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Procedure price report · Prophylactic vaccinations and inoculations

HPV vaccine covering nine strains

CPT 90651the billing code this page is about

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

Hospitals typically charge $403 cash for this outpatient procedure — the median across 1,496 hospitals that filed a usable cash price; the average of the middle 60% is $431. Most fall between $225 and $719 (20th–80th percentile).

Hospitals
1,496
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 1,496 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
$151$257$403$664$1,078

The most expensive tenth of hospitals charges at least 7.1× what the cheapest tenth charges ($151 vs $1,078).

How the prices are spread

$106 – $138: 45 hospitals$106$138 – $181: 83 hospitals$181 – $237: 119 hospitals$181$237 – $310: 179 hospitals$310 – $405: 257 hospitals$310$405 – $530: 216 hospitals$530 – $694: 194 hospitals$530$694 – $907: 119 hospitals$907 – $1,187: 87 hospitals$907$1,187 – $1,553: 49 hospitals$1,187median $403price bands are equal on a log scale
Hospitals per price band (1,348 of 1,496 — the bands cover the 5th to 95th percentile)
FromToHospitals
$106$13845
$138$18183
$181$237119
$237$310179
$310$405257
$405$530216
$530$694194
$694$907119
$907$1,18787
$1,187$1,55349

By state

The median cash price in each state, against the national median of $403.

Alaska: median $465 across 14 hospitalsAK$465Maine: median $245 across 15 hospitalsME$245Vermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $202 across 14 hospitalsNH$202Washington: median $256 across 33 hospitalsWA$256Idaho: median $460 across 13 hospitalsID$460Montana: median $346 across 25 hospitalsMT$346North Dakota: median $372 across 18 hospitalsND$372Minnesota: median $379 across 66 hospitalsMN$379Illinois: median $424 across 58 hospitalsIL$424Wisconsin: median $319 across 59 hospitalsWI$319Michigan: median $287 across 52 hospitalsMI$287New York: median $423 across 64 hospitalsNY$423Massachusetts: median $380 across 25 hospitalsMA$380Oregon: median $344 across 27 hospitalsOR$344Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $305 across 22 hospitalsSD$305Iowa: median $286 across 72 hospitalsIA$286Indiana: median $631 across 54 hospitalsIN$631Ohio: median $495 across 76 hospitalsOH$495Pennsylvania: median $260 across 58 hospitalsPA$260New Jersey: median $237 across 26 hospitalsNJ$237Connecticut: median $561 across 13 hospitalsCT$561Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $379 across 83 hospitalsCA$379Utah: median $688 across 13 hospitalsUT$688Colorado: median $688 across 36 hospitalsCO$688Nebraska: median $299 across 30 hospitalsNE$299Missouri: median $320 across 32 hospitalsMO$320Kentucky: median $1,115 across 21 hospitalsKY$1,115West Virginia: median $386 across 29 hospitalsWV$386Virginia: median $393 across 16 hospitalsVA$393Maryland: median $515 across 15 hospitalsMD$515Delaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $620 across 13 hospitalsNM$620Kansas: median $438 across 33 hospitalsKS$438Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $147 across 12 hospitalsTN$147North Carolina: median $381 across 45 hospitalsNC$381South Carolina: median $320 across 26 hospitalsSC$320Oklahoma: median $387 across 21 hospitalsOK$387Louisiana: median $351 across 25 hospitalsLA$351Mississippi: median $170 across 12 hospitalsMS$170Alabama: median $251 across 12 hospitalsAL$251Georgia: median $1,109 across 31 hospitalsGA$1,109Hawaii: median $425 across 13 hospitalsHI$425Texas: median $571 across 71 hospitalsTX$571Florida: median $944 across 64 hospitalsFL$944
Cash price by state, most expensive first. National median $403. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY21$1,115+177%$208 – $3,003
Georgia GA31$1,109+175%$447 – $1,671
Florida FL64$944+134%$439 – $1,793
Colorado CO36$688+71%$350 – $853
Utah UT13$688+71%$621 – $884
Indiana IN54$631+57%$245 – $837
New Mexico NM13$620+54%$413 – $620
Texas TX71$571+42%$318 – $1,265
Connecticut CT13$561+39%$421 – $908
Maryland MD15$515+28%$346 – $948
Ohio OH76$495+23%$287 – $719
Alaska AK14$465+15%$303 – $831
Idaho ID13$460+14%$167 – $460
Kansas KS33$438+9%$261 – $688
Hawaii HI13$425+5%$276 – $607
Illinois IL58$424+5%$333 – $613
New York NY64$423+5%$223 – $747
Virginia VA16$393−2%$281 – $867
Oklahoma OK21$387−4%$218 – $387
West Virginia WV29$386−4%$275 – $697
North Carolina NC45$381−5%$201 – $978
Massachusetts MA25$380−6%$283 – $759
Minnesota MN66$379−6%$284 – $519
California CA83$379−6%$265 – $705
North Dakota ND18$372−8%$213 – $504
Louisiana LA25$351−13%$180 – $676
Montana MT25$346−14%$255 – $392
Oregon OR27$344−15%$200 – $831
Missouri MO32$320−21%$204 – $613
South Carolina SC26$320−21%$320 – $458
Wisconsin WI59$319−21%$142 – $485
South Dakota SD22$305−24%$253 – $746
Nebraska NE30$299−26%$54 – $491
Michigan MI52$287−29%$158 – $468
Iowa IA72$286−29%$255 – $557
Pennsylvania PA58$260−35%$90 – $668
Washington WA33$256−36%$168 – $733
Alabama AL12$251−38%$43 – $1,610
Maine ME15$245−39%$102 – $643
New Jersey NJ26$237−41%$113 – $840
New Hampshire NH14$202−50%$166 – $357
Mississippi MS12$170−58%$90 – $300
Tennessee TN12$147−64%$106 – $252
Wyoming WY9not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Delaware DE3not 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 $403.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care977$417$225 – $759
Children’s36$492$317 – $1,394
Critical access476$373$224 – $620
Ownership
For-profit107$646$261 – $1,430
Government291$346$201 – $613
Non-profit1,091$410$238 – $707
System affiliation
Part of a system1,217$414$238 – $719
Independent279$346$205 – $663

Cash price vs list price

Median list price (chargemaster)$569
Median cash price$403
Cash as a share of list, median hospital70%

At the typical hospital, asking for the cash price cuts the list price by about 30%. 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

1,038 hospitals filed a usable inpatient cash price for this code. The median is $410 and the average of the middle 60% is $441; most fall between $225 and $719.

Cash price percentiles, inpatient, across 1,038 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
$153$260$410$677$1,078

The most expensive tenth of hospitals charges at least 7.1× what the cheapest tenth charges ($153 vs $1,078).

Of the 1,179 hospitals that filed this code inpatient, 1,038 gave a usable cash price; 63 carried a plausibility flag, 5 filed a number their own filing marks as not a price, 0 gave an estimate, and 73 a list price only.

How complete is this

1,496 of the 3,956 hospitals with a price file in our corpus (38%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,692 hospitals that filed this code at all gave us
Usable cash price — counted1,496
Cash price carrying a plausibility flag — shown on the compare tool, excluded here101
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded7
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded88
Hospitals that filed this code1,692

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 9vhpv Vacc 2/3 Dose Sched 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, “HPV vaccine covering nine strains (CPT 90651) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90651-hpv-vaccine-covering-nine-strains