Vaccines CPT 90471 Outpatient

Vaccine administration fee cost in Nashville, TN

In Nashville-Davidson--Murfreesboro--Franklin, TN, 4 hospitals list a cash price for vaccine administration fee (giving the shot), first vaccine of the visit: from $16.24 to $43.88, with a median of $37.06. The lowest listed price is at Vanderbilt Wilson County Hospital — $20.82 less than the median here. Across Tennessee, the median is $30.24 at 43 hospitals.

Cash prices at 4 facilities across 4 cities for code 90471, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Oct 1, 2025 and Oct 1, 2025.

Lowest$16.24Vanderbilt Wilson County Hospital

Median$37.06half pay less

Highest$43.88in this market

Difference2.7×highest vs lowest

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.

median

Lowest $16.24Highest $43.88

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list	File date
Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID	$16.24	$56.00	$0.31–$56.00	71%	Oct 1, 2025 source file
Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID	$30.24	$56.00	$0.31–$56.00	46%	Oct 1, 2025 source file
Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 VACCINE ADMIN INITIAL	$43.88	$146.25	$4.06–$62.13	70%	— source file
Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 VACCINE ADMINISTRATION	$43.88	$146.25	$4.06–$62.13	70%	— source file
Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 VACCINE ADMINISTRATION	$43.88	$146.25	$4.06–$62.13	70%	— source file
Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 VACCINE ADMIN INITIAL 3A	$43.88	$146.25	$4.06–$62.13	70%	— source file
Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 VACCINE ADMIN INITIAL 3A	$43.88	$146.25	$4.06–$62.13	70%	— source file
Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 ADMIN FLU VACCINE	$43.88	$146.25	$4.06–$62.13	70%	— source file
Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 ADMIN FLU VACCINE	$43.88	$146.25	$4.06–$62.13	70%	— source file
Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 VACCINE ADMIN INITIAL	$43.88	$146.25	$4.06–$62.13	70%	— source file
Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 VACCINE ADMIN INITIAL	$43.88	$146.25	$4.06–$62.13	70%	— source file
Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 VACCINE ADMIN INITIAL	$43.88	$146.25	$4.06–$62.13	70%	— source file
Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 IMMUNIZATION RABIES	$43.88	$146.25	$4.06–$62.13	70%	— source file
Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 IMMUNIZATION RABIES	$43.88	$146.25	$4.06–$62.13	70%	— source file
Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 IMMUNIZATION TETANUS	$43.88	$146.25	$4.06–$62.13	70%	— source file
Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 IMMUNIZATION TETANUS	$43.88	$146.25	$4.06–$62.13	70%	— source file
Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 VACCINE ADMINISTRATION	$43.88	$146.25	$4.06–$62.13	70%	— source file
Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 VACCINE ADMINISTRATION	$43.88	$146.25	$4.06–$62.13	70%	— source file

Outpatient: lowest $16.24, median $37.06, highest $43.88 — a 2.7× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $37.06. 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 4 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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 it is

Code 90471 is the administration fee for giving a vaccine by injection, for the first vaccine of the visit. Each additional vaccine at the same visit uses 90472. It does not include the vaccine itself.

What the price covers

The price covers the staff time and supplies to give the shot. The vaccine dose is a separate line with its own code.