Vaccines CPT 90619 Outpatient

Meningitis vaccine (MenQuadfi) cost in San Antonio, TX

In San Antonio-New Braunfels, TX, 13 hospitals list a cash price for meningococcal ACWY vaccine (MenQuadfi): from $177.83 to $1,066.35, with a median of $1,066.35. The lowest listed price is at University Health System — $888.52 less than the median here. Across Texas, the median is $714.01 at 67 hospitals.

Cash prices at 13 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 Oct 14, 2025 and Sep 1, 2026.

Lowest$177.83University Health System
Median$1,066.35half pay less
Highest$1,066.35in this market
Difference6.0×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 San Antonio-New Braunfels, TX.

median
Lowest $177.83Highest $1,066.35

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
University Health System lowest San Antonio, TX · (210) 358-2000 HC PBB MENACWY-TT CONJ VACC SEROGROUPS ACWY 0.5ML $177.83 $711.30 $263.18–$1,778.25 75% Oct 14, 2025
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Medina Regional Hospital Hondo, TX · (830) 426-7700 MENACWY-TT VACCINE IM $184.28 $204.75 $49.14–$357.34 10% Jul 29, 2026
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University Health System San Antonio, TX · (210) 358-2000 MenACWY-TT conjugated vaccine, quad, tetanus toxoid carrier IM $237.90 $951.59 $352.09–$2,378.98 75% Oct 14, 2025
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Methodist Specialty and Transplant San Antonio, TX · (210) 575-4000 MENACWY-TT VAC IM $1,066.35 $1,066.35 $522.51 — Sep 1, 2026
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Methodist Texsan Hospital San Antonio, TX · (210) 638-2101 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use $1,066.35 $1,066.35 $178.67–$427.59 — Sep 1, 2026
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Methodist Texsan Hospital San Antonio, TX · (210) 638-2101 MENACWY-TT VAC IM $1,066.35 $1,066.35 $53.32–$906.40 — Sep 1, 2026
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Methodist Hospital Landmark San Antonio, TX · (210) 638-2101 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use $1,066.35 $1,066.35 $350.43 — Sep 1, 2026
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Methodist Hospital Landmark San Antonio, TX · (210) 638-2101 MENACWY-TT VAC IM $1,066.35 $1,066.35 $127.96–$906.40 — Sep 1, 2026
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Methodist Hospital Westover Hills San Antonio, TX · (210) 638-2101 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use $1,066.35 $1,066.35 $350.43 — Sep 1, 2026
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Methodist Hospital Westover Hills San Antonio, TX · (210) 638-2101 MENQUADFI VAC IM $1,066.35 $1,066.35 $127.96–$906.40 — Sep 1, 2026
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Methodist Hospital Atascosa Jourdanton, TX · (830) 769-3515 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use $1,066.35 $1,066.35 $350.43 — Sep 1, 2026
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Methodist Hospital Helotes, TX · (210) 575-4000 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use $1,066.35 $1,066.35 $178.67–$427.59 — Sep 1, 2026
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Methodist Hospital Stone Oak San Antonio, TX · (210) 638-2101 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use $1,066.35 $1,066.35 $178.67–$427.59 — Sep 1, 2026
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Methodist Hospital Stone Oak San Antonio, TX · (210) 638-2101 MENACWY-TT VAC IM $1,066.35 $1,066.35 $53.32–$906.40 — Sep 1, 2026
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Methodist Texsan Hospital Rehab San Antonio, TX Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use $1,066.35 $1,066.35 $178.67–$427.59 — Sep 1, 2026
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Methodist Texsan Hospital Rehab San Antonio, TX MENACWY-TT VAC IM $1,066.35 $1,066.35 $53.32–$906.40 — Sep 1, 2026
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Metropolitan Methodist San Antonio, TX · (210) 575-4000 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use $1,066.35 $1,066.35 $350.43 — Sep 1, 2026
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Metropolitan Methodist San Antonio, TX · (210) 575-4000 MENACWY-TT VAC IM $1,066.35 $1,066.35 $53.32–$906.40 — Sep 1, 2026
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Stone Oak Rehab San Antonio, TX Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use $1,066.35 $1,066.35 $350.43 — Sep 1, 2026
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Stone Oak Rehab San Antonio, TX MENACWY-TT VAC IM $1,066.35 $1,066.35 $53.32–$906.40 — Sep 1, 2026
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Northeast Methodist San Antonio, TX · (210) 638-2101 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use $1,066.35 $1,066.35 $178.67–$427.59 — Sep 1, 2026
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Northeast Methodist San Antonio, TX · (210) 638-2101 MENACWY-TT VAC IM $1,066.35 $1,066.35 $53.32–$906.40 — Sep 1, 2026
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Methodist Hospital Atascosa Jourdanton, TX · (830) 769-3515 MENACWY-TT VAC IM $1,066.35 $1,066.35 $53.32–$906.40 — Sep 1, 2026
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Methodist Hospital Helotes, TX · (210) 575-4000 MENACWY-TT VAC IM $1,066.35 $1,066.35 $53.32–$1,066.35 — Sep 1, 2026
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Methodist Specialty and Transplant San Antonio, TX · (210) 575-4000 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use $1,066.35 $1,066.35 $350.43 — Sep 1, 2026
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Outpatient: lowest $177.83, median $1,066.35, highest $1,066.35 — a 6.0× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $181.06. 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 2 of 13 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).