Vaccine administration fee cost in St. Louis, MO
In St. Louis, MO-IL, 12 hospitals list a cash price for vaccine administration fee (giving the shot), first vaccine of the visit: from $31.20 to $119.52, with a median of $61.10. The lowest listed price is at Mercy Hospital Washington — $29.90 less than the median here. Across Missouri, the median is $53.30 at 29 hospitals.
Cash prices at 12 facilities across 10 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 Jun 12, 2026 and Jun 12, 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 St. Louis, MO-IL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Mercy Hospital Washington lowest Washington, MO Imm Admin Vac/Toxoid X 1 Mlp | $31.20 | $48.00 | $60.68–$100.12 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Imm Admin Vac/Toxoid X 1 Mlp | $31.85 | $49.00 | $70.75–$162.26 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Imm Admin Vac/Toxoid X 1 Mlp | $32.50 | $50.00 | $84.95–$93.45 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Imm Admin Vac/Toxoid X 1 Pf | $37.70 | $58.00 | $60.68–$94.66 | 35% | — source file |
| Mercy Hospital Lincoln Elsberry, MO Im Adm Prq ID Subq/Im Njxs 1 Vaccine | $51.00 | $68.00 | $34.00–$61.20 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Im Adm Prq ID Subq/Im Njxs 1 Vaccine | $51.00 | $68.00 | $34.00–$61.20 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Influenza Admin, Initial | $51.00 | $68.00 | $34.00–$61.20 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Im Adm Prq ID Subq/Im Njxs 1 Vaccine | $51.00 | $68.00 | $34.00–$61.20 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Im Adm Prq ID Subq/Im Njxs 1 Vaccine | $51.00 | $68.00 | $34.00–$61.20 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Influenza Admin, Initial | $51.00 | $68.00 | $34.00–$61.20 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Im Adm Prq ID Subq/Im Njxs 1 Vaccine | $51.00 | $68.00 | $34.00–$61.20 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Influenza Admin, Initial | $51.00 | $68.00 | $34.00–$61.20 | 25% | Jun 12, 2026 source file |
| Mercy Hospitals East Communities Washington, MO Im Adm Prq ID Subq/Im Njxs 1 Vaccine | $51.00 | $68.00 | $34.00–$61.20 | 25% | Jun 12, 2026 source file |
| Mercy Hospitals East Communities Washington, MO Influenza Admin, Initial | $51.00 | $68.00 | $34.00–$57.80 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Influenza Admin, Initial | $51.00 | $68.00 | $34.00–$61.20 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Influenza Admin, Initial | $51.00 | $68.00 | $34.00–$61.20 | 25% | Jun 12, 2026 source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Imm Admin Vac/Toxoid X1 | $59.15 | $91.00 | $70.75–$162.26 | 35% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Admin Hepatitis B Vaccine | $59.15 | $91.00 | $20.97–$100.12 | 35% | — source file |
| Gateway Regional Medical Center Granite City, IL · (618) 798-3000 IMM ADM PNEU VACCINE | $63.04 | $105.06 | $105.06 | 40% | — source file |
| St Josephs Hospital Hospital Sisters Third Order of St Francis Breese, IL · (618) 526-4511 HC IMMUN ADMIN ONE VACC | $66.96 | $93.00 | $26.04–$192.89 | 28% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Imm Admin Vac/Toxoid X1 | $67.60 | $104.00 | $6.76–$104.00 | 35% | — source file |
| Hshs Holy Family Hospital Greenville, IL · (618) 664-1230 HC IMMUN ADMIN ONE VACC | $79.92 | $111.00 | $31.08–$192.89 | 28% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Admin Hepatitis B Vaccine | $81.90 | $126.00 | $60.68–$94.66 | 35% | — source file |
| Mercy Hospital Washington Washington, MO Admin Hepatitis B Vaccine | $85.80 | $132.00 | $60.68–$100.12 | 35% | — source file |
| Mercy Hospital Washington Washington, MO Vaccine Adm 1st Vaccine Clinic | $85.80 | $132.00 | $70.75–$90.15 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Imm Admin Vac/Toxoid X1 | $87.10 | $134.00 | $60.68–$94.66 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Vaccine Adm 1st Vaccine Clinic | $91.00 | $140.00 | $60.68–$94.66 | 35% | — source file |
| Mercy Hospital Washington Washington, MO Imm Admin Vac/Toxoid X1 | $95.55 | $147.00 | $70.75–$90.15 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Imm Admin Vac/Toxoid X1 | $96.20 | $148.00 | $70.75–$162.26 | 35% | — source file |
| Gateway Regional Medical Center Granite City, IL · (618) 798-3000 IMM ADM INJ SINGLE | $97.35 | $162.25 | $162.25 | 40% | — source file |
| St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland, IL · (618) 651-2600 HC IMMUN ADMIN ONE VACC | $109.44 | $152.00 | $30.40–$152.00 | 28% | — source file |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL HC IMMUN ADMIN ONE VACC | $119.52 | $166.00 | $33.67–$191.70 | 28% | — source file |
Outpatient: lowest $31.20, median $61.10, highest $119.52 — a 3.8× difference within the same market.
As an inpatient, the same code is billed by 7 facilities here, median $66.96. 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 12 of 12 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 5 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 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.