Vaccines CPT 90648 Outpatient

Hib vaccine (ActHIB/Hiberix) cost in Nashville, TN

In Nashville-Davidson--Murfreesboro--Franklin, TN, 10 hospitals list a cash price for hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix): from $21.75 to $1,428.99, with a median of $71.68. The lowest listed price is at Vanderbilt Wilson County Hospital — $49.93 less than the median here. Across Tennessee, the median is $29.35 at 43 hospitals.

Cash prices at 10 facilities across 7 cities for code 90648, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Oct 1, 2025 and Sep 1, 2026.

Lowest$21.75Vanderbilt Wilson County Hospital
Median$71.68half pay less
Highest$1,428.99in this market
Difference65.7×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 Nashville-Davidson--Murfreesboro--Franklin, TN.

median
Lowest $21.75Highest $1,428.99

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE $21.75 $75.00 $18.25–$75.00 71% Oct 1, 2025
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Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 ACTHIB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION $21.75 $75.00 $19.01–$67.50 71% Oct 1, 2025
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Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 HIBERIX (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION $21.75 $75.00 $19.01–$67.50 71% Oct 1, 2025
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Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 ACTHIB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION $40.50 $75.00 $18.09–$67.50 46% Oct 1, 2025
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Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE $40.50 $75.00 $18.25–$75.00 46% Oct 1, 2025
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Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HIBERIX (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION $40.50 $75.00 $18.09–$67.50 46% Oct 1, 2025
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Tristar Summit Medical Center Mt Juliet, TN · (615) 316-3000 Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use $61.36 $61.36 $15.78–$43.25 — Sep 1, 2026
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Tristar Summit Medical Center Mt Juliet, TN · (615) 316-3000 ACTHIB 4 DOSE VAC IM $61.36 $61.36 $9.20–$54.00 — Sep 1, 2026
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Tristar Horizon Medical Center Dickson, TN · (615) 446-0446 Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use $61.62 $61.62 $15.78 — Sep 1, 2026
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Tristar Horizon Medical Center Dickson, TN · (615) 446-0446 ACTHIB 4 DOSE VAC IM $61.62 $61.62 $9.24–$56.69 — Sep 1, 2026
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Maury Regional Hospital Columbia, TN · (931) 381-1111 haemophilus b conjugate (PRP-T) vaccine IM Inj $67.24 $164.00 $63.47–$157.44 59% —
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Tristar Hendersonville Medical Center Portland, TN · (615) 338-1000 Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use $76.11 $76.11 $43.25 — Sep 1, 2026
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Tristar Hendersonville Medical Center Portland, TN · (615) 338-1000 ACTHIB 4 DOSE VAC IM $76.11 $76.11 $11.42–$70.02 — Sep 1, 2026
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Tristar Stonecrest Medical Center Smyrna, TN · (615) 768-2000 Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use $120.14 $120.14 $15.78 — Sep 1, 2026
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Tristar Stonecrest Medical Center Smyrna, TN · (615) 768-2000 ACTHIB 4 DOSE VAC IM $120.14 $120.14 $18.02–$110.53 — Sep 1, 2026
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Tristar Southern Hills Medical Center Nashville, TN · (615) 781-4000 ACTHIB 4 DOSE VAC IM $129.47 $129.47 $19.42–$113.93 — Sep 1, 2026
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Tristar Southern Hills Medical Center Nashville, TN · (615) 781-4000 Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use $129.47 $129.47 $15.78 — Sep 1, 2026
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Tristar Centennial Medical Center Nashville, TN · (615) 342-1000 ACTHIB 4 DOSE VAC IM $333.07 $333.07 $223.16 — Sep 1, 2026
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Tristar Centennial Medical Center Nashville, TN · (615) 342-1000 Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use $333.07 $333.07 $15.78 — Sep 1, 2026
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Tristar Skyline Medical Center Nashville, TN · (615) 769-2000 Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use $1,428.99 $1,428.99 $15.78 — Sep 1, 2026
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Tristar Skyline Medical Center Nashville, TN · (615) 769-2000 ACTHIB 4 DOSE VAC IM $1,428.99 $1,428.99 $214.35–$1,400.41 — Sep 1, 2026
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Outpatient: lowest $21.75, median $71.68, highest $1,428.99 — a 65.7× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $40.50. 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 3 of 10 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).