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Procedure price report · Prophylactic vaccinations and inoculations

Hib vaccine, four-dose type

CPT 90648the billing code this page is about

One injected dose of a Haemophilus influenzae type b conjugate vaccine of the kind given on a four-dose schedule.

Hospitals typically charge $37 cash for this outpatient procedure — the median across 1,901 hospitals that filed a usable cash price; the average of the middle 60% is $39. Most fall between $19 and $67 (20th–80th percentile).

Hospitals
1,901
States
50
Filings dated
Dec 2023 – 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 1,901 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$22$37$60$107

The most expensive tenth of hospitals charges at least 8.5× what the cheapest tenth charges ($13 vs $107).

How the prices are spread

$9 – $12: 73 hospitals$9$12 – $16: 103 hospitals$16 – $21: 186 hospitals$16$21 – $28: 208 hospitals$28 – $38: 309 hospitals$28$38 – $52: 343 hospitals$52 – $70: 219 hospitals$52$70 – $94: 136 hospitals$94 – $126: 88 hospitals$94$126 – $170: 46 hospitals$126median $37price bands are equal on a log scale
Hospitals per price band (1,711 of 1,901 — the bands cover the 5th to 95th percentile)
FromToHospitals
$9$1273
$12$16103
$16$21186
$21$28208
$28$38309
$38$52343
$52$70219
$70$94136
$94$12688
$126$17046

By state

The median cash price in each state, against the national median of $37.

Alaska: median $69 across 10 hospitalsAK$69Maine: median $20 across 10 hospitalsME$20Vermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $16 across 12 hospitalsNH$16Washington: median $19 across 45 hospitalsWA$19Idaho: median $21 across 14 hospitalsID$21Montana: median $37 across 20 hospitalsMT$37North Dakota: median $24 across 11 hospitalsND$24Minnesota: median $39 across 61 hospitalsMN$39Illinois: median $48 across 68 hospitalsIL$48Wisconsin: median $42 across 61 hospitalsWI$42Michigan: median $29 across 50 hospitalsMI$29New York: median $26 across 63 hospitalsNY$26Massachusetts: median $29 across 22 hospitalsMA$29Oregon: median $36 across 35 hospitalsOR$36Nevada: 9 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 $51 across 19 hospitalsSD$51Iowa: median $37 across 65 hospitalsIA$37Indiana: median $53 across 61 hospitalsIN$53Ohio: median $31 across 81 hospitalsOH$31Pennsylvania: median $31 across 96 hospitalsPA$31New Jersey: median $16 across 31 hospitalsNJ$16Connecticut: median $39 across 17 hospitalsCT$39Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $33 across 144 hospitalsCA$33Utah: median $36 across 17 hospitalsUT$36Colorado: median $27 across 40 hospitalsCO$27Nebraska: median $35 across 50 hospitalsNE$35Missouri: median $40 across 41 hospitalsMO$40Kentucky: median $39 across 30 hospitalsKY$39West Virginia: median $17 across 27 hospitalsWV$17Virginia: median $30 across 41 hospitalsVA$30Maryland: median $40 across 25 hospitalsMD$40Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $31 across 16 hospitalsAZ$31New Mexico: median $41 across 13 hospitalsNM$41Kansas: median $23 across 30 hospitalsKS$23Arkansas: median $28 across 13 hospitalsAR$28Tennessee: median $29 across 43 hospitalsTN$29North Carolina: median $37 across 53 hospitalsNC$37South Carolina: median $51 across 31 hospitalsSC$51Oklahoma: median $18 across 29 hospitalsOK$18Louisiana: median $31 across 31 hospitalsLA$31Mississippi: median $26 across 28 hospitalsMS$26Alabama: median $38 across 26 hospitalsAL$38Georgia: median $37 across 49 hospitalsGA$37Hawaii: median $34 across 16 hospitalsHI$34Texas: median $47 across 139 hospitalsTX$47Florida: median $62 across 83 hospitalsFL$62
Cash price by state, most expensive first. National median $37. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alaska AK10$69+83%$20 – $127
Florida FL83$62+65%$35 – $115
Indiana IN61$53+40%$34 – $61
South Carolina SC31$51+36%$37 – $75
South Dakota SD19$51+36%$39 – $82
Illinois IL68$48+29%$19 – $85
Texas TX139$47+25%$32 – $130
Wisconsin WI61$42+12%$17 – $55
New Mexico NM13$41+10%$30 – $41
Maryland MD25$40+7%$19 – $67
Missouri MO41$40+6%$17 – $44
Minnesota MN61$39+4%$15 – $54
Connecticut CT17$39+4%$36 – $82
Kentucky KY30$39+4%$19 – $82
Alabama AL26$38+1%$26 – $119
Georgia GA49$370%$24 – $70
Montana MT20$37−2%$25 – $48
North Carolina NC53$37−2%$25 – $116
Iowa IA65$37−2%$31 – $54
Oregon OR35$36−5%$18 – $50
Utah UT17$36−5%$27 – $45
Nebraska NE50$35−7%$14 – $45
Hawaii HI16$34−10%$29 – $45
California CA144$33−11%$21 – $87
Arizona AZ16$31−16%$14 – $81
Pennsylvania PA96$31−17%$7 – $56
Ohio OH81$31−18%$26 – $59
Louisiana LA31$31−19%$14 – $48
Virginia VA41$30−19%$20 – $102
Tennessee TN43$29−22%$22 – $76
Michigan MI50$29−22%$18 – $49
Massachusetts MA22$29−24%$14 – $74
Arkansas AR13$28−25%$10 – $55
Colorado CO40$27−27%$20 – $56
New York NY63$26−31%$16 – $52
Mississippi MS28$26−32%$14 – $43
North Dakota ND11$24−35%$9 – $31
Kansas KS30$23−39%$16 – $45
Idaho ID14$21−44%$20 – $59
Maine ME10$20−47%$7 – $33
Washington WA45$19−50%$11 – $71
Oklahoma OK29$18−53%$18 – $50
West Virginia WV27$17−55%$12 – $39
New Jersey NJ31$16−57%$6 – $102
New Hampshire NH12$16−58%$15 – $26
Nevada NV9not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Delaware DE5not 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 $37.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,395$37$19 – $70
Children’s35$47$20 – $107
Critical access463$37$18 – $61
Ownership
For-profit234$64$30 – $272
Government303$31$17 – $60
Non-profit1,356$36$18 – $61
System affiliation
Part of a system1,575$37$19 – $66
Independent326$38$18 – $76

Cash price vs list price

Median list price (chargemaster)$60
Median cash price$37
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

1,363 hospitals filed a usable inpatient cash price for this code. The median is $37 and the average of the middle 60% is $38; most fall between $20 and $64.

Cash price percentiles, inpatient, across 1,363 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$37$55$95

The most expensive tenth of hospitals charges at least 7.2× what the cheapest tenth charges ($13 vs $95).

Of the 1,513 hospitals that filed this code inpatient, 1,363 gave a usable cash price; 42 carried a plausibility flag, 9 filed a number their own filing marks as not a price, 0 gave an estimate, and 99 a list price only.

How complete is this

1,901 of the 3,956 hospitals with a price file in our corpus (48%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,081 hospitals that filed this code at all gave us
Usable cash price — counted1,901
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) — excluded15
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded109
Hospitals that filed this code2,081

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 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 Hib Prp-T Vaccine 4 Dose Schedule Im Use.

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, “Hib vaccine, four-dose type (CPT 90648) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90648-hib-vaccine-four-dose-type