Meningitis vaccine (MenQuadfi) cost in St. Louis, MO
In St. Louis, MO-IL, 5 hospitals list a cash price for meningococcal ACWY vaccine (MenQuadfi): from $329.00 to $796.71, with a median of $573.17. The lowest listed price is at Carlinville Area Hospital — $244.17 less than the median here. Across Missouri, the median is $353.51 at 19 hospitals.
Cash prices at 5 facilities across 4 cities for code 90619, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.
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 |
|---|---|---|---|---|---|
| Carlinville Area Hospital lowest Carlinville, IL · (217) 854-3141 MenQuadfi (MenACWY-TT) 0.5ML SDV-MOB | $329.00 | $470.00 | $169.20–$671.43 | 30% | — source file |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION | $487.19 | $749.53 | $230.44–$284.38 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION | $573.17 | $881.80 | $57.32–$881.80 | 35% | — source file |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION | $573.17 | $881.80 | $230.44 | 35% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION | $796.71 | $1,225.71 | $79.67–$1,225.71 | 35% | — source file |
Outpatient: lowest $329.00, median $573.17, highest $796.71 — a 2.4× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $329.00. 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 3 of 5 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 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).
1 row held back from this comparison
It is priced below $1 or below a tenth of the national median for code 90619 ($300.00). 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.
| Mercy Hospital St Louis Saint Louis, MOVfc Menacwy-Tt Conj Vac Serogrp Acwy Im | $13.65 | file |