Administration immunization each additional component cost at US hospitals
HC Administration Immunization Each Additional Component · CPT 90461
$5.95
lowest cash price
$29.20
national median
$261.00
highest cash price
224
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $5.95–$261.00 — the variation is the story.
Median cash price over time
Dec 1, 2025 ($23.28) → Sep 1, 2026 ($70.23)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 4 | $19.32 | $19.32 | $96.72 |
| Arizona | 1 | $23.01 | $23.01 | $23.01 |
| Arkansas | 1 | $94.00 | $94.00 | $94.00 |
| California | 34 | $15.81 | $202.16 | $202.16 |
| Colorado | 6 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 49 | $25.62 | $46.80 | $124.80 |
| Georgia | 8 | $261.00 | $261.00 | $261.00 |
| Illinois | 15 | $19.60 | $25.90 | $46.90 |
| Indiana | 17 | $246.45 | $246.45 | $246.45 |
| Iowa | 26 | $20.40 | $27.20 | $43.00 |
| Kansas | 4 | $52.00 | $52.00 | $52.00 |
| Kentucky | 6 | $246.45 | $246.45 | $246.45 |
| Louisiana | 6 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 25 | $12.19 | $44.00 | $70.23 |
| Minnesota | 4 | $24.00 | $24.00 | $24.00 |
| Missouri | 12 | $23.25 | $44.55 | $44.55 |
| Montana | 1 | $13.60 | $13.60 | $13.60 |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 21 | not published by hospital | not published by hospital | not published by hospital |
| New Mexico | 1 | not published by hospital | not published by hospital | not published by hospital |
| New York | 16 | $18.00 | $18.00 | $29.00 |
| North Carolina | 12 | $23.28 | $23.28 | $23.28 |
| North Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 34 | $10.00 | $29.20 | $67.50 |
| Oklahoma | 11 | $13.00 | $13.00 | $15.60 |
| Oregon | 4 | $10.88 | $13.44 | $24.75 |
| Pennsylvania | 7 | $40.20 | $48.60 | $113.40 |
| South Dakota | 3 | $29.60 | $29.60 | $29.60 |
| Tennessee | 22 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 67 | $5.95 | $14.00 | $22.38 |
| Washington | 13 | $11.95 | $11.95 | $11.95 |
| West Virginia | 14 | $10.50 | $14.00 | $168.00 |
| Wisconsin | 10 | $18.24 | $35.20 | $36.04 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Porter | Denver, CO | not published | $15.39 – $15.39 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $23.74 – $27.49 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | not published | $7.80 – $8.62 |
| Sanford Fargo Medical Center | Fargo, ND | not published | $7.80 – $8.65 |
| Sanford Medical Center Bismarck | Bismarck, ND | not published | $7.84 – $8.67 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $7.83 – $8.65 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $7.83 – $8.65 |
| Covenant Children's Hospital | Lubbock, TX | not published | $44.23 – $44.23 |
| Newark Beth Israel Medical Center | Newark, NJ | not published | $6.15 – $41.00 |
| Swedish Issaquah | Issaquah, WA | not published | $18.22 – $18.22 |
| Ascension Saint Thomas Midtown | Nashville, TN | not published | $9.64 – $26.84 |
| Clara Maass Medical Center | Belleville, NJ | not published | $6.15 – $41.00 |
| Community Medical Center | Toms River, NJ | not published | $6.00 – $41.00 |
| Covenant Hospital Plainview | Plainview, TX | not published | $27.37 – $27.97 |
| Berger Hospital | Circleville, OH | not published | $13.00 – $13.00 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | not published | $41.54 – $41.54 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $12.25 – $13.47 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso, OK | not published | $13.67 – $26.21 |
| Trinitas Regional Medical Center | Elizabeth, NJ | not published | $13.05 – $41.00 |
| Lincoln Health | Damariscotta, ME | not published | $9.32 – $17.62 |
| Stephens Memorial Hospital | Norway, ME | not published | $9.88 – $17.62 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $35.67 – $35.67 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | not published | $30.61 – $88.99 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $30.61 – $88.99 |
| AdventHealth Littleton | Littleton, CO | not published | $15.39 – $15.39 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | not published | $41.07 – $41.07 |
| Ascension Providence | Waco, TX | not published | $21.53 – $32.04 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | not published | $21.08 – $21.08 |
| North Central Bronx | Bronx, NY | not published | $0.01 – $645.00 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | not published | $21.08 – $21.08 |
| Ascension Saint Thomas Hickman | Centerville, TN | not published | $21.47 – $26.84 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | not published | $9.64 – $26.84 |
| Ascension Saint Thomas River Park | McMinnville, TN | not published | $14.40 – $26.84 |
| Henry Ford Warren Hospital | Warren, MI | not published | $14.15 – $14.15 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | not published | $14.15 – $14.15 |
| Ascension Saint Thomas DeKalb | Smithville, TN | not published | $9.64 – $26.84 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks, OK | not published | $13.67 – $13.67 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | not published | $13.67 – $23.13 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata, OK | not published | $13.67 – $23.13 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville, OK | not published | $13.67 – $23.13 |
| Ascension Saint Thomas Highlands | Sparta, TN | not published | $9.64 – $26.84 |
| Henry Ford River District Hospital | China Township, MI | not published | $14.15 – $14.15 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa, OK | not published | $13.67 – $26.52 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | not published | $1.73 – $12.51 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | not published | $2.66 – $12.51 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $20.64 – $44.23 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | not published | $11.98 – $48.47 |
| Covenant Medical Center | Lubbock, TX | not published | $26.81 – $44.23 |
| South Brooklyn Health | Brooklyn, NY | not published | $0.01 – $645.00 |
| Henry Ford Rochester Hospital | Rochester, MI | not published | $31.36 – $33.65 |