Administration of vaccine
Medicare pricing data for 81,604 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Administration of vaccine (HCPCS code 90471) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $18.63, but hospitals typically charge $47.83 — a 2.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $18.63, your out-of-pocket cost would be approximately $3.73. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.6x more than what Medicare allows for this procedure. Medicare actually pays $12.65 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $22 | $49 | 382 | 2,038 | +19.0% |
| Alaska | $22 | $48 | 174 | 676 | +16.3% |
| New York | $21 | $55 | 4,622 | 17,605 | +15.2% |
| California | $21 | $58 | 3,132 | 8,859 | +13.3% |
| New Jersey | $21 | $54 | 3,959 | 20,268 | +12.7% |
| Hawaii | $20 | $47 | 113 | 289 | +9.7% |
| Connecticut | $20 | $49 | 953 | 2,628 | +7.9% |
| Massachusetts | $20 | $63 | 1,964 | 6,848 | +7.6% |
| Maryland | $20 | $48 | 2,915 | 18,114 | +6.1% |
| Virginia | $20 | $46 | 3,258 | 17,459 | +6.0% |
| Colorado | $19 | $46 | 2,361 | 9,878 | +3.8% |
| Rhode Island | $19 | $46 | 312 | 1,167 | +3.0% |
| Illinois | $19 | $49 | 2,554 | 6,837 | +1.1% |
| North Dakota | $19 | $71 | 74 | 280 | +0.7% |
| Washington | $19 | $54 | 922 | 2,405 | +0.7% |
| New Hampshire | $19 | $55 | 403 | 1,254 | -0.3% |
| Pennsylvania | $18 | $43 | 6,145 | 27,073 | -1.2% |
| Minnesota | $18 | $43 | 1,000 | 1,743 | -1.3% |
| Nevada | $18 | $52 | 282 | 828 | -1.6% |
| Delaware | $18 | $36 | 409 | 2,751 | -1.7% |
| Puerto Rico | $18 | $32 | 38 | 84 | -1.7% |
| Georgia | $18 | $56 | 2,959 | 12,404 | -1.9% |
| Texas | $18 | $46 | 7,423 | 29,373 | -2.4% |
| Florida | $18 | $47 | 5,169 | 21,957 | -2.5% |
| Wisconsin | $18 | $63 | 1,238 | 2,585 | -3.5% |
| South Dakota | $18 | $55 | 141 | 456 | -3.5% |
| Oregon | $18 | $59 | 522 | 1,349 | -4.0% |
| Michigan | $18 | $43 | 1,207 | 3,007 | -4.3% |
| Wyoming | $18 | $36 | 153 | 417 | -4.3% |
| Maine | $18 | $54 | 196 | 443 | -4.6% |
| North Carolina | $18 | $47 | 4,358 | 17,630 | -4.7% |
| Montana | $18 | $46 | 167 | 508 | -4.9% |
| Arizona | $18 | $48 | 978 | 3,565 | -5.3% |
| South Carolina | $18 | $49 | 1,929 | 9,454 | -5.5% |
| West Virginia | $17 | $38 | 490 | 1,821 | -6.9% |
| Indiana | $17 | $41 | 1,332 | 3,398 | -7.3% |
| Utah | $17 | $41 | 323 | 603 | -7.3% |
| Iowa | $17 | $53 | 855 | 2,544 | -7.5% |
| New Mexico | $17 | $45 | 585 | 2,737 | -7.5% |
| Nebraska | $17 | $44 | 515 | 1,433 | -7.6% |
| Louisiana | $17 | $41 | 1,467 | 7,382 | -7.6% |
| Missouri | $17 | $46 | 939 | 2,599 | -7.7% |
| Vermont | $17 | $52 | 122 | 275 | -8.4% |
| Kansas | $17 | $39 | 645 | 1,679 | -8.6% |
| Tennessee | $17 | $42 | 2,549 | 9,035 | -8.8% |
| Alabama | $17 | $36 | 1,488 | 4,942 | -9.0% |
| Idaho | $17 | $45 | 228 | 572 | -9.4% |
| Arkansas | $17 | $46 | 1,096 | 4,631 | -11.1% |
| Oklahoma | $16 | $38 | 1,568 | 6,386 | -12.3% |
| Ohio | $16 | $43 | 2,654 | 5,793 | -14.2% |
| Mississippi | $16 | $40 | 1,125 | 4,842 | -15.4% |
| Kentucky | $15 | $47 | 1,148 | 2,803 | -17.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber