Vaccines CPT 90471 Inpatient — admitted to hospital

Vaccine administration fee cost in St. Louis, MO — inpatient

In St. Louis, MO-IL, 7 hospitals list a cash price for vaccine administration fee (giving the shot), first vaccine of the visit as an inpatient: from $51.00 to $119.52, with a median of $66.96. The lowest listed price is at Mercy Hospital Lincoln and 1 other hospital — $15.96 less than the median here. Across Missouri, the median is $53.30 at 29 hospitals.

Cash prices at 7 facilities across 7 cities for code 90471, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Jun 12, 2026 and Jun 12, 2026.

Lowest$51.00Mercy Hospital Lincoln + 1 more
Median$66.96half pay less
Highest$119.52in this market
Difference2.3×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 St. Louis, MO-IL.

median
Lowest $51.00Highest $119.52

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Hospital Lincoln lowest Elsberry, MO Influenza Admin, Initial $51.00 $68.00 $34.00–$61.20 25% Jun 12, 2026
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Mercy Hospital Lincoln lowest Elsberry, MO Influenza Admin, Initial $51.00 $68.00 $34.00–$61.20 25% Jun 12, 2026
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Mercy Hospital Lincoln lowest Elsberry, MO Im Adm Prq ID Subq/Im Njxs 1 Vaccine $51.00 $68.00 $34.00–$61.20 25% Jun 12, 2026
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Mercy Hospital Lincoln lowest Elsberry, MO Influenza Admin, Initial $51.00 $68.00 $34.00–$61.20 25% Jun 12, 2026
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Mercy Hospital Lincoln lowest Elsberry, MO Im Adm Prq ID Subq/Im Njxs 1 Vaccine $51.00 $68.00 $34.00–$61.20 25% Jun 12, 2026
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Mercy Hospital Lincoln lowest Elsberry, MO Influenza Admin, Initial $51.00 $68.00 $34.00–$61.20 25% Jun 12, 2026
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Mercy Hospital Lincoln lowest Elsberry, MO Im Adm Prq ID Subq/Im Njxs 1 Vaccine $51.00 $68.00 $34.00–$61.20 25% Jun 12, 2026
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Mercy Hospitals East Communities lowest Washington, MO Im Adm Prq ID Subq/Im Njxs 1 Vaccine $51.00 $68.00 $34.00–$61.20 25% Jun 12, 2026
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Mercy Hospitals East Communities lowest Washington, MO Influenza Admin, Initial $51.00 $68.00 $34.00–$57.80 25% Jun 12, 2026
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Mercy Hospital Lincoln lowest Elsberry, MO Im Adm Prq ID Subq/Im Njxs 1 Vaccine $51.00 $68.00 $34.00–$61.20 25% Jun 12, 2026
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Mercy Hospital Lincoln lowest Elsberry, MO Influenza Admin, Initial $51.00 $68.00 $34.00–$61.20 25% Jun 12, 2026
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Mercy Hospital Lincoln lowest Elsberry, MO Im Adm Prq ID Subq/Im Njxs 1 Vaccine $51.00 $68.00 $34.00–$61.20 25% Jun 12, 2026
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Gateway Regional Medical Center Granite City, IL · (618) 798-3000 IMM ADM PNEU VACCINE $63.04 $105.06 $105.06 40% —
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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% —
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Hshs Holy Family Hospital Greenville, IL · (618) 664-1230 HC IMMUN ADMIN ONE VACC $79.92 $111.00 $31.08–$192.89 28% —
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Gateway Regional Medical Center Granite City, IL · (618) 798-3000 IMM ADM INJ SINGLE $97.35 $162.25 $162.25 40% —
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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% —
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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% —
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Inpatient: lowest $51.00, median $66.96, highest $119.52 — a 2.3× difference within the same market.

As an outpatient, the same code is billed by 12 facilities here, median $61.10 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 7 of 7 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 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.