Vaccines CPT 90621 Inpatient — admitted to hospital

Meningitis B vaccine (Trumenba) cost in Seattle, WA — inpatient

In Seattle-Tacoma-Bellevue, WA, 2 hospitals list a cash price for meningococcal B vaccine (Trumenba) as an inpatient: from $92.03 to $184.73, with a median of $138.38. The lowest listed price is at Virginia Mason Medical Center — $46.35 less than the median here. Across Washington, the median is $116.42 at 7 hospitals.

Cash prices at 2 facilities across 2 cities for code 90621, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.

Lowest$92.03Virginia Mason Medical Center

Median$138.38half of hospitals charge less

Highest$184.73in this market

Difference2.0×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 Seattle-Tacoma-Bellevue, WA.

median

Lowest $92.03Highest $348.14

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Virginia Mason Medical Center lowest Seattle, WA · (206) 223-6600 MENB RLP VAC, SEROGRP B, 3 DOSE, IM (SS) source file	$92.03	$180.46	$115.58–$144.37	49%
Valley Medical Center Renton, WA · (425) 228-3450 Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im source file	$184.73	$263.90	—	30%
Virginia Mason Medical Center Seattle, WA · (206) 223-6600 INJ, MENB RLP VAC SEROGROUP B 3 DOSE, PER VAC NON-STATE+1 more line at this price source file	$199.83	$391.83	$250.97–$313.46	49%
Valley Medical Center Renton, WA · (425) 228-3450 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE source file	$348.14	$497.35	—	30%

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 $92.03, median $138.38, highest $184.73 — a 2.0× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $138.38 — 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 and 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

Trumenba is a meningococcal group B (MenB) vaccine for ages 10 to 25, often recommended for college students and during campus outbreaks. It is two or three doses depending on risk.

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 90621 ($392.60). 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, WAMENB RLP VAC, SEROGRP B, 3 DOSE, IM (SS) - DSHS	$11.95	file

File Link to the hospital's own price file.