Vaccines CPT 90648 Outpatient

Hib vaccine (ActHIB/Hiberix) cost in Madisonville, TX

In Madisonville, TX, 1 hospital lists a cash price for hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix): from $6.48 to $6.48, with a median of $6.48. Across Texas, the median is $46.99 at 151 hospitals.

Cash prices at 1 facility 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 28, 2026 and Feb 28, 2026.

Lowest$6.48Madison St Joseph Health Center

Median$6.48half of hospitals charge less

Highest$6.48in this market

Difference1.0×highest vs lowest

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Madison St Joseph Health Center Madisonville, TX · (936) 348-2631 HEMOPH B POLYS CONJ-TET TOX VL File of Feb 28, 2026 · source file	$6.48	$37.00	$4.72–$33.50	82%

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 $6.48, median $6.48, highest $6.48.

As an inpatient, the same code is billed by 1 facility here, median $6.48. 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 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).

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 90648 ($40.64). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Hospital	Cash price	File
Madison St Joseph Health Center Madisonville, TXHAEMOPH B POLY CONJ-TET TOX 10	$1.90	file

File Link to the hospital's own price file.