Vaccines CPT 90619 Outpatient

Meningitis vaccine (MenQuadfi) cost in Virginia Beach, VA

In Virginia Beach-Chesapeake-Norfolk, VA-NC, 2 hospitals list a cash price for meningococcal ACWY vaccine (MenQuadfi): from $208.73 to $558.27, with a median of $383.50. The lowest listed price is at Riverside Smithfield Hospital — $174.77 less than the median here. Across Virginia, the median is $295.00 at 19 hospitals.

Cash prices at 2 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 Mar 17, 2026 and Mar 17, 2026.

Lowest$208.73Riverside Smithfield Hospital
Median$383.50half pay less
Highest$558.27in this market
Difference2.7×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 Virginia Beach-Chesapeake-Norfolk, VA-NC.

median
Lowest $208.73Highest $594.72

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Riverside Smithfield Hospital lowest Smithfield, VA Mening Vac a C Y W135 C-Tet/Pf (Menquadfi) per 0.5ml $208.73 $417.45 — 50% —
source file
Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 MENQUADFI VAC0.5 ML $558.27 $620.30 $142.67–$589.28 10% Mar 17, 2026
source file
Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 MENING CON VACC $594.72 $660.80 $151.98–$627.76 10% Mar 17, 2026
source file

Outpatient: lowest $208.73, median $383.50, highest $558.27 — a 2.7× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $383.50. 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).

5 rows held back from this comparison

They are 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.

Children's Hospital of the King's Daughters Norfolk, VAMENING CON VACC-SPM $0.01 file
Children's Hospital of the King's Daughters Norfolk, VAMENING CON VACC-ZDC $0.01 file
Children's Hospital of the King's Daughters Norfolk, VAMENING CON VACC-SPM/VBP $0.01 file
Children's Hospital of the King's Daughters Norfolk, VAMENACWY-TT IM ZDC,VBP $0.01 file
Children's Hospital of the King's Daughters Norfolk, VAMENING CON VACC-VSP $19.12 file