Vaccines CPT 90619 Outpatient

Meningitis vaccine (MenQuadfi) cost in Vermillion, SD

In Vermillion, SD, 1 hospital lists a cash price for meningococcal ACWY vaccine (MenQuadfi): from $220.53 to $220.53, with a median of $220.53. Across South Dakota, the median is $220.53 at 5 hospitals.

Cash prices at 1 facility for code 90619, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 4, 2026 and Mar 4, 2026.

Lowest$220.53Sanford Vermillion Hospital

Median$220.53half of hospitals charge less

Highest$220.53in this market

Difference1.0×highest vs lowest

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Sanford Vermillion Hospital Vermillion, SD · (605) 624-2611 Meningococcal (A, C, Y, and W-135) Tetanus Conjugate Vaccine File of Mar 4, 2026 · source file	$220.53	$275.66	$81.32–$248.09	20%

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.

Outpatient: lowest $220.53, median $220.53, highest $220.53.

As an inpatient, the same code is billed by 1 facility here, median $220.53. 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 the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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).