges ($83 vs $572).

Of the 125 hospitals that filed this code inpatient, 117 gave a usable cash price; 6 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 1 a list price only.

How complete is this

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

What the 142 hospitals that filed this code at all gave us
Usable cash price — counted132
Cash price carrying a plausibility flag — shown on the compare tool, excluded here7
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 — excluded1
Hospitals that filed this code142

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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 MENB-FHBP VACC 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, “Combined meningococcal A, B, C, W and Y vaccine (CPT 90623) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90623-combined-meningococcal-a-b-c-w-and-y-vaccine