HRHospitalRates.comCompare prices

Procedure price report · Prophylactic vaccinations and inoculations

Meningococcal polysaccharide vaccine (ACWY), shot

CPT 90733the billing code this page is about

Covers one dose of the older polysaccharide vaccine against four meningococcal groups (A, C, Y and W-135), given under the skin; the injection fee is billed separately.

Hospitals typically charge $180 cash for this outpatient procedure — the median across 658 hospitals that filed a usable cash price; the average of the middle 60% is $202. Most fall between $102 and $357 (20th–80th percentile).

Hospitals
658
States
49
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 658 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
$78$116$180$325$543

The most expensive tenth of hospitals charges at least 7.0× what the cheapest tenth charges ($78 vs $543).

How the prices are spread

$45 – $60: 17 hospitals$45$60 – $82: 27 hospitals$82 – $112: 78 hospitals$82$112 – $152: 109 hospitals$152 – $206: 114 hospitals$152$206 – $280: 82 hospitals$280 – $380: 91 hospitals$280$380 – $517: 36 hospitals$517 – $702: 31 hospitals$517$702 – $954: 9 hospitals$702median $180price bands are equal on a log scale
Hospitals per price band (594 of 658 — the bands cover the 5th to 95th percentile)
FromToHospitals
$45$6017
$60$8227
$82$11278
$112$152109
$152$206114
$206$28082
$280$38091
$380$51736
$517$70231
$702$9549

By state

The median cash price in each state, against the national median of $180.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $223 across 18 hospitalsWA$223Idaho: 4 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $180 across 32 hospitalsMN$180Illinois: median $159 across 18 hospitalsIL$159Wisconsin: median $156 across 17 hospitalsWI$156Michigan: median $128 across 20 hospitalsMI$128New York: median $117 across 30 hospitalsNY$117Massachusetts: median $150 across 16 hospitalsMA$150Oregon: median $116 across 22 hospitalsOR$116Nevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $149 across 26 hospitalsIA$149Indiana: median $237 across 23 hospitalsIN$237Ohio: median $180 across 35 hospitalsOH$180Pennsylvania: median $83 across 37 hospitalsPA$83New Jersey: median $90 across 14 hospitalsNJ$90Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $354 across 56 hospitalsCA$354Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $130 across 14 hospitalsTN$130North Carolina: median $263 across 22 hospitalsNC$263South Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $153 across 19 hospitalsOK$153Louisiana: median $151 across 12 hospitalsLA$151Mississippi: median $61 across 14 hospitalsMS$61Alabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $320 across 16 hospitalsGA$320Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $528 across 31 hospitalsTX$528Florida: median $224 across 28 hospitalsFL$224
Cash price by state, most expensive first. National median $180. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX31$528+193%$161 – $1,943
California CA56$354+96%$164 – $378
Georgia GA16$320+77%$92 – $462
North Carolina NC22$263+46%$81 – $263
Indiana IN23$237+32%$176 – $345
Florida FL28$224+24%$200 – $662
Washington WA18$223+24%$112 – $356
Minnesota MN32$1800%$126 – $357
Ohio OH35$1800%$135 – $224
Illinois IL18$159−12%$144 – $290
Wisconsin WI17$156−14%$156 – $226
Oklahoma OK19$153−15%$153 – $235
Louisiana LA12$151−16%$125 – $326
Massachusetts MA16$150−17%$126 – $194
Iowa IA26$149−18%$136 – $174
Tennessee TN14$130−28%$50 – $260
Michigan MI20$128−29%$106 – $140
New York NY30$117−35%$94 – $251
Oregon OR22$116−36%$14 – $363
New Jersey NJ14$90−50%$54 – $954
Pennsylvania PA37$83−54%$82 – $193
Mississippi MS14$61−66%$47 – $109
Alabama AL9not enough hospitals filed a usable price
Kansas KS9not enough hospitals filed a usable price
Nebraska NE9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Idaho ID4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Nevada NV1not 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 $180.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care481$187$97 – $369
Children’s12fewer than 20 hospitals
Critical access164$162$106 – $320
Ownership
For-profit70$373$140 – $1,509
Government128$160$106 – $263
Non-profit459$176$96 – $354
System affiliation
Part of a system537$192$101 – $357
Independent121$158$107 – $295

Cash price vs list price

Median list price (chargemaster)$281
Median cash price$180
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

445 hospitals filed a usable inpatient cash price for this code. The median is $183 and the average of the middle 60% is $208; most fall between $105 and $357.

Cash price percentiles, inpatient, across 445 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
$81$117$183$354$545

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($81 vs $545).

Of the 513 hospitals that filed this code inpatient, 445 gave a usable cash price; 24 carried a plausibility flag, 6 filed a number their own filing marks as not a price, 0 gave an estimate, and 38 a list price only.

How complete is this

658 of the 3,956 hospitals with a price file in our corpus (17%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 739 hospitals that filed this code at all gave us
Usable cash price — counted658
Cash price carrying a plausibility flag — shown on the compare tool, excluded here35
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded6
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded40
Hospitals that filed this code739

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 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 MPSV4 VACCINE SUBQ.

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, “Meningococcal polysaccharide vaccine (ACWY), shot (CPT 90733) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90733-meningococcal-polysaccharide-vaccine-acwy-shot