Vaccines CPT 90619 Inpatient — admitted to hospital

Meningitis vaccine (MenQuadfi) cost in Virginia Beach, VA — inpatient

In Virginia Beach-Chesapeake-Norfolk, VA-NC, 2 hospitals list a cash price for meningococcal ACWY vaccine (MenQuadfi) as an inpatient: 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 inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Mar 11, 2026 and Mar 17, 2026.

Lowest$208.73Riverside Smithfield Hospital

Median$383.50half of hospitals charge 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 $558.27

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Riverside Smithfield Hospital lowest Smithfield, VA Mening Vac a C Y W135 C-Tet/Pf (Menquadfi) per 0.5ml File of Mar 11, 2026 · source file	$208.73	$417.45	—	50%
Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 MENQUADFI VAC0.5 ML File of Mar 17, 2026 · source file	$558.27	$620.30	$434.21–$570.68	10%

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.

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

As an outpatient, the same code is billed by 2 facilities here, median $383.50 — that is the price to compare if you are not being admitted.

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).