Vaccines CPT 90648 Outpatient

Hib vaccine (ActHIB/Hiberix) cost in Grand Rapids, MI

In Grand Rapids-Wyoming-Kentwood, MI, 4 hospitals list a cash price for hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix): from $8.00 to $105.80, with a median of $26.53. The lowest listed price is at University of Michigan Health-Sparrow Ionia — $18.53 less than the median here. Across Michigan, the median is $31.46 at 45 hospitals.

Cash prices at 4 facilities across 4 cities for code 90648, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 28, 2026; the hospital files themselves were last updated between Mar 31, 2026 and Mar 31, 2026.

Lowest$8.00University of Michigan Health-Sparrow Ionia

Median$26.53half of hospitals charge less

Highest$105.80in this market

Difference13.2×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 Grand Rapids-Wyoming-Kentwood, MI.

median

Lowest $8.00Highest $105.80

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
University of Michigan Health-Sparrow Ionia lowest Ionia, MI · (616) 527-4200 PR HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE source file	$8.00	$16.00	$13.07–$13.42	50%
University of Michigan Health-Sparrow Carson Carson City, MI · (989) 584-3131 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR source file	$12.37	$49.47	$13.07–$40.07	75%
Mercy Health Saint Marys Grand Rapids, MI · (616) 685-5000 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN File of Mar 31, 2026 · source file	$40.69	$62.60	$14.09–$62.60	35%
Sheridan Community Hospital Sheridan, MI · (989) 291-3261 ACTHIB HAEMOPH B POLYSAC CONJ-TET TOX source file	$105.80	$132.25	$44.07–$116.78	20%

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 $8.00, median $26.53, highest $105.80 — a 13.2× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $40.69. 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 4 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 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).