Hib vaccine (ActHIB/Hiberix) cost in St. Louis, MO
In St. Louis, MO-IL, 10 hospitals list a cash price for hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix): from $16.25 to $85.00, with a median of $43.09. The lowest listed price is at Mercy Hospital St Louis — $26.84 less than the median here. Across Missouri, the median is $39.39 at 32 hospitals.
Cash prices at 10 facilities across 9 cities for code 90648, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Feb 6, 2026 and Feb 9, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in St. Louis, MO-IL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Mercy Hospital St Louis lowest Saint Louis, MO · (314) 251-6000 Vfc Hib Pedvaxhib / Acthib source file | $16.25 | $25.00 | $87.00–$107.00 | 35% |
| Anderson Hospital Maryville, IL · (618) 288-5711 HAEMOPH B POLYSACCH CONJ VACCINE ACTHIB 0.5 ML V File of Feb 6, 2026 · source file | $19.69 | $39.38 | $15.75–$39.38 | 50% |
| Community Hospital of Staunton Staunton, IL · (618) 635-2200 HAEMOPH B POLYSACCH CONJ VACCINE ACTHIB 0.5 ML V File of Feb 9, 2026 · source file | $19.69 | $39.38 | $11.39–$35.84 | 50% |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG IM SOLN (ACTHIB) source file | $36.35 | $55.93 | $3.64–$55.93 | 35% |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG IM SOLN (ACTHIB) source file | $42.77 | $65.80 | $4.28–$59.22 | 35% |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG IM SOLN (ACTHIB) source file | $42.77 | $65.80 | $17.65–$21.85 | 35% |
| Carlinville Area Hospital Carlinville, IL · (217) 854-3141 HIBERIX (PRP-T) VACCINE (Hib) 0.5ML SDV source file | $43.40 | $62.00 | $22.32–$88.57 | 30% |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG IM SOLN (ACTHIB) source file | $59.46 | $91.47 | $5.95–$91.47 | 35% |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL · (618) 234-2120 HAEMOPHILUS B POLYSAC-TETANUS TOXOID (ACTHIB) SOLR per 1 mL source file | $62.60 | $86.95 | $18.42–$86.95 | 28% |
| Carlinville Area Hospital Carlinville, IL · (217) 854-3141 PEDvaxHIB source file | $69.30 | $99.00 | $35.64–$141.43 | 30% |
| Carlinville Area Hospital Carlinville, IL · (217) 854-3141 Hemophilus Influenza B Vaccine Prp-T 4 D source file | $70.00 | $100.00 | $36.00–$142.86 | 30% |
| Gateway Regional Medical Center Granite City, IL · (618) 798-3000 HAEMOPH B TETAN INJ source file | $79.10 | $131.84 | $131.84 | 40% |
| Jersey Community Hospital Jerseyville, IL · (618) 498-6402 AMB Med Charge (HIB PRP-T) -> 90648 hib prp-t 4 source file | $85.00 | $85.00 | $55.00–$82.00 | — |
| Jersey Community Hospital Jerseyville, IL · (618) 498-6402 90648 Hemophilus influenzae type b vaccine(Hib), PRP-T conjugate, 4 dose schedule for intramuscular source file | $89.00 | $89.00 | $57.58–$82.00 | — |
Outpatient: lowest $16.25, median $43.09, highest $85.00 — a 5.2× difference within the same market.
As an inpatient, the same code is billed by 6 facilities here, median $53.00. 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 8 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 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).