Vaccines CPT 90651 Outpatient

HPV vaccine (Gardasil 9) cost in Rapid City, SD

In Rapid City, SD, 3 hospitals list a cash price for HPV vaccine, 9-valent (Gardasil 9): from $304.80 to $459.06, with a median of $304.80. The lowest listed price is at Monument Health Custer Hospital and 1 other hospital. Across South Dakota, the median is $304.80 at 11 hospitals.

Cash prices at 3 facilities across 3 cities for code 90651, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Sep 1, 2026 and Sep 1, 2026.

Lowest$304.80Monument Health Custer Hospital + 1 more
Median$304.80half pay less
Highest$459.06in this market
Difference1.5×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 Rapid City, SD.

median
Lowest $304.80Highest $459.06

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Monument Health Custer Hospital lowest Custer, SD · (605) 673-9400 Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent $304.80 $381.00 $95.25–$381.00 20% Sep 1, 2026
source file
Monument Health Sturgis Hospital lowest Sturgis, SD · (605) 720-2400 Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent $304.80 $381.00 $91.44–$381.00 20% Sep 1, 2026
source file
Monument Health Rapid City Hospital Rapid City, SD · (605) 755-1000 Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent $459.06 $573.83 $141.16–$608.82 20% Sep 1, 2026
source file

Outpatient: lowest $304.80, median $304.80, highest $459.06 — a 1.5× difference within the same market.

Cash or insurance?

At 3 of 3 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.