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Procedure price report · Prophylactic vaccinations and inoculations

Covid-19 mRNA vaccine, 25 mcg dose for children

CPT 91321the billing code this page is about

Covers the vaccine product only, a 0.25 mL, 25 mcg mRNA Covid-19 dose for younger children, given in the muscle; the injection service is billed separately.

Hospitals typically charge $175 cash for this outpatient procedure — the median across 771 hospitals that filed a usable cash price; the average of the middle 60% is $185. Most fall between $117 and $297 (20th–80th percentile).

Hospitals
771
States
50
Filings dated
Jun 2024 – 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 771 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
$73$128$175$263$413

The most expensive tenth of hospitals charges at least 5.7× what the cheapest tenth charges ($73 vs $413).

How the prices are spread

$53 – $67: 27 hospitals$53$67 – $85: 36 hospitals$85 – $107: 30 hospitals$85$107 – $136: 97 hospitals$136 – $172: 152 hospitals$136$172 – $218: 119 hospitals$218 – $276: 103 hospitals$218$276 – $349: 58 hospitals$349 – $442: 47 hospitals$349$442 – $560: 34 hospitals$442median $175price bands are equal on a log scale
Hospitals per price band (703 of 771 — the bands cover the 5th to 95th percentile)
FromToHospitals
$53$6727
$67$8536
$85$10730
$107$13697
$136$172152
$172$218119
$218$276103
$276$34958
$349$44247
$442$56034

By state

The median cash price in each state, against the national median of $175.

Alaska: median $228 across 12 hospitalsAK$228Maine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $140 across 24 hospitalsWA$140Idaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $163 across 11 hospitalsMT$163North Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $127 across 50 hospitalsMN$127Illinois: median $186 across 41 hospitalsIL$186Wisconsin: median $142 across 53 hospitalsWI$142Michigan: median $186 across 29 hospitalsMI$186New York: median $221 across 42 hospitalsNY$221Massachusetts: median $191 across 12 hospitalsMA$191Oregon: median $219 across 24 hospitalsOR$219Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $206 across 10 hospitalsSD$206Iowa: median $234 across 46 hospitalsIA$234Indiana: median $352 across 18 hospitalsIN$352Ohio: median $303 across 38 hospitalsOH$303Pennsylvania: median $181 across 29 hospitalsPA$181New Jersey: median $67 across 19 hospitalsNJ$67Connecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $146 across 58 hospitalsCA$146Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 9 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $113 across 19 hospitalsWV$113Virginia: median $77 across 16 hospitalsVA$77Maryland: 9 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $391 across 10 hospitalsNM$391Kansas: median $130 across 11 hospitalsKS$130Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $275 across 11 hospitalsTN$275North Carolina: median $193 across 27 hospitalsNC$193South Carolina: median $239 across 21 hospitalsSC$239Oklahoma: median $190 across 10 hospitalsOK$190Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $276 across 13 hospitalsTX$276Florida: median $303 across 13 hospitalsFL$303
Cash price by state, most expensive first. National median $175. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Mexico NM10$391+123%$269 – $391
Indiana IN18$352+101%$156 – $466
Florida FL13$303+73%$178 – $737
Ohio OH38$303+73%$99 – $368
Texas TX13$276+58%$123 – $581
Tennessee TN11$275+57%$65 – $275
South Carolina SC21$239+37%$139 – $239
Iowa IA46$234+33%$152 – $533
Alaska AK12$228+30%$145 – $661
New York NY42$221+26%$139 – $461
Oregon OR24$219+25%$145 – $274
South Dakota SD10$206+18%$206 – $297
North Carolina NC27$193+10%$44 – $1,121
Massachusetts MA12$191+9%$149 – $1,149
Oklahoma OK10$190+8%$190 – $190
Michigan MI29$186+6%$111 – $277
Illinois IL41$186+6%$69 – $314
Pennsylvania PA29$181+3%$135 – $199
Montana MT11$163−7%$135 – $222
California CA58$146−17%$145 – $212
Wisconsin WI53$142−19%$140 – $176
Washington WA24$140−20%$99 – $204
Kansas KS11$130−26%$94 – $232
Minnesota MN50$127−28%$70 – $197
West Virginia WV19$113−36%$113 – $170
Virginia VA16$77−56%$73 – $116
New Jersey NJ19$67−62%$59 – $227
Colorado CO9not enough hospitals filed a usable price
Georgia GA9not enough hospitals filed a usable price
Maryland MD9not enough hospitals filed a usable price
Nebraska NE9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Hampshire NH2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Rhode Island RI1not 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 $175.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care512$181$113 – $303
Children’s35$268$99 – $413
Critical access223$169$122 – $265
Ownership
For-profit32$190$146 – $314
Government126$154$89 – $258
Non-profit612$182$123 – $303
System affiliation
Part of a system645$178$122 – $277
Independent126$167$95 – $362

Cash price vs list price

Median list price (chargemaster)$275
Median cash price$175
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

549 hospitals filed a usable inpatient cash price for this code. The median is $190 and the average of the middle 60% is $194; most fall between $127 and $303.

Cash price percentiles, inpatient, across 549 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$139$190$264$421

The most expensive tenth of hospitals charges at least 5.4× what the cheapest tenth charges ($78 vs $421).

Of the 600 hospitals that filed this code inpatient, 549 gave a usable cash price; 23 carried a plausibility flag, 10 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

771 of the 3,956 hospitals with a price file in our corpus (19%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 841 hospitals that filed this code at all gave us
Usable cash price — counted771
Cash price carrying a plausibility flag — shown on the compare tool, excluded here32
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded19
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded19
Hospitals that filed this code841

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 HC Covid -19 (Moderna) - Sarscov2 Vaccine 25 Mcg/0.25 Ml for 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, “Covid-19 mRNA vaccine, 25 mcg dose for children (CPT 91321) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-91321-covid-19-mrna-vaccine-25-mcg-dose-for-children