Vaccine administration fee cost in Washington, DC
In Washington-Arlington-Alexandria, DC-VA-MD-WV, 19 hospitals list a cash price for vaccine administration fee (giving the shot), first vaccine of the visit: from $34.18 to $412.15, with a median of $69.00. The lowest listed price is at Frederick Health Hospital — $34.82 less than the median here. Across District of Columbia, the median is $123.19 at 3 hospitals.
- The median here, $69.00, is 18% above the US median of $58.54.
- That is 0.9× Medicare's 2026 national rate for the same service ($73.56).
- 3 of 19 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 19 facilities across 16 cities for code 90471, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 29, 2026; the hospital files themselves were last updated between Dec 30, 2024 and Sep 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 Washington-Arlington-Alexandria, DC-VA-MD-WV.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Frederick Health Hospital lowest Frederick, MD · (240) 566-3300 ADMIN OF FLU VACCINE+1 more line at this price File of Mar 17, 2025 · source file | $34.18 | $34.88 | $34.18–$34.88 | 2% |
| Jefferson Medical Center Ranson, WV · (304) 728-1600 IMMUNIZATION ADMIN File of Jul 12, 2026 · source file | $40.00 | $80.00 | — | 50% |
| Sentara Northern Virginia Medical Center Woodbridge, VA · (703) 523-1000 90471 Immunization Admin,1 Vac+3 more lines at this price File of Apr 1, 2026 · source file | $48.00 | $96.00 | — | 50% |
| Inova Fairfax Hospital Falls Church, VA · (703) 698-1110 HC ADMIN ALL OTHER VACCINES INIT File of Apr 1, 2026 · source file | $65.00 | $130.00 | $57.38–$194.59 | 50% |
| Inova Mount Vernon Hospital Alexandria, VA · (703) 664-7105 HC ADMIN ALL OTHER VACCINES INIT File of Apr 1, 2026 · source file | $65.00 | $130.00 | $57.38–$190.34 | 50% |
| Inova Loudoun Hospital Leesburg, VA · (703) 858-6600 HC ADMIN ALL OTHER VACCINES INIT File of Apr 1, 2026 · source file | $65.00 | $130.00 | $57.38–$191.65 | 50% |
| Inova Fair Oaks Hospital Fairfax, VA · (703) 391-4170 HC ADMIN ALL OTHER VACCINES INIT File of Apr 1, 2026 · source file | $65.00 | $130.00 | $57.38–$192.49 | 50% |
| Inova Alexandria Hospital Alexandria, VA · (703) 504-3167 HC ADMIN ALL OTHER VACCINES INIT File of Apr 1, 2026 · source file | $65.00 | $130.00 | $57.38–$188.69 | 50% |
| Mary Washington Hospital Fredericksburg, VA · (540) 741-1100 Immunization admin File of Dec 30, 2024 · source file | $69.00 | $138.00 | $55.00–$694.00 | 50% |
| Stafford Hospital Stafford, VA · (540) 741-9000 Immunization admin File of Dec 30, 2024 · source file | $69.00 | $138.00 | $55.00–$694.00 | 50% |
| Children's National Hospital Washington, DC · (202) 476-5000 3M $ IMMUNIZATION ADMIN, SINGLE+3 more lines at this price File of Apr 2, 2026 · source file | $89.00 | $178.00 | $23.16–$958.70 | 50% |
| Fauquier Health Warrenton, VA · (540) 316-5000 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) File of Jul 14, 2026 · source file | $95.20 | $238.00 | $71.66–$238.00 | 60% |
| MedStar Washington Hospital Center Washington, DC · (202) 877-7000 ADMIN HEPATITIS B VACCINE 1ST+9 more lines at this price File of Apr 1, 2026 · source file | $123.19 | $189.53 | $54.96–$161.10 | 35% |
| MedStar Georgetown Hospital Northwest Washington, DC · (202) 784-3000 BC INFLUENZA ADMIN+5 more lines at this price File of Apr 1, 2026 · source file | $136.18 | $209.50 | $58.66–$188.55 | 35% |
| MedStar Southern Hospital Center Clinton, MD · (301) 868-8000 PNEUMOCOCC VACCINE ADM 1ST+4 more lines at this price File of Apr 1, 2026 · source file | $159.19 | $162.44 | $159.19–$162.44 | 2% |
| Spotsylvania Regional Medical Center Fredericksburg, VA · (540) 498-4000 IMMUNIZ ADMIN SGL File of Sep 1, 2026 · source file | $204.12 | $204.12 | $32.99–$183.71 | — |
| MedStar Montgomery Medical Center Olney, MD · (301) 774-8882 INFLUENZA VACCINE ADM 1ST+1 more line at this price File of Apr 1, 2026 · source file | $239.86 | $244.75 | $239.86–$244.75 | 2% |
| Reston Hospital Center Reston, VA · (703) 689-9000 IMMUNIZ ADMIN SGL File of Sep 1, 2026 · source file | $412.15 | $412.15 | $292.63 | — |
| Stonesprings Hospital Center Dulles, VA · (571) 349-4000 IMMUNIZ ADMIN SGL File of Sep 1, 2026 · source file | $412.15 | $412.15 | $292.63 | — |
Outpatient: lowest $34.18, median $69.00, highest $412.15 — a 12.1× difference within the same market.
As an inpatient, the same code is billed by 12 facilities here, median $65.00. 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 14 of 17 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 vaccine administration fee is, what the price covers and why prices differ: Vaccine administration fee explained.
8 rows held back from this comparison
They are priced below $1 or below a tenth of the national median for code 90471 ($62.00). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.
| Hospital | Cash price | File |
|---|---|---|
| MedStar Montgomery Medical Center Olney, MDADMIN, INFLUENZA VACC (ER) | $0.01 | file |
| MedStar Montgomery Medical Center Olney, MDADMIN IMMUNIZATION INITIAL(ER) | $0.01 | file |
| MedStar Montgomery Medical Center Olney, MDADMIN INFLUENZA VACCINE 1ST | $0.01 | file |
| MedStar Montgomery Medical Center Olney, MDPNEUMOCOCC VACCINE ADM 1ST | $0.01 | file |
| MedStar Montgomery Medical Center Olney, MDADMIN VACCINE 1ST | $0.01 | file |
| MedStar Montgomery Medical Center Olney, MDVACCINE ADMINISTRATION INITIAL | $0.01 | file |
| MedStar Southern Hospital Center Clinton, MDADMIN, INFLUENZA VACC (ER) | $0.01 | file |
| MedStar Southern Hospital Center Clinton, MDADMIN IMMUNIZATION INITIAL(ER) | $0.01 | file |