Procedure price report · Prophylactic vaccinations and inoculations

Childhood diphtheria, tetanus, whooping cough shot

CPT code CPT 90700the billing code this page is about

The vaccine product for a single injection protecting children under 7 against diphtheria, tetanus, and whooping cough; giving the shot is billed separately.

Hospitals typically charge $58 cash for this outpatient procedure — the median across 2,097 hospitals that filed a usable cash price; the average of the middle 60% is $61. Most fall between $31 and $109 (20th–80th percentile).

Hospitals
2,097
States
50
Filings dated
Mar 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 2,097 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
$22$34$58$93$159

The most expensive tenth of hospitals charges at least 7.4× what the cheapest tenth charges ($22 vs $159).

How the prices are spread

$17 – $22: 128 hospitals$17$22 – $29: 167 hospitals$29 – $38: 242 hospitals$29$38 – $50: 253 hospitals$50 – $65: 314 hospitals$50$65 – $86: 252 hospitals$86 – $112: 244 hospitals$86$112 – $147: 155 hospitals$147 – $193: 76 hospitals$147$193 – $252: 58 hospitals$193median $58price bands are equal on a log scale
Hospitals per price band (1,889 of 2,097 — the bands cover the 5th to 95th percentile)
FromToHospitals
$17$22128
$22$29167
$29$38242
$38$50253
$50$65314
$65$86252
$86$112244
$112$147155
$147$19376
$193$25258

By state

The median cash price in each state, against the national median of $58.

Alaska: median $56 across 11 hospitalsAK$56Maine: median $24 across 16 hospitalsME$24Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $32 across 61 hospitalsWA$32Idaho: median $43 across 16 hospitalsID$43Montana: median $51 across 23 hospitalsMT$51North Dakota: median $50 across 22 hospitalsND$50Minnesota: median $50 across 84 hospitalsMN$50Illinois: median $65 across 77 hospitalsIL$65Wisconsin: median $48 across 69 hospitalsWI$48Michigan: median $37 across 63 hospitalsMI$37New York: median $48 across 73 hospitalsNY$48Massachusetts: median $53 across 23 hospitalsMA$53Oregon: median $58 across 43 hospitalsOR$58Nevada: median $49 across 14 hospitalsNV$49Wyoming: median $43 across 11 hospitalsWY$43South Dakota: median $78 across 15 hospitalsSD$78Iowa: median $43 across 71 hospitalsIA$43Indiana: median $71 across 74 hospitalsIN$71Ohio: median $63 across 96 hospitalsOH$63Pennsylvania: median $32 across 88 hospitalsPA$32New Jersey: median $70 across 29 hospitalsNJ$70Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $52 across 134 hospitalsCA$52Utah: median $69 across 30 hospitalsUT$69Colorado: median $58 across 53 hospitalsCO$58Nebraska: median $40 across 55 hospitalsNE$40Missouri: median $73 across 52 hospitalsMO$73Kentucky: median $88 across 30 hospitalsKY$88West Virginia: median $32 across 27 hospitalsWV$32Virginia: median $61 across 35 hospitalsVA$61Maryland: median $74 across 18 hospitalsMD$74Delaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $67 across 21 hospitalsAZ$67New Mexico: median $120 across 15 hospitalsNM$120Kansas: median $48 across 47 hospitalsKS$48Arkansas: median $45 across 16 hospitalsAR$45Tennessee: median $57 across 43 hospitalsTN$57North Carolina: median $62 across 50 hospitalsNC$62South Carolina: median $109 across 36 hospitalsSC$109Oklahoma: median $41 across 32 hospitalsOK$41Louisiana: median $36 across 27 hospitalsLA$36Mississippi: median $40 across 23 hospitalsMS$40Alabama: median $105 across 25 hospitalsAL$105Georgia: median $69 across 51 hospitalsGA$69Hawaii: median $48 across 16 hospitalsHI$48Texas: median $90 across 148 hospitalsTX$90Florida: median $99 across 111 hospitalsFL$99
Cash price by state, most expensive first. National median $58. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Mexico NM15$120+107%$36 – $120
South Carolina SC36$109+89%$37 – $126
Alabama AL25$105+82%$27 – $155
Florida FL111$99+71%$50 – $193
Texas TX148$90+56%$45 – $237
Kentucky KY30$88+52%$40 – $132
South Dakota SD15$78+35%$56 – $94
Maryland MD18$74+29%$45 – $137
Missouri MO52$73+26%$24 – $101
Indiana IN74$71+22%$48 – $92
New Jersey NJ29$70+21%$20 – $142
Utah UT30$69+19%$58 – $85
Georgia GA51$69+19%$34 – $135
Arizona AZ21$67+16%$32 – $203
Illinois IL77$65+12%$44 – $126
Ohio OH96$63+9%$42 – $94
North Carolina NC50$62+8%$29 – $228
Virginia VA35$61+5%$25 – $188
Oregon OR43$580%$23 – $117
Colorado CO53$580%$31 – $126
Tennessee TN43$57−1%$20 – $105
Alaska AK11$56−3%$51 – $137
Massachusetts MA23$53−7%$33 – $71
California CA134$52−10%$31 – $118
Montana MT23$51−12%$33 – $89
Minnesota MN84$50−13%$31 – $71
North Dakota ND22$50−14%$34 – $57
Nevada NV14$49−15%$30 – $211
Hawaii HI16$48−16%$43 – $106
New York NY73$48−17%$25 – $78
Kansas KS47$48−17%$30 – $81
Wisconsin WI69$48−18%$35 – $66
Arkansas AR16$45−22%$22 – $88
Wyoming WY11$43−25%$38 – $115
Idaho ID16$43−26%$32 – $69
Iowa IA71$43−26%$33 – $70
Oklahoma OK32$41−29%$35 – $118
Mississippi MS23$40−31%$23 – $90
Nebraska NE55$40−31%$20 – $66
Michigan MI63$37−37%$22 – $66
Louisiana LA27$36−38%$25 – $120
Pennsylvania PA88$32−44%$21 – $83
Washington WA61$32−45%$21 – $66
West Virginia WV27$32−45%$21 – $65
Maine ME16$24−59%$16 – $57
Connecticut CT6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Rhode Island RI2not 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 $58.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,452$61$31 – $119
Children’s45$51$19 – $126
Critical access591$51$29 – $86
Ownership
For-profit264$101$43 – $283
Government380$47$25 – $86
Non-profit1,444$57$31 – $95
System affiliation
Part of a system1,716$58$32 – $110
Independent381$48$27 – $99

Cash price vs list price

Median list price (chargemaster)$96
Median cash price$58
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

1,466 hospitals filed a usable inpatient cash price for this code. The median is $58 and the average of the middle 60% is $60; most fall between $32 and $102.

Cash price percentiles, inpatient, across 1,466 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
$23$35$58$90$142

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($23 vs $142).

Of the 1,613 hospitals that filed this code inpatient, 1,466 gave a usable cash price; 36 carried a plausibility flag, 7 filed a number their own filing marks as not a price, 0 gave an estimate, and 104 a list price only.

How complete is this

2,097 of the 3,956 hospitals with a price file in our corpus (53%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,291 hospitals that filed this code at all gave us
Usable cash price — counted2,097
Cash price carrying a plausibility flag — shown on the compare tool, excluded here59
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded12
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded119
Hospitals that filed this code2,291

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.

Hospitals file this code under descriptions such as Diphth Tetanus Tox Acell Pertussis Vacc<7 Yr 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, “Childhood diphtheria, tetanus, whooping cough shot (CPT 90700) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90700-childhood-diphtheria-tetanus-whooping-cough-shot