Vaccines CPT 90619 Outpatient

Meningitis vaccine (MenQuadfi) cost in Houston, TX

In Houston-Pasadena-The Woodlands, TX, 14 hospitals list a cash price for meningococcal ACWY vaccine (MenQuadfi): from $165.08 to $1,273.35, with a median of $556.82. The lowest listed price is at Harris Health and 1 other hospital — $391.74 less than the median here. Across Texas, the median is $661.50 at 60 hospitals.

Cash prices at 14 facilities across 9 cities for code 90619, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 28, 2026; the hospital files themselves were last updated between Mar 24, 2026 and Sep 1, 2026.

Lowest$165.08Harris Health + 1 more
Median$556.82half of hospitals charge less
Highest$1,273.35in this market
Difference7.7×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 Houston-Pasadena-The Woodlands, TX.

median
Lowest $165.08Highest $1,273.35

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Harris Health lowest Taub Loop Houston, TX · (713) 873-2000 ECHG MENINGOCOCCAL [A,C,Y,W] VACCINE (MENQUADFI) File of Mar 24, 2026 · source file $165.08 $349.00 $87.95–$402.41 53%
Harris Health lowest Houston, TX · (713) 873-2000 ECHG MENINGOCOCCAL [A,C,Y,W] VACCINE (MENQUADFI) File of Mar 24, 2026 · source file $165.08 $349.00 $87.95–$402.41 53%
HCA Houston Mainland Texas City, TX · (281) 332-2511 MENQUADFI VAC IM+1 more line at this price File of Sep 1, 2026 · source file $250.28 $250.28 $15.02–$350.43 —
HCA Houston Healthcare Clear Lake Friendswood, TX · (281) 332-2511 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $250.28 $250.28 $15.02–$350.43 —
HCA Houston Healthcare Southeast Pasadena, TX · (713) 359-1000 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $356.05 $356.05 $21.36–$350.43 —
HCA Houston Healthcare Conroe Conroe, TX · (936) 539-1111 MENQUADFI VAC IM+1 more line at this price File of Sep 1, 2026 · source file $366.29 $366.29 $21.98–$350.43 —
Liberty Dayton Regional Medical Center Liberty, TX · (936) 336-7316 Menquadfi(meningococcal Conjugate Vaccine) source file $524.00 $749.00 $449.00–$712.00 30%
HCA Houston Healthcare Medical Center Houston, TX · (713) 527-5019 MENQUADFI VAC IM+1 more line at this price File of Sep 1, 2026 · source file $589.64 $589.64 $35.38–$600.94 —
HCA Houston Healthcare Tomball Houston, TX · (281) 351-7500 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $591.95 $591.95 $35.52–$503.16 —
HCA Houston Healthcare Pearland Houston, TX · (713) 770-7000 MENQUADFI VAC IM+1 more line at this price File of Sep 1, 2026 · source file $637.14 $637.14 $38.23–$541.57 —
HCA Houston Healthcare West Houston, TX · (281) 588-8080 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $646.00 $646.00 $38.76–$581.40 —
HCA Houston Healthcare Northwest Spring, TX · (281) 440-1000 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $737.50 $737.50 $44.25–$626.88 —
HCA Houston Healthcare Kingwood Cleveland, TX · (281) 359-7500 MENQUADFI VAC IM+1 more line at this price File of Sep 1, 2026 · source file $1,273.35 $1,273.35 $76.40–$1,146.01 —
HCA Houston Healthcare North Cypress Houston, TX · (281) 359-7500 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $1,273.35 $1,273.35 $76.40–$1,082.35 —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $165.08, median $556.82, highest $1,273.35 — a 7.7× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $165.08. 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 14 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

MenQuadfi is a meningococcal conjugate vaccine against types A, C, W and Y. Preteens get it at 11 or 12 with a booster at 16, and it is required by many colleges and camps.

What the price covers

The price is for the vaccine dose. Giving the shot is usually a separate line (code 90471 for the first vaccine of the visit, 90472 for each additional one).