Vaccines CPT 90648 Inpatient — admitted to hospital

Hib vaccine (ActHIB/Hiberix) cost in Detroit, MI — inpatient

In Detroit-Warren-Dearborn, MI, 10 hospitals list a cash price for hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) as an inpatient: from $16.14 to $59.95, with a median of $43.15. The lowest listed price is at McLaren Oakland — $27.01 less than the median here. Across Michigan, the median is $31.46 at 45 hospitals.

Cash prices at 10 facilities across 6 cities for code 90648, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Sep 2, 2026.

Lowest$16.14McLaren Oakland
Median$43.15half of hospitals charge less
Highest$59.95in this market
Difference3.7×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 Detroit-Warren-Dearborn, MI.

median
Lowest $16.14Highest $156.75

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
McLaren Oakland lowest Pontiac, MI · (248) 338-5000 haemophilus b conjugate (PRP-T) vaccine IM Inj File of Dec 31, 2025 · source file $16.14 $32.27 $22.98 50%
St Mary Mercy Livonia Livonia, MI · (734) 655-4800 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN File of Mar 31, 2026 · source file $41.79 $64.30 $9.20–$64.30 35%
St Joseph Mercy Oakland Pontiac, MI · (248) 858-3000 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN File of Mar 31, 2026 · source file $41.79 $64.30 $13.38–$64.30 35%
McLaren Lapeer Region Lapeer, MI · (810) 667-5500 haemophilus b conjugate (PRP-T) vaccine IM Inj File of Dec 31, 2025 · source file $42.08 $84.16 $41.40 50%
McLaren Macomb Mount Clemens, MI · (586) 493-8000 haemophilus b conjugate (PRP-T) vaccine IM Inj File of Dec 31, 2025 · source file $42.79 $85.58 $25.49 50%
VHS Childrens Hospital of Michigan Detroit, MI · (313) 745-5437 HIB VACCINE ACTHIB INJ 0.5ML File of Apr 6, 2026 · source file $43.50 $58.00 — 25%
VHS Detroit Receiving Hospital Detroit, MI · (313) 745-2941 HIB VACCINE ACTHIB INJ 0.5ML File of Apr 7, 2026 · source file $46.50 $62.00 — 25%
Harper University Hospital Detroit, MI · (313) 745-6211 HIB VACCINE ACTHIB INJ 0.5ML+1 more line at this price File of Sep 2, 2026 · source file $49.50 $66.00 $1.00–$41.77 25%
RIM - Rehabilitation Institute of Michigan Detroit, MI HIB VACCINE ACTHIB INJ 0.5ML File of Apr 8, 2026 · source file $54.00 $72.00 — 25%
VHS Detroit Receiving Hospital Detroit, MI · (313) 745-2941 HIB VACCINE-HIBERIX 0.5ML DOSE File of Apr 7, 2026 · source file $55.50 $74.00 — 25%
VHS Childrens Hospital of Michigan Detroit, MI · (313) 745-5437 HEMOP B ACTHIB File of Apr 6, 2026 · source file $57.00 $76.00 — 25%
McLaren Oakland Pontiac, MI · (248) 338-5000 Haemophilus B PRP T Vial -> Hib PRP T 90648 File of Dec 31, 2025 · source file $59.95 $119.90 $22.98 50%
McLaren Macomb Mount Clemens, MI · (586) 493-8000 Haemophilus B PRP T Vial -> Hib PRP T 90648 File of Dec 31, 2025 · source file $59.95 $119.90 $25.49 50%
McLaren Port Huron Port Huron, MI · (810) 987-5000 Haemophilus B PRP T Vial -> Hib PRP T 90648 File of Dec 31, 2025 · source file $59.95 $119.90 $25.49–$60.91 50%
McLaren Lapeer Region Lapeer, MI · (810) 667-5500 Haemophilus B PRP T Vial -> Hib PRP T 90648 File of Dec 31, 2025 · source file $59.95 $119.90 $41.40 50%
VHS Detroit Receiving Hospital Detroit, MI · (313) 745-2941 HIB PRP-T (4 DOSE SCHEDULE) File of Apr 7, 2026 · source file $156.75 $209.00 — 25%
VHS Childrens Hospital of Michigan Detroit, MI · (313) 745-5437 HIB PRP-T (4 DOSE SCHEDULE) File of Apr 6, 2026 · source file $156.75 $209.00 — 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.

Inpatient: lowest $16.14, median $43.15, highest $59.95 — a 3.7× difference within the same market.

As an outpatient, the same code is billed by 16 facilities here, median $42.44 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 4 of 7 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is 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).

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 90648 ($40.64). 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.

HospitalCash priceFile
VHS Detroit Receiving Hospital Detroit, MIHAEMO INFLUBVAC HIB/PRP/ACTHIB $0.75 file
File Link to the hospital's own price file.