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Procedure price report · Prophylactic vaccinations and inoculations

Meningococcal conjugate vaccine (ACWY), shot in muscle

CPT 90734the billing code this page is about

Covers one dose of the conjugate vaccine protecting against meningococcal groups A, C, W and Y, injected into a muscle; the fee for giving the shot is billed separately.

Hospitals typically charge $220 cash for this outpatient procedure — the median across 1,917 hospitals that filed a usable cash price; the average of the middle 60% is $230. Most fall between $113 and $415 (20th–80th percentile).

Hospitals
1,917
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 1,917 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
$74$127$220$367$627

The most expensive tenth of hospitals charges at least 8.5× what the cheapest tenth charges ($74 vs $627).

How the prices are spread

$38 – $53: 25 hospitals$38$53 – $73: 69 hospitals$73 – $101: 142 hospitals$73$101 – $141: 208 hospitals$141 – $195: 314 hospitals$141$195 – $272: 365 hospitals$272 – $377: 248 hospitals$272$377 – $524: 194 hospitals$524 – $728: 115 hospitals$524$728 – $1,011: 47 hospitals$728median $220price bands are equal on a log scale
Hospitals per price band (1,727 of 1,917 — the bands cover the 5th to 95th percentile)
FromToHospitals
$38$5325
$53$7369
$73$101142
$101$141208
$141$195314
$195$272365
$272$377248
$377$524194
$524$728115
$728$1,01147

By state

The median cash price in each state, against the national median of $220.

Alaska: median $225 across 15 hospitalsAK$225Maine: median $140 across 18 hospitalsME$140Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $122 across 15 hospitalsNH$122Washington: median $125 across 56 hospitalsWA$125Idaho: median $189 across 12 hospitalsID$189Montana: median $177 across 21 hospitalsMT$177North Dakota: median $182 across 13 hospitalsND$182Minnesota: median $195 across 72 hospitalsMN$195Illinois: median $248 across 73 hospitalsIL$248Wisconsin: median $208 across 68 hospitalsWI$208Michigan: median $163 across 59 hospitalsMI$163New York: median $200 across 63 hospitalsNY$200Massachusetts: median $231 across 30 hospitalsMA$231Oregon: median $133 across 35 hospitalsOR$133Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: median $223 across 12 hospitalsWY$223South Dakota: median $217 across 25 hospitalsSD$217Iowa: median $235 across 69 hospitalsIA$235Indiana: median $240 across 60 hospitalsIN$240Ohio: median $311 across 66 hospitalsOH$311Pennsylvania: median $94 across 82 hospitalsPA$94New Jersey: median $95 across 31 hospitalsNJ$95Connecticut: median $254 across 15 hospitalsCT$254Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $261 across 122 hospitalsCA$261Utah: median $360 across 14 hospitalsUT$360Colorado: median $294 across 44 hospitalsCO$294Nebraska: median $133 across 45 hospitalsNE$133Missouri: median $157 across 43 hospitalsMO$157Kentucky: median $150 across 30 hospitalsKY$150West Virginia: median $157 across 31 hospitalsWV$157Virginia: median $189 across 33 hospitalsVA$189Maryland: median $338 across 22 hospitalsMD$338Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $382 across 18 hospitalsAZ$382New Mexico: median $428 across 14 hospitalsNM$428Kansas: median $245 across 40 hospitalsKS$245Arkansas: median $175 across 13 hospitalsAR$175Tennessee: median $159 across 40 hospitalsTN$159North Carolina: median $213 across 49 hospitalsNC$213South Carolina: median $222 across 33 hospitalsSC$222Oklahoma: median $162 across 32 hospitalsOK$162Louisiana: median $178 across 32 hospitalsLA$178Mississippi: median $215 across 19 hospitalsMS$215Alabama: median $252 across 18 hospitalsAL$252Georgia: median $403 across 50 hospitalsGA$403Hawaii: median $295 across 16 hospitalsHI$295Texas: median $355 across 118 hospitalsTX$355Florida: median $567 across 103 hospitalsFL$567
Cash price by state, most expensive first. National median $220. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL103$567+158%$246 – $1,398
New Mexico NM14$428+95%$149 – $428
Georgia GA50$403+83%$144 – $685
Arizona AZ18$382+74%$157 – $727
Utah UT14$360+64%$234 – $517
Texas TX118$355+61%$117 – $794
Maryland MD22$338+54%$220 – $431
Ohio OH66$311+42%$174 – $389
Hawaii HI16$295+34%$241 – $420
Colorado CO44$294+34%$150 – $668
California CA122$261+19%$114 – $494
Connecticut CT15$254+16%$166 – $488
Alabama AL18$252+15%$100 – $457
Illinois IL73$248+13%$133 – $321
Kansas KS40$245+11%$142 – $358
Indiana IN60$240+9%$160 – $497
Iowa IA69$235+7%$149 – $382
Massachusetts MA30$231+5%$170 – $403
Alaska AK15$225+3%$96 – $369
Wyoming WY12$223+2%$154 – $377
South Carolina SC33$222+1%$172 – $343
South Dakota SD25$217−1%$180 – $397
Mississippi MS19$215−2%$57 – $220
North Carolina NC49$213−3%$109 – $378
Wisconsin WI68$208−6%$180 – $291
New York NY63$200−9%$110 – $349
Minnesota MN72$195−11%$122 – $240
Virginia VA33$189−14%$86 – $437
Idaho ID12$189−14%$140 – $189
North Dakota ND13$182−17%$79 – $294
Louisiana LA32$178−19%$85 – $370
Montana MT21$177−19%$144 – $296
Arkansas AR13$175−20%$77 – $381
Michigan MI59$163−26%$112 – $283
Oklahoma OK32$162−26%$161 – $186
Tennessee TN40$159−28%$92 – $338
Missouri MO43$157−29%$99 – $266
West Virginia WV31$157−29%$102 – $407
Kentucky KY30$150−32%$120 – $207
Maine ME18$140−36%$69 – $344
Nebraska NE45$133−39%$20 – $233
Oregon OR35$133−40%$58 – $395
Washington WA56$125−43%$78 – $206
New Hampshire NH15$122−45%$72 – $125
New Jersey NJ31$95−57%$26 – $503
Pennsylvania PA82$94−57%$82 – $254
Nevada NV9not enough hospitals filed a usable price
Vermont VT8not 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 $220.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,358$233$113 – $457
Children’s43$209$82 – $500
Critical access510$195$110 – $327
Ownership
For-profit185$365$160 – $863
Government357$175$101 – $357
Non-profit1,369$221$112 – $390
System affiliation
Part of a system1,576$225$114 – $428
Independent341$189$101 – $349

Cash price vs list price

Median list price (chargemaster)$367
Median cash price$220
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

1,384 hospitals filed a usable inpatient cash price for this code. The median is $230 and the average of the middle 60% is $237; most fall between $117 and $412.

Cash price percentiles, inpatient, across 1,384 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
$80$134$230$367$587

The most expensive tenth of hospitals charges at least 7.3× what the cheapest tenth charges ($80 vs $587).

Of the 1,549 hospitals that filed this code inpatient, 1,384 gave a usable cash price; 51 carried a plausibility flag, 6 filed a number their own filing marks as not a price, 0 gave an estimate, and 108 a list price only.

How complete is this

1,917 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 2,121 hospitals that filed this code at all gave us
Usable cash price — counted1,917
Cash price carrying a plausibility flag — shown on the compare tool, excluded here68
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded8
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded124
Hospitals that filed this code2,121

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 Menacwyd/Menacwy-CRM Conj Vacc Grps Acwy 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, “Meningococcal conjugate vaccine (ACWY), shot in muscle (CPT 90734) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90734-meningococcal-conjugate-vaccine-acwy-shot-in-muscle