Vaccines CPT 90471 Outpatient

Vaccine administration fee cost in Seattle, WA

In Seattle-Tacoma-Bellevue, WA, 15 hospitals list a cash price for vaccine administration fee (giving the shot), first vaccine of the visit: from $11.25 to $93.60, with a median of $40.93. The lowest listed price is at Swedish Issaquah and 1 other hospital — $29.68 less than the median here. Across Washington, the median is $50.00 at 33 hospitals.

Cash prices at 15 facilities across 12 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 Feb 28, 2026 and Apr 1, 2026.

Lowest$11.25Swedish Issaquah + 1 more
Median$40.93half pay less
Highest$93.60in this market
Difference8.3×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 Seattle-Tacoma-Bellevue, WA.

median
Lowest $11.25Highest $93.60

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Swedish Issaquah lowest Issaquah, WA · (425) 313-4000 HC ADMIN HEPATITIS B VACCINE CDM $11.25 $23.44 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill lowest Seattle, WA · (206) 320-2000 HC ADMIN HEPATITIS B VACCINE CDM $11.25 $23.44 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill lowest Seattle, WA · (206) 320-2000 HC ADMIN HEPATITIS B VACCINE CDM $11.25 $23.44 — 52% Apr 1, 2026
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Virginia Mason Medical Center Seattle, WA · (206) 223-6600 IM ADM ANY ROUTE 1ST VAC/TOX (STATE) $11.95 $23.44 $14.06–$18.75 49% —
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Virginia Mason Medical Center Seattle, WA · (206) 223-6600 IMMUNE, ONE VACCINE, SINGLE OR COMBO VACCINE/TOXOID (SS) $11.95 $23.44 $14.06–$18.75 49% —
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Virginia Mason Medical Center Seattle, WA · (206) 223-6600 ED IM ADM ANY ROUTE 1ST VAC/TOX. $11.95 $23.44 $14.06–$18.75 49% —
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Virginia Mason Medical Center Seattle, WA · (206) 223-6600 ED - IMMUNE, ONE VACCINE, SINGLE OR COMBO VACCINE/TOXOID $11.95 $23.44 $14.06–$18.75 49% —
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Swedish Edmonds Edmonds, WA · (425) 640-4000 HC ADMIN PNEUMOCOCCAL VACCINE CDM $15.36 $32.00 — 52% Apr 1, 2026
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Swedish Edmonds Edmonds, WA · (425) 640-4000 HC IMMUNIZATION ADMIN CDM $15.36 $32.00 — 52% Apr 1, 2026
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Swedish Edmonds Edmonds, WA · (425) 640-4000 HC ADMIN INFLUENZA VIRUS VAC CDM $15.36 $32.00 — 52% Apr 1, 2026
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Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC PR ADMIN VACCINE INITIAL CDM $37.96 $73.00 — 48% Apr 1, 2026
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Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC PR 90471 IMMUNIZATION ADMIN $37.96 $73.00 — 48% Apr 1, 2026
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Saint Clare Hospital Lakewood, WA · (253) 588-1711 HC IMMUNIZATION ADMINISTRATION $38.64 $134.02 $80.67–$354.95 71% Feb 28, 2026
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St Anthony Hospital Gig Harbor, WA · (253) 530-2050 HC IMMUNIZATION ADMINISTRATION $40.77 $134.02 $80.67–$354.95 70% Feb 28, 2026
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Highline Medical Center Burien, WA · (206) 431-5237 HC IMMUNIZATION ADMINISTRATION $40.93 $134.02 $57.63–$324.80 69% Feb 28, 2026
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St Francis Community Hospital Federal Way, WA · (253) 944-8100 HC IMMUNIZATION ADMINISTRATION $42.06 $134.02 $79.22–$354.95 69% Feb 28, 2026
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St Joseph Medical Center Tacoma, WA · (253) 627-4101 HC IMMUNIZATION ADMINISTRATION $44.39 $134.02 $80.67–$354.95 67% Feb 28, 2026
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Enumclaw Regional Hospital Association Enumclaw, WA HC IMMUNIZATION ADMINISTRATION $47.36 $134.02 $22.00–$298.12 65% Feb 28, 2026
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Overlake Medical Center & Clinics Bellevue, WA · (425) 688-5000 Hc Vaccine Admin (First Inj) $47.50 $95.00 — 50% Apr 1, 2026
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Seattle Children's Hospital Seattle, WA · (206) 987-2000 Immuniz Admin 1st Vaccine $50.00 $50.00 $12.60–$48.00 — —
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Seattle Children's Hospital Seattle, WA · (206) 987-2000 Pneumovax Admin $50.00 $50.00 $12.60–$48.00 — —
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Seattle Children's Hospital Seattle, WA · (206) 987-2000 Influenza Admin $50.00 $50.00 $12.60–$48.00 — —
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Seattle Children's Hospital Seattle, WA · (206) 987-2000 Hepatitis B Admin $50.00 $50.00 $12.60–$48.00 — —
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Virginia Mason Medical Center Seattle, WA · (206) 223-6600 IM ADM ANY ROUTE 1ST VAC/TOX THRU 18YR (NON STATE). $51.00 $100.00 $60.00–$80.00 49% —
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Virginia Mason Medical Center Seattle, WA · (206) 223-6600 IMMUNE, ONE VACCINE, SINGLE OR COMBO VACCINE/TOXOID $55.59 $109.00 $65.40–$87.20 49% —
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Swedish Issaquah Issaquah, WA · (425) 313-4000 HC ADMIN INFLUENZA VIRUS VAC CDM $56.64 $118.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ADMIN INFLUENZA VIRUS VAC CDM $56.64 $118.00 — 52% Apr 1, 2026
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Swedish Issaquah Issaquah, WA · (425) 313-4000 HC ADMIN PNEUMOCOCCAL VACCINE CDM $56.64 $118.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ADMIN PNEUMOCOCCAL VACCINE CDM $56.64 $118.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC IMMUNIZATION ADMIN CDM $56.64 $118.00 — 52% Apr 1, 2026
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Swedish Issaquah Issaquah, WA · (425) 313-4000 HC IMMUNIZATION ADMIN CDM $56.64 $118.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ADMIN PNEUMOCOCCAL VACCINE CDM $56.64 $118.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ADMIN INFLUENZA VIRUS VAC CDM $56.64 $118.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC IMMUNIZATION ADMIN CDM $56.64 $118.00 — 52% Apr 1, 2026
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Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC IMMUNIZATION ADMIN CDM $61.88 $119.00 — 48% Apr 1, 2026
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Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC ADMIN INFLUENZA VIRUS VAC CDM $61.88 $119.00 — 48% Apr 1, 2026
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Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC ADMIN PNEUMOCOCCAL VACCINE CDM $61.88 $119.00 — 48% Apr 1, 2026
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Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC ADMIN HEPATITIS B VACCINE CDM $61.88 $119.00 — 48% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC IMMUNIZATION ADMIN CDM $62.40 $130.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ADMIN PNEUMOCOCCAL VACCINE CDM $62.40 $130.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ADMIN INFLUENZA VIRUS VAC CDM $62.40 $130.00 — 52% Apr 1, 2026
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Swedish Issaquah Issaquah, WA · (425) 313-4000 HC IMMUNIZATION ADMIN CDM $62.40 $130.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC IMMUNIZATION ADMIN CDM $62.40 $130.00 — 52% Apr 1, 2026
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Swedish Issaquah Issaquah, WA · (425) 313-4000 HC ADMIN INFLUENZA VIRUS VAC CDM $62.40 $130.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ADMIN PNEUMOCOCCAL VACCINE CDM $62.40 $130.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ADMIN INFLUENZA VIRUS VAC CDM $62.40 $130.00 — 52% Apr 1, 2026
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Swedish Issaquah Issaquah, WA · (425) 313-4000 HC ADMIN PNEUMOCOCCAL VACCINE CDM $62.40 $130.00 — 52% Apr 1, 2026
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Kaiser Permanente Central Hospital Seattle, WA · (206) 326-3000 IMMUNIZATION ADMIN $76.00 $95.00 — 20% Apr 1, 2026
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Cascade Valley Hospital Arlington, WA · (360) 435-2133 HC HEPATITIS B VAC ADMINISTRATION, NURS $93.60 $117.00 $9.95–$267.30 20% —
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Cascade Valley Hospital Arlington, WA · (360) 435-2133 HC IMMUNIZATION ADMIN, INITIAL ED $93.60 $117.00 $9.95–$267.30 20% —
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Cascade Valley Hospital Arlington, WA · (360) 435-2133 HC IMMUNIZATION ADMIN, INITIAL $93.60 $117.00 $9.95–$267.30 20% —
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Outpatient: lowest $11.25, median $40.93, highest $93.60 — a 8.3× difference within the same market.

As an inpatient, the same code is billed by 15 facilities here, median $40.93. 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 8 of 9 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 6 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.