Vaccine administration fee cost in Nashville, TN
In Nashville-Davidson--Murfreesboro--Franklin, TN, 20 hospitals list a cash price for vaccine administration fee (giving the shot), first vaccine of the visit: from $25.80 to $499.08, with a median of $126.27. The lowest listed price is at Metro Nashville General Hospital — $100.47 less than the median here. Across Tennessee, the median is $36.30 at 86 hospitals.
- The median here, $126.27, is 116% above the US median of $58.54.
- That is 1.7× Medicare's 2026 national rate for the same service ($73.56).
- Nashville, TN ranks 2nd of 2 metro areas in Tennessee by median, cheapest first.
- 10 of 20 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 20 facilities across 17 cities for code 90471, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Oct 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Nashville-Davidson--Murfreesboro--Franklin, TN.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Metro Nashville General Hospital lowest Nashville, TN · (615) 341-4000 90471 INF Immunization Administration File of Sep 1, 2026 · source file | $25.80 | $43.00 | — | 40% |
| Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 VACCINE ADMINISTRATION+7 more lines at this price File of Jan 1, 2026 · source file | $43.88 | $146.25 | $4.06–$62.13 | 70% |
| Stones River Hospital Woodbury, TN · (615) 563-4001 VACCINE ADMIN INITIAL+5 more lines at this price File of Jul 1, 2026 · source file | $43.88 | $146.25 | $4.06–$52.92 | 70% |
| Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 VACCINE ADMINISTRATION+7 more lines at this price File of Jan 1, 2026 · source file | $43.88 | $146.25 | $4.06–$62.13 | 70% |
| Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HC IMMUN ADMIN ONE VACC File of Oct 1, 2026 · source file | $57.71 | $199.00 | — | 71% |
| Sumner Regional Medical Center Gallatin, TN · (615) 328-8888 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) File of Jul 10, 2026 · source file | $65.33 | $280.40 | $293.00 | 77% |
| Metro Nashville General Hospital Nashville, TN · (615) 341-4000 90471 IMMUN/VACCIN ADMIN 1ST DRUG+1 more line at this price File of Sep 1, 2026 · source file | $70.80 | $118.00 | — | 40% |
| Riverview Regional Medical Center Carthage, TN · (615) 735-9815 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) File of Jul 10, 2026 · source file | $76.13 | $233.54 | $37.37–$233.54 | 67% |
| Saint Thomas Hospital for Specialty Surgery Nashville, TN ED IMMUNIZATION ADMINISTRATION; ONE VACCINE (SINGLE OR COMBINATION VACCINE/TOXOID) File of Apr 14, 2026 · source file | $90.03 | $49.00 | $29.46–$584.01 | -84% |
| Metro Nashville General Hospital Nashville, TN · (615) 341-4000 Admin Immunization Charge -> 90471: IM/SUBQ First dose File of Sep 1, 2026 · source file | $100.80 | $168.00 | — | 40% |
| Metro Nashville General Hospital Nashville, TN · (615) 341-4000 90471 IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE TechFee+1 more line at this price File of Sep 1, 2026 · source file | $105.84 | $176.40 | — | 40% |
| Trousdale Medical Center Hartsville, TN · (615) 374-2221 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) File of Jul 10, 2026 · source file | $118.51 | $233.74 | $84.15–$233.74 | 49% |
| Williamson Medical Center Franklin, TN · (615) 435-5000 INJ IM/SQ/IV VACCINE/TOXOID+4 more lines at this price File of Aug 1, 2026 · source file | $124.44 | $220.70 | $88.94–$209.66 | 44% |
| Macon Community Hospital Lafayette, TN · (615) 666-2147 IMMUNIZATION ADMINISTRATION+1 more line at this price File of Mar 21, 2026 · source file | $128.10 | $213.50 | $4.47–$192.15 | 40% |
| Tristar Skyline Medical Center Nashville, TN · (615) 769-2000 IMMUNIZ ADMIN SGL File of Sep 1, 2026 · source file | $329.11 | $329.11 | $55.95–$322.53 | — |
| Tristar Ashland City Medical Center Ashland City, TN · (615) 792-3030 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) +1 more line at this price File of Sep 1, 2026 · source file | $342.03 | $342.03 | $4.47–$2,000.00 | — |
| Tristar Horizon Medical Center Dickson, TN · (615) 446-0446 IMMUNIZ ADMIN SGL File of Sep 1, 2026 · source file | $347.00 | $347.00 | $58.99–$319.24 | — |
| Tristar Southern Hills Medical Center Antioch, TN · (615) 781-4000 IMMUNIZ ADMIN SGL File of Sep 1, 2026 · source file | $408.29 | $408.29 | $69.41–$359.30 | — |
| Tristar Northcrest Medical Center Springfield, TN · (615) 384-2411 IMMUNIZ ADMIN SGL File of Sep 1, 2026 · source file | $410.00 | $410.00 | $28.70–$336.20 | — |
| Tristar Summit Medical Center Mt Juliet, TN · (615) 316-3000 IMMUNIZ ADMIN SGL File of Sep 1, 2026 · source file | $420.58 | $420.58 | $71.50–$370.11 | — |
| Tristar Hendersonville Medical Center Hendersonville, TN · (615) 338-1000 IMMUNIZ ADMIN SGL File of Sep 1, 2026 · source file | $425.00 | $425.00 | $72.25–$391.00 | — |
| Tristar Centennial Medical Center Nashville, TN · (615) 342-1000 IMMUNIZ ADMIN SGL File of Sep 1, 2026 · source file | $426.56 | $426.56 | $72.52–$426.56 | — |
| Tristar Stonecrest Medical Center Smyrna, TN · (615) 768-2000 IMMUNIZ ADMIN SGL File of Sep 1, 2026 · source file | $499.08 | $499.08 | $84.84–$459.15 | — |
Outpatient: lowest $25.80, median $126.27, highest $499.08 — a 19.3× difference within the same market.
As an inpatient, the same code is billed by 7 facilities here, median $43.88. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 9 of 18 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What vaccine administration fee is, what the price covers and why prices differ: Vaccine administration fee explained.