Administration of vaccine, each additional vaccine
Medicare pricing data for 12,030 providers across 51 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, each additional vaccine (HCPCS code 90472) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.74, but hospitals typically charge $32.23 — a 2.3x 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 $13.74, your out-of-pocket cost would be approximately $2.75. 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 2.3x more than what Medicare allows for this procedure. Medicare actually pays $9.14 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $16 | $30 | 107 | 295 | +18.2% |
| Alaska | $16 | $36 | 61 | 167 | +17.7% |
| New York | $16 | $41 | 422 | 845 | +15.1% |
| New Jersey | $15 | $37 | 671 | 1,430 | +11.1% |
| California | $15 | $41 | 188 | 332 | +9.2% |
| Connecticut | $15 | $34 | 74 | 91 | +9.2% |
| Maryland | $15 | $29 | 668 | 1,965 | +7.7% |
| Massachusetts | $15 | $39 | 381 | 865 | +7.1% |
| Illinois | $14 | $33 | 299 | 573 | +5.4% |
| New Hampshire | $14 | $41 | 72 | 231 | +4.4% |
| Virginia | $14 | $31 | 691 | 1,564 | +4.1% |
| Hawaii | $14 | $41 | 5 | 17 | +4.0% |
| Oregon | $14 | $40 | 50 | 77 | +3.8% |
| Michigan | $14 | $23 | 68 | 254 | +2.0% |
| Maine | $14 | $36 | 33 | 61 | +2.0% |
| Colorado | $14 | $29 | 685 | 1,585 | +2.0% |
| Texas | $14 | $37 | 1,079 | 2,900 | -0.7% |
| Washington | $14 | $31 | 85 | 167 | -0.9% |
| Georgia | $14 | $41 | 521 | 1,195 | -0.9% |
| North Dakota | $14 | $51 | 7 | 20 | -1.3% |
| Delaware | $14 | $27 | 64 | 161 | -1.5% |
| Minnesota | $14 | $41 | 168 | 263 | -1.7% |
| Florida | $13 | $34 | 710 | 1,532 | -1.8% |
| Pennsylvania | $13 | $29 | 1,211 | 2,232 | -2.3% |
| Rhode Island | $13 | $32 | 48 | 92 | -2.3% |
| Montana | $13 | $26 | 11 | 20 | -3.1% |
| Arizona | $13 | $25 | 80 | 174 | -3.1% |
| Nevada | $13 | $31 | 22 | 46 | -3.4% |
| Wisconsin | $13 | $41 | 185 | 264 | -3.8% |
| Missouri | $13 | $26 | 84 | 141 | -4.5% |
| South Carolina | $13 | $30 | 199 | 355 | -4.7% |
| North Carolina | $13 | $31 | 781 | 1,921 | -4.9% |
| Indiana | $13 | $30 | 97 | 141 | -5.2% |
| South Dakota | $13 | $44 | 14 | 35 | -5.5% |
| Nebraska | $13 | $28 | 38 | 48 | -6.5% |
| Louisiana | $13 | $27 | 201 | 560 | -6.7% |
| Iowa | $13 | $32 | 38 | 59 | -6.9% |
| Kansas | $13 | $31 | 45 | 59 | -7.1% |
| Wyoming | $13 | $16 | 21 | 107 | -7.4% |
| West Virginia | $13 | $29 | 55 | 100 | -7.6% |
| Idaho | $13 | $29 | 19 | 43 | -7.6% |
| New Mexico | $13 | $30 | 129 | 300 | -8.0% |
| Tennessee | $13 | $28 | 350 | 804 | -8.2% |
| Alabama | $13 | $27 | 186 | 517 | -8.2% |
| Arkansas | $12 | $24 | 202 | 765 | -10.5% |
| Utah | $12 | $24 | 32 | 50 | -11.3% |
| Oklahoma | $12 | $25 | 263 | 765 | -11.6% |
| Vermont | $12 | $26 | 17 | 23 | -12.6% |
| Kentucky | $12 | $27 | 205 | 306 | -13.9% |
| Ohio | $12 | $28 | 247 | 324 | -15.4% |
| Mississippi | $12 | $28 | 128 | 270 | -15.6% |
⚠️ 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