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Procedure price report · Prophylactic vaccinations and inoculations

HPV vaccine covering two strains

CPT 90650the billing code this page is about

One injected dose of a human papillomavirus vaccine that covers two virus types, given in the muscle.

Hospitals typically charge $149 cash for this outpatient procedure — the median across 150 hospitals that filed a usable cash price; the average of the middle 60% is $148. Most fall between $77 and $232 (20th–80th percentile).

Hospitals
150
States
34
Filings dated
Oct 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 150 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
$60$77$149$230$499

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($60 vs $499).

How the prices are spread

$47 – $61: 9 hospitals$47$61 – $79: 23 hospitals$79 – $102: 10 hospitals$79$102 – $133: 10 hospitals$133 – $174: 31 hospitals$133$174 – $226: 18 hospitals$226 – $294: 20 hospitals$226$294 – $382: 2 hospitals$382 – $497: 4 hospitals$382$497 – $647: 9 hospitals$497median $149price bands are equal on a log scale
Hospitals per price band (136 of 150 — the bands cover the 5th to 95th percentile)
FromToHospitals
$47$619
$61$7923
$79$10210
$102$13310
$133$17431
$174$22618
$226$29420
$294$3822
$382$4974
$497$6479

By state

The median cash price in each state, against the national median of $149.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 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: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: median $51 across 10 hospitalsIL$51Wisconsin: 2 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $232 across 17 hospitalsMI$232New York: median $142 across 13 hospitalsNY$142Massachusetts: no hospital in the corpus filed a usable priceMAOregon: no hospital in the corpus filed a usable priceORNevada: no hospital in the corpus filed a usable priceNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $149 across 14 hospitalsIA$149Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: 5 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 1 hospital filed a usable price — fewer than 10, so no figurePANew Jersey: 2 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $77 across 23 hospitalsCA$77Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital 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: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 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: 3 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: 1 hospital filed a usable price — fewer than 10, so no figureOKLouisiana: no hospital in the corpus filed a usable priceLAMississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: 7 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $149. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Michigan MI17$232+56%$223 – $232
Iowa IA14$1490%$149 – $161
New York NY13$142−5%$53 – $612
California CA23$77−48%$77 – $77
Illinois IL10$51−66%$51 – $178
Mississippi MS8not enough hospitals filed a usable price
Texas TX7not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
Ohio OH5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
New Jersey NJ2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Wisconsin WI2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Oklahoma OK1not enough hospitals filed a usable price
Pennsylvania PA1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
Washington WA1not enough hospitals filed a usable price
Wyoming WY1not 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 $149.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care117$149$77 – $232
Children’s3fewer than 20 hospitals
Critical access29$149$92 – $245
Ownership
For-profit21$227$102 – $514
Government25$157$66 – $194
Non-profit103$149$77 – $232
System affiliation
Part of a system117$149$77 – $232
Independent33$176$100 – $399

Cash price vs list price

Median list price (chargemaster)$215
Median cash price$149
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

119 hospitals filed a usable inpatient cash price for this code. The median is $149 and the average of the middle 60% is $154; most fall between $77 and $279.

Cash price percentiles, inpatient, across 119 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
$60$77$149$232$645

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($60 vs $645).

Of the 146 hospitals that filed this code inpatient, 119 gave a usable cash price; 2 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 25 a list price only.

How complete is this

150 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 189 hospitals that filed this code at all gave us
Usable cash price — counted150
Cash price carrying a plausibility flag — shown on the compare tool, excluded here14
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded25
Hospitals that filed this code189

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 2VHPV VACCINE 3 DOSE 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, “HPV vaccine covering two strains (CPT 90650) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90650-hpv-vaccine-covering-two-strains