Vaccines CPT 90651 Outpatient

HPV vaccine (Gardasil 9) cost in Fresno, CA

In Fresno, CA, 3 hospitals list a cash price for HPV vaccine, 9-valent (Gardasil 9): from $331.52 to $667.66, with a median of $667.66. The lowest listed price is at Kaiser Foundation Hospital - Fresno — $336.14 less than the median here. Across California, the median is $383.52 at 56 hospitals.

Cash prices at 3 facilities across 2 cities for code 90651, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Jun 15, 2026 and Jun 18, 2026.

Lowest$331.52Kaiser Foundation Hospital - Fresno
Median$667.66half pay less
Highest$667.66in this market
Difference2.0×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 Fresno, CA.

median
Lowest $331.52Highest $1,644.93

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Kaiser Foundation Hospital - Fresno lowest Fresno, CA · (559) 448-4500 9VHPV VACC 2/3 DOSE SCHED IM USE $331.52 $592.00 — 44% —
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Kaiser Foundation Hospital - Fresno Fresno, CA · (559) 448-4500 human papillomavirus 9-valent vaccine (PF) 0.5 mL Susp 0.5 mL VIAL $576.48 $1,029.42 — 44% —
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Kaiser Foundation Hospital - Fresno Fresno, CA · (559) 448-4500 human papillomavirus 9-valent vaccine (PF) 0.5 mL Syringe 0.5 mL SYRINGE $576.48 $1,029.42 — 44% —
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Fresno Community Hospital and Medical Center Fresno, CA · (559) 459-6000 HPV 9-VALENT PF (GARDASIL 9) 0.5 ML SYRINGE IM $667.66 $834.57 $208.64–$918.03 20% Jun 18, 2026
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Fresno Community Hospital and Medical Center Clovis, CA · (559) 324-4000 HPV 9-VALENT PF (GARDASIL 9) 0.5 ML SYRINGE IM $667.66 $834.57 $208.64–$918.03 20% Jun 15, 2026
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Fresno Community Hospital and Medical Center Fresno, CA · (559) 459-6000 HPV 9-VALENT PF (GARDASIL 9) 0.5 ML SYRINGE IM $667.66 $834.57 $208.64–$918.03 20% Jun 18, 2026
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Fresno Community Hospital and Medical Center Fresno, CA · (559) 459-6000 HPV 9-VALENT PF (GARDASIL 9) 0.5 ML SYRINGE IM $667.66 $834.57 $208.64–$918.03 20% Jun 16, 2026
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Fresno Community Hospital and Medical Center Clovis, CA · (559) 324-4000 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE $1,644.93 $2,056.16 $291.25–$2,261.78 20% Jun 15, 2026
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Fresno Community Hospital and Medical Center Fresno, CA · (559) 459-6000 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE $1,644.93 $2,056.16 $291.25–$2,261.78 20% Jun 16, 2026
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Fresno Community Hospital and Medical Center Fresno, CA · (559) 459-6000 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE $1,644.93 $2,056.16 $291.25–$2,261.78 20% Jun 18, 2026
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Fresno Community Hospital and Medical Center Fresno, CA · (559) 459-6000 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE $1,644.93 $2,056.16 $291.25–$2,261.78 20% Jun 18, 2026
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Outpatient: lowest $331.52, median $667.66, highest $667.66 — a 2.0× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $667.66. 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

Gardasil 9 protects against nine types of HPV, the virus behind most cervical cancers and several other cancers. It is routine at ages 11 to 12 and recommended through age 26; adults 27 to 45 may get it after talking with a doctor.

What the price covers

The price is for one dose. , and the series takes two or three doses.