Vaccines CPT 90648 Outpatient

Hib vaccine (ActHIB/Hiberix) cost in Des Moines, IA

In Des Moines-West Des Moines, IA, 3 hospitals list a cash price for hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix): from $35.10 to $57.00, with a median of $37.05. The lowest listed price is at MercyOne Newton Medical Center — $1.95 less than the median here. Across Iowa, the median is $37.05 at 47 hospitals.

Cash prices at 3 facilities across 3 cities for code 90648, 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 Mar 31, 2026.

Lowest$35.10MercyOne Newton Medical Center
Median$37.05half pay less
Highest$57.00in this market
Difference1.6×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 Des Moines-West Des Moines, IA.

median
Lowest $35.10Highest $62.60

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
MercyOne Newton Medical Center lowest Newton, IA · (641) 792-1273 HC Vaccine Haemophilus Influenzae Type B (Hib) Prp-T 4 Dose Im $35.10 $54.00 $13.17–$54.00 35% Mar 31, 2026
source file
MercyOne Des Moines Medical Center Des Moines, IA · (515) 247-4436 HC Vaccine Haemophilus Influenzae Type B (Hib) Prp-T 4 Dose Im $37.05 $57.00 $11.46–$57.00 35% Mar 31, 2026
source file
MercyOne West Des Moines Medical Center West Des Moines, IA HC Vaccine Haemophilus Influenzae Type B (Hib) Prp-T 4 Dose Im $57.00 $57.00 $11.46–$57.00 — Mar 31, 2026
source file
MercyOne West Des Moines Medical Center West Des Moines, IA HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN $62.60 $62.60 $12.58–$62.60 — Mar 31, 2026
source file

Outpatient: lowest $35.10, median $37.05, highest $57.00 — a 1.6× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $37.05. 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 2 of 3 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).