Vaccines CPT 90648 Outpatient

Hib vaccine (ActHIB/Hiberix) cost in Omaha, NE

In Omaha, NE-IA, 9 hospitals list a cash price for hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix): from $32.50 to $138.27, with a median of $118.52. The lowest listed price is at Nebraska Medical Center and 1 other hospital — $86.02 less than the median here. Across Nebraska, the median is $35.00 at 29 hospitals.

Cash prices at 9 facilities across 5 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 Feb 28, 2026 and Aug 10, 2026.

Lowest$32.50Nebraska Medical Center + 1 more
Median$118.52half of hospitals charge less
Highest$138.27in this market
Difference4.3×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 Omaha, NE-IA.

median
Lowest $32.50Highest $138.27

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Nebraska Medical Center lowest Omaha, NE · (402) 559-4000 Haemophilus influenzae type b vaccine, PRP-T conjugate File of Aug 10, 2026 · source file $32.50 $50.00 $12.50–$129.13 35%
Bellevue Medical Center lowest Bellevue, NE · (402) 763-3600 Haemophilus influenzae type b vaccine, PRP-T conjugate File of Aug 10, 2026 · source file $32.50 $50.00 $12.50–$129.13 35%
CHI Health Bergan Mercy Omaha, NE · (402) 398-6020 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN File of Feb 28, 2026 · source file $118.52 $282.18 $19.88–$239.86 58%
Lasting Hope Recovery Center Omaha, NE HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN File of Feb 28, 2026 · source file $118.52 $282.18 $25.18–$239.86 58%
CHI Health Midlands Papillion, NE · (402) 593-3000 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN File of Feb 28, 2026 · source file $118.52 $282.18 $19.88–$239.86 58%
CHI Health Mercy Council Bluffs Council Bluffs, IA · (712) 328-5000 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN File of Feb 28, 2026 · source file $118.52 $282.18 $12.80–$239.86 58%
Alegent Health Immanuel Medical Center Omaha, NE · (402) 572-2121 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN File of Feb 28, 2026 · source file $118.52 $282.18 $19.88–$239.86 58%
CHI Health Lakeside Omaha, NE · (402) 717-8000 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN File of Feb 28, 2026 · source file $118.52 $282.18 $19.88–$239.86 58%
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley, IA · (712) 642-2784 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN File of Feb 28, 2026 · source file $138.27 $282.18 $12.80–$276.54 51%
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 $32.50, median $118.52, highest $138.27 — a 4.3× difference within the same market.

As an inpatient, the same code is billed by 7 facilities here, median $118.52. 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 9 of 9 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).