Vaccines CPT 90619 Outpatient

Meningitis vaccine (MenQuadfi) cost in Seattle, WA

In Seattle-Tacoma-Bellevue, WA, 3 hospitals list a cash price for meningococcal ACWY vaccine (MenQuadfi): from $83.92 to $362.75, with a median of $144.20. The lowest listed price is at Virginia Mason Medical Center — $60.28 less than the median here. Across Washington, the median is $153.60 at 20 hospitals.

Cash prices at 3 facilities across 2 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 —.

Lowest$83.92Virginia Mason Medical Center

Median$144.20half of hospitals charge less

Highest$362.75in this market

Difference4.3×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 $83.92Highest $362.75

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Virginia Mason Medical Center lowest Seattle, WA · (206) 223-6600 INJ, MENACWY-TT CONJ VACC SEROGROUPS ACWY,IM (STATE SUPP) source file	$83.92	$164.54	$98.72–$131.63	49%
Valley Medical Center Renton, WA · (425) 228-3450 Menacwy-Tt Conj Vacc Serogroups Acwy for Im Use source file	$144.20	$206.00	—	30%
Valley Medical Center Renton, WA · (425) 228-3450 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION source file	$162.29	$231.85	—	30%
Virginia Mason Medical Center Seattle, WA · (206) 223-6600 INJ, MENACWY-TT CONJ VACC SEROGROUPS ACWY,IM (NON-STATE) source file	$253.94	$497.93	$298.76–$398.34	49%
Seattle Children's Hospital Seattle, WA · (206) 987-2000 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION source file	$362.75	$362.75	$91.41–$348.24	—

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 $83.92, median $144.20, highest $362.75 — a 4.3× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $253.48. 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 1 of 2 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).

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 90619 ($298.14). 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
Virginia Mason Medical Center Seattle, WAINJ, MENACWY-TT CONJ VACC SEROGROUPS ACWY, IM (DSHS)	$11.95	file

File Link to the hospital's own price file.