Vaccines CPT 90633 Outpatient

Hepatitis A vaccine (child) cost in San Jose, CA

In San Jose-Sunnyvale-Santa Clara, CA, 4 hospitals list a cash price for hepatitis A vaccine, child and teen dose (2-dose schedule): from $73.92 to $154.80, with a median of $79.71. The lowest listed price is at Kaiser Foundation Hospital - San Jose and 1 other hospital — $5.79 less than the median here. Across California, the median is $73.92 at 70 hospitals.

Cash prices at 4 facilities across 4 cities for code 90633, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 31, 2026 and Apr 1, 2026.

Lowest$73.92Kaiser Foundation Hospital - San Jose + 1 more
Median$79.71half of hospitals charge less
Highest$154.80in this market
Difference2.1×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 San Jose-Sunnyvale-Santa Clara, CA.

median
Lowest $73.92Highest $318.13

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Kaiser Foundation Hospital - San Jose lowest San Jose, CA · (408) 972-7000 HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE source file $73.92 $132.00 — 44%
Kaiser Foundation Hospital - Santa Clara lowest Santa Clara, CA · (408) 236-6400 HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE source file $73.92 $132.00 — 44%
Lucile Salter Packard Children's Hospital at Stanford Palo Alto, CA · (650) 497-8000 HC Hepa Vacc Pf 720 Elisa Un 0.5ml Im File of Mar 31, 2026 · source file $85.50 $171.00 $72.16 50%
Stanford Health Care Stanford, CA · (650) 723-4000 Hepatitis a Vac Ped/Adol D-2 File of Apr 1, 2026 · source file $154.80 $387.00 — 60%
Stanford Health Care Stanford, CA · (650) 723-4000 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRG+1 more line at this price File of Apr 1, 2026 · source file $172.34 $430.86 — 60%
Lucile Salter Packard Children's Hospital at Stanford Palo Alto, CA · (650) 497-8000 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE File of Mar 31, 2026 · source file $318.13 $636.26 $268.50 50%
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 $73.92, median $79.71, highest $154.80 — a 2.1× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $73.92. 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 not 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

This is the hepatitis A vaccine in the dose for children and teens (Havrix or Vaqta). It is two doses, six months apart, starting at 12 months of age.

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).