Vaccines CPT 90648 Outpatient

Hib vaccine (ActHIB/Hiberix) cost in San Francisco, CA

In San Francisco-Oakland-Fremont, CA, 15 hospitals list a cash price for hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix): from $32.87 to $139.00, with a median of $32.87. The lowest listed price is at Kaiser Foundation Hospital - San Leandro and 9 other hospitals. Across California, the median is $37.12 at 123 hospitals.

Cash prices at 15 facilities across 13 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 Feb 28, 2026 and Jul 22, 2026.

Lowest$32.87Kaiser Foundation Hospital - San Leandro + 9 more
Median$32.87half of hospitals charge less
Highest$139.00in this market
Difference4.2×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 Francisco-Oakland-Fremont, CA.

median
Lowest $32.87Highest $139.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Kaiser Foundation Hospital - San Leandro lowest San Leandro, CA · (510) 454-1000 haemophilus B poly conj-tet tox (PF) vaccine 10 mcg/0.5 mL Recon soln 1 Each VIAL source file $32.87 $58.70 — 44%
Kaiser Foundation Hospital - Redwood City lowest Redwood City, CA · (650) 299-2000 haemophilus B poly conj-tet tox (PF) vaccine 10 mcg/0.5 mL Recon soln 1 Each VIAL source file $32.87 $58.70 — 44%
Kaiser Foundation Hospital - South San Francisco lowest South San Francisco, CA · (650) 742-3200 haemophilus B poly conj-tet tox (PF) vaccine 10 mcg/0.5 mL Recon soln 1 Each VIAL source file $32.87 $58.70 — 44%
Kaiser Foundation Hospital - Walnut Creek lowest Walnut Creek, CA · (925) 295-4000 haemophilus B poly conj-tet tox (PF) vaccine 10 mcg/0.5 mL Recon soln 1 Each VIAL source file $32.87 $58.70 — 44%
Kaiser Fnd Hospital - Richmond Campus lowest Richmond, CA · (510) 752-1000 haemophilus B poly conj-tet tox (PF) vaccine 10 mcg/0.5 mL Recon soln 1 Each VIAL source file $32.87 $58.70 — 44%
Kaiser Foundation Hospital - Antioch lowest Antioch, CA · (925) 813-6500 haemophilus B poly conj-tet tox (PF) vaccine 10 mcg/0.5 mL Recon soln 1 Each VIAL source file $32.87 $58.70 — 44%
Kaiser Foundation Hospital - Oakland/Richmond lowest Oakland, CA · (510) 752-1000 haemophilus B poly conj-tet tox (PF) vaccine 10 mcg/0.5 mL Recon soln 1 Each VIAL source file $32.87 $58.70 — 44%
Kaiser Foundation Hospital - San Francisco lowest San Francisco, CA · (415) 833-2646 haemophilus B poly conj-tet tox (PF) vaccine 10 mcg/0.5 mL Recon soln 1 Each VIAL source file $32.87 $58.70 — 44%
Kaiser Foundation Hospital - San Rafael lowest San Rafael, CA · (415) 444-2000 haemophilus B poly conj-tet tox (PF) vaccine 10 mcg/0.5 mL Recon soln 1 Each VIAL source file $32.87 $58.70 — 44%
Kaiser Foundation Hospital - Fremont lowest Fremont, CA · (510) 784-4000 haemophilus B poly conj-tet tox (PF) vaccine 10 mcg/0.5 mL Recon soln 1 Each VIAL source file $32.87 $58.70 — 44%
Sequoia Hospital Redwood City, CA · (650) 369-5811 HIB VACCINE PRP-T CONJ IM File of Feb 28, 2026 · source file $40.04 $110.00 $15.65–$110.00 64%
Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA · (925) 295-4000 HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE source file $43.12 $77.00 — 44%
Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE source file $43.12 $77.00 — 44%
Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE source file $43.12 $77.00 — 44%
Kaiser Fnd Hospital - Richmond Campus Richmond, CA · (510) 752-1000 HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE source file $43.12 $77.00 — 44%
Kaiser Foundation Hospital - San Rafael San Rafael, CA · (415) 444-2000 HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE source file $43.12 $77.00 — 44%
Kaiser Foundation Hospital - San Leandro San Leandro, CA · (510) 454-1000 HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE source file $43.12 $77.00 — 44%
Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE source file $43.12 $77.00 — 44%
Kaiser Foundation Hospital - San Francisco San Francisco, CA · (415) 833-2646 HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE source file $43.12 $77.00 — 44%
Kaiser Foundation Hospital - South San Francisco South San Francisco, CA · (650) 742-3200 HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE source file $43.12 $77.00 — 44%
Kaiser Foundation Hospital - Redwood City Redwood City, CA · (650) 299-2000 HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE source file $43.12 $77.00 — 44%
Stanford Health Care Tri-Valley Pleasanton, CA · (925) 847-3000 HAEMOPH B POLY CONJ-TET TOX-PF 10 MCG/0.5 ML IM SOLR File of Apr 1, 2026 · source file $75.59 $188.98 — 60%
Sequoia Hospital Redwood City, CA · (650) 369-5811 H-FLU B/TETANUS 0.5ML INJ File of Feb 28, 2026 · source file $79.36 $218.00 $15.65–$178.76 64%
Chinese Hospital San Francisco, CA · (415) 677-2480 Haemophilus influenzae type b vaccine, PRP-T conjugate File of Jul 22, 2026 · source file $116.00 $116.00 $47.35–$208.80 —
Mills Health Center San Mateo, CA · (650) 696-5400 HCHG TS INJ HIB HMO B CNJ PRP-T File of Apr 1, 2026 · source file $139.00 $139.00 — —
Mills-Peninsula Medical Center Burlingame, CA · (650) 696-5400 HCHG TS INJ HIB HMO B CNJ PRP-T File of Apr 1, 2026 · source file $139.00 $139.00 — —
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.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $32.87, median $32.87, highest $139.00 — a 4.2× difference within the same market.

As an inpatient, the same code is billed by 14 facilities here, median $32.87. 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 2 of 2 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).