Vaccines CPT 90648 Inpatient — admitted to hospital

Hib vaccine (ActHIB/Hiberix) cost in San Diego, CA — inpatient

In San Diego-Chula Vista-Carlsbad, CA, 7 hospitals list a cash price for hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) as an inpatient: from $30.52 to $145.46, with a median of $50.67. The lowest listed price is at Kaiser Foundation Hospital - San Diego - Clairemont Mesa and 2 other hospitals — $20.15 less than the median here. Across California, the median is $36.58 at 118 hospitals.

Cash prices at 7 facilities across 5 cities for code 90648, as an inpatient (admitted to hospital) . Collected Sep 29, 2026; the hospital files themselves were last updated between Apr 1, 2026 and May 29, 2026.

Lowest$30.52Kaiser Foundation Hospital - San Diego - Clairemont Mesa + 2 more
Median$50.67half of hospitals charge less
Highest$145.46in this market
Difference4.8×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 San Diego-Chula Vista-Carlsbad, CA.

median
Lowest $30.52Highest $189.42

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Kaiser Foundation Hospital - San Diego - Clairemont Mesa lowest San Diego, CA · (619) 528-5000 haemophilus B poly conj-tet tox (PF) vaccine 10 mcg/0.5 mL Recon soln 1 Each VIAL source file $30.52 $58.70 — 48%
Kaiser Foundation Hospital - San Diego - Zion lowest San Diego, CA · (619) 528-5000 haemophilus B poly conj-tet tox (PF) vaccine 10 mcg/0.5 mL Recon soln 1 Each VIAL source file $30.52 $58.70 — 48%
Kaiser Foundation Hospital - San Marcos lowest San Marcos, CA · (760) 528-6295 haemophilus B poly conj-tet tox (PF) vaccine 10 mcg/0.5 mL Recon soln 1 Each VIAL source file $30.52 $58.70 — 48%
Tri-City Medical Center Oceanside, CA · (760) 724-8411 haemophilus b conjugate (PRP-T) vaccine IM Inj [CITY] File of May 29, 2026 · source file $50.67 $84.45 $28.30–$65.79 40%
Palomar Medical Center Poway Poway, CA · (858) 485-6511 49281-0545-03 - HAEMOPHILUS B CONJ File of Apr 1, 2026 · source file $103.14 $171.90 — 40%
Palomar Medical Center Escondido Escondido, CA 49281-0545-03 - HAEMOPHILUS B CONJ File of Apr 1, 2026 · source file $103.14 $171.90 — 40%
Rady Children's Hospital - San Diego San Diego, CA · (858) 576-1700 NDC Description Not Available File of Apr 1, 2026 · source file $145.46 $193.95 — 25%
Palomar Medical Center Escondido Escondido, CA 49281-0545-05 - HAEMOPHILUS B CONJU File of Apr 1, 2026 · source file $189.42 $315.70 — 40%
Palomar Medical Center Poway Poway, CA · (858) 485-6511 49281-0545-05 - HAEMOPHILUS B CONJU File of Apr 1, 2026 · source file $189.42 $315.70 — 40%
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 $30.52, median $50.67, highest $145.46 — a 4.8× difference within the same market.

As an outpatient, the same code is billed by 8 facilities here, median $41.94 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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).