Vaccines CPT 90648 Inpatient — admitted to hospital

Hib vaccine (ActHIB/Hiberix) cost in Cleveland, OH — inpatient

In Cleveland, OH, 23 hospitals list a cash price for hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) as an inpatient: from $5.60 to $40.79, with a median of $30.55. The lowest listed price is at Metrohealth System — $24.95 less than the median here. Across Ohio, the median is $30.55 at 80 hospitals.

Cash prices at 23 facilities across 17 cities for code 90648, as an inpatient (admitted to hospital) . Collected Sep 24, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 14, 2026.

Lowest$5.60Metrohealth System
Median$30.55half of hospitals charge less
Highest$40.79in this market
Difference7.3×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 Cleveland, OH.

median
Lowest $5.60Highest $67.50

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Metrohealth System lowest Cleveland, OH · (216) 778-7089 Acthib: 1 Kit In 1 Carton (49281-545-03) * .5 Ml In 1 Vial, Single-Dose (49281-547-58) * .6 Ml In 1 Vial, Single-Dose (49281-546-58)+1 more line at this price File of Apr 1, 2026 · source file $5.60 $16.00 — 65%
Metrohealth System Cleveland, OH · (216) 778-7089 NDC Description Not Available+1 more line at this price File of Apr 1, 2026 · source file $11.90 $34.00 — 65%
Metrohealth System Cleveland, OH · (216) 778-7089 HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG INJ SOLR [119057] File of Apr 1, 2026 · source file $22.75 $35.00 — 35%
UH St John Medical Center Westlake, OH · (440) 835-8000 HC HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE File of Jul 14, 2026 · source file $26.25 $35.00 $14.98–$31.50 25%
University Hospitals - Elyria Medical Center Elyria, OH · (440) 329-7500 HC HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE File of Jul 14, 2026 · source file $26.25 $35.00 $16.10–$900.00 25%
Parma Community General Hospital Parma, OH · (440) 743-3000 HC HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE File of Jul 14, 2026 · source file $26.25 $35.00 $16.10–$900.00 25%
University Hospitals Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE File of Jul 14, 2026 · source file $26.25 $35.00 $16.10–$900.00 25%
UH Regional Hospitals Chardon, OH · (440) 285-6246 HC HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE File of Jul 14, 2026 · source file $26.25 $35.00 $13.55–$900.00 25%
University Hospitals Ahuja Medical Center Beachwood, OH · (216) 593-5511 HC HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE File of Jul 14, 2026 · source file $26.25 $35.00 $12.67–$900.00 25%
Lake West Hospital Willoughby, OH · (440) 953-9600 HC HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE File of Jul 14, 2026 · source file $26.25 $35.00 $16.10–$900.00 25%
Mercy Health Regional Medical Center Lorain, OH · (440) 960-4000 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR source file $30.18 $50.30 — 40%
Lutheran Hospital Cleveland, OH · (216) 696-4300 HIB, PRP-T+1 more line at this price File of Jun 15, 2026 · source file $30.55 $47.00 $8.01–$47.00 35%
Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 HIB, PRP-T+1 more line at this price File of Jun 15, 2026 · source file $30.55 $47.00 $7.30–$47.00 35%
Lodi Community Hospital Lodi, OH · (330) 948-1222 HIB, PRP-T+1 more line at this price File of Jun 15, 2026 · source file $30.55 $47.00 $13.29–$47.00 35%
Marymount Hospital Garfield Heights, OH · (216) 587-8210 HIB, PRP-T+1 more line at this price File of Jun 15, 2026 · source file $30.55 $47.00 $8.01–$47.00 35%
The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 HIB, PRP-T+1 more line at this price File of Jun 16, 2026 · source file $30.55 $47.00 $10.25–$47.00 35%
South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 HIB, PRP-T+1 more line at this price File of Jun 15, 2026 · source file $30.55 $47.00 $8.01–$47.00 35%
Medina Hospital Medina, OH · (330) 725-1000 HIB, PRP-T+1 more line at this price File of Jun 15, 2026 · source file $30.55 $47.00 $6.81–$47.00 35%
Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 HIB, PRP-T+1 more line at this price File of Jun 15, 2026 · source file $30.55 $47.00 $8.01–$47.00 35%
Fairview Hospital Cleveland, OH · (216) 476-7000 HIB, PRP-T+1 more line at this price File of Jun 15, 2026 · source file $30.55 $47.00 $7.30–$47.00 35%
Euclid Hospital Euclid, OH · (216) 531-9000 HIB, PRP-T+1 more line at this price File of Jun 15, 2026 · source file $30.55 $47.00 $8.01–$47.00 35%
Euclid Hospital Euclid, OH · (216) 531-9000 ACTHIB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $30.79 $47.37 $8.07–$47.37 35%
Medina Hospital Medina, OH · (330) 725-1000 ACTHIB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $30.79 $47.37 $6.86–$47.37 35%
Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 ACTHIB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $30.79 $47.37 $13.40–$47.37 35%
Lutheran Hospital Cleveland, OH · (216) 696-4300 ACTHIB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $30.79 $47.37 $8.07–$47.37 35%
Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 ACTHIB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $30.79 $47.37 $8.07–$47.37 35%
Lodi Community Hospital Lodi, OH · (330) 948-1222 ACTHIB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $30.79 $47.37 $13.40–$47.37 35%
Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 ACTHIB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $30.79 $47.37 $7.36–$47.37 35%
Marymount Hospital Garfield Heights, OH · (216) 587-8210 ACTHIB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $30.79 $47.37 $8.07–$47.37 35%
Fairview Hospital Cleveland, OH · (216) 476-7000 ACTHIB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $30.79 $47.37 $7.36–$47.37 35%
South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 ACTHIB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $30.79 $47.37 $8.07–$47.37 35%
Parma Community General Hospital Parma, OH · (440) 743-3000 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931] File of Jul 14, 2026 · source file $40.79 $54.38 $25.01–$900.00 25%
Lake West Hospital Willoughby, OH · (440) 953-9600 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931] File of Jul 14, 2026 · source file $40.79 $54.38 $25.01–$900.00 25%
Uhhs Memorial Hospital of Geneva Geneva, OH · (440) 415-0151 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931] File of Jul 14, 2026 · source file $40.79 $54.38 $25.01–$900.00 25%
University Hospitals - Elyria Medical Center Elyria, OH · (440) 329-7500 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931] File of Jul 14, 2026 · source file $40.79 $54.38 $25.01–$900.00 25%
UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931]+1 more line at this price File of Jul 14, 2026 · source file $40.79 $54.38 $21.05–$48.94 25%
University Hospitals Ahuja Medical Center Beachwood, OH · (216) 593-5511 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931] File of Jul 14, 2026 · source file $40.79 $54.38 $19.69–$900.00 25%
UH Regional Hospitals Chardon, OH · (440) 285-6246 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931] File of Jul 14, 2026 · source file $40.79 $54.38 $21.05–$900.00 25%
UH St John Medical Center Westlake, OH · (440) 835-8000 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931] File of Jul 14, 2026 · source file $40.79 $54.38 $23.27–$48.94 25%
University Hospitals Beachwood Medical Center Beachwood, OH · (216) 545-4800 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931] File of Jul 14, 2026 · source file $40.79 $54.38 $25.01–$900.00 25%
University Hospitals Conneaut Medical Center Conneaut, OH · (440) 593-1131 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931] File of Jul 14, 2026 · source file $40.79 $54.38 $25.01–$900.00 25%
Metrohealth System Cleveland, OH · (216) 778-7089 Hiberix: 1 Kit In 1 Carton (58160-726-15) * .5 Ml In 1 Vial (58160-816-03) * .85 Ml In 1 Syringe (58160-817-02) File of Apr 1, 2026 · source file $57.74 $164.96 — 65%
UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE+1 more line at this price File of Jul 14, 2026 · source file $67.50 $90.00 $34.83–$81.00 25%
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.
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Inpatient: lowest $5.60, median $30.55, highest $40.79 — a 7.3× difference within the same market.

As an outpatient, the same code is billed by 23 facilities here, median $30.55 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 21 of 21 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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

This Hib vaccine (ActHIB or Hiberix) protects against Haemophilus influenzae type b, which caused meningitis in young children before vaccination. It is a four-dose series: at 2, 4 and 6 months and at 12 to 15 months.

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).