Vaccines CPT 90651 Outpatient

HPV vaccine (Gardasil 9) cost in San Francisco, CA

In San Francisco-Oakland-Fremont, CA, 16 hospitals list a cash price for HPV vaccine, 9-valent (Gardasil 9): from $331.52 to $1,844.91, with a median of $331.52. The lowest listed price is at Kaiser Foundation Hospital - San Leandro and 9 other hospitals. Across California, the median is $387.50 at 85 hospitals.

  • The median here, $331.52, is 22% below the US median of $423.00.
  • San Francisco, CA has the lowest median of 3 metro areas in California with at least 10 hospitals pricing this code.
  • 5 of 16 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 16 facilities across 12 cities for code 90651, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 22, 2026.

Lowest$331.52Kaiser Foundation Hospital - San Leandro + 9 more
Median$331.52half of hospitals charge less
Highest$1,844.91in this market
Difference5.6×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 $331.52Highest $1,844.91

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Kaiser Foundation Hospital - San Leandro lowest San Leandro, CA · (510) 454-1000 9VHPV VACC 2/3 DOSE SCHED IM USE File of Apr 1, 2026 · source file $331.52 $592.00 — 44%
Kaiser Foundation Hospital - San Rafael lowest San Rafael, CA · (415) 444-2000 9VHPV VACC 2/3 DOSE SCHED IM USE File of Apr 1, 2026 · source file $331.52 $592.00 — 44%
Kaiser Foundation Hospital - Oakland/Richmond lowest Oakland, CA · (510) 752-1000 9VHPV VACC 2/3 DOSE SCHED IM USE File of Apr 1, 2026 · source file $331.52 $592.00 — 44%
Kaiser Foundation Hospital - Redwood City lowest Redwood City, CA · (650) 299-2000 9VHPV VACC 2/3 DOSE SCHED IM USE File of Apr 1, 2026 · source file $331.52 $592.00 — 44%
Kaiser Foundation Hospital - San Francisco lowest San Francisco, CA · (415) 833-2646 9VHPV VACC 2/3 DOSE SCHED IM USE File of Apr 1, 2026 · source file $331.52 $592.00 — 44%
Kaiser Foundation Hospital - Fremont lowest Fremont, CA · (510) 784-4000 9VHPV VACC 2/3 DOSE SCHED IM USE File of Apr 1, 2026 · source file $331.52 $592.00 — 44%
Kaiser Foundation Hospital - Walnut Creek lowest Walnut Creek, CA · (925) 295-4000 9VHPV VACC 2/3 DOSE SCHED IM USE File of Apr 1, 2026 · source file $331.52 $592.00 — 44%
Kaiser Foundation Hospital - Antioch lowest Antioch, CA · (925) 813-6500 9VHPV VACC 2/3 DOSE SCHED IM USE File of Apr 1, 2026 · source file $331.52 $592.00 — 44%
Kaiser Foundation Hospital - South San Francisco lowest South San Francisco, CA · (650) 742-3200 9VHPV VACC 2/3 DOSE SCHED IM USE File of Apr 1, 2026 · source file $331.52 $592.00 — 44%
Kaiser Fnd Hospital - Richmond Campus lowest Richmond, CA · (510) 752-1000 9VHPV VACC 2/3 DOSE SCHED IM USE File of Apr 1, 2026 · source file $331.52 $592.00 — 44%
Mills Health Center San Mateo, CA · (650) 696-5400 HCHG TS 9VHPV VACCINE 2/3 DOSE IM File of Apr 1, 2026 · source file $379.00 $379.00 — —
Mills-Peninsula Medical Center Burlingame, CA · (650) 696-5400 HCHG TS 9VHPV VACCINE 2/3 DOSE IM File of Apr 1, 2026 · source file $379.00 $379.00 — —
San Mateo Medical Center San Mateo, CA · (650) 573-2222 HPV 9-VALENT RECOMB VACCINE IM SUSY File of Apr 1, 2026 · source file $466.23 $932.46 — 50%
Kaiser Foundation Hospital - Redwood City Redwood City, CA · (650) 299-2000 human papillomavirus 9-valent vaccine (PF) 0.5 mL Syringe 0.5 mL SYRINGE+1 more line at this price File of Apr 1, 2026 · source file $576.48 $1,029.42 — 44%
Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 human papillomavirus 9-valent vaccine (PF) 0.5 mL Susp 0.5 mL VIAL+1 more line at this price File of Apr 1, 2026 · source file $576.48 $1,029.42 — 44%
Kaiser Foundation Hospital - San Leandro San Leandro, CA · (510) 454-1000 human papillomavirus 9-valent vaccine (PF) 0.5 mL Susp 0.5 mL VIAL+1 more line at this price File of Apr 1, 2026 · source file $576.48 $1,029.42 — 44%
Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 human papillomavirus 9-valent vaccine (PF) 0.5 mL Susp 0.5 mL VIAL+1 more line at this price File of Apr 1, 2026 · source file $576.48 $1,029.42 — 44%
Kaiser Foundation Hospital - San Rafael San Rafael, CA · (415) 444-2000 human papillomavirus 9-valent vaccine (PF) 0.5 mL Susp 0.5 mL VIAL+1 more line at this price File of Apr 1, 2026 · source file $576.48 $1,029.42 — 44%
Kaiser Fnd Hospital - Richmond Campus Richmond, CA · (510) 752-1000 human papillomavirus 9-valent vaccine (PF) 0.5 mL Susp 0.5 mL VIAL+1 more line at this price File of Apr 1, 2026 · source file $576.48 $1,029.42 — 44%
Kaiser Foundation Hospital - San Francisco San Francisco, CA · (415) 833-2646 human papillomavirus 9-valent vaccine (PF) 0.5 mL Susp 0.5 mL VIAL+1 more line at this price File of Apr 1, 2026 · source file $576.48 $1,029.42 — 44%
Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 human papillomavirus 9-valent vaccine (PF) 0.5 mL Susp 0.5 mL VIAL+1 more line at this price File of Apr 1, 2026 · source file $576.48 $1,029.42 — 44%
Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA · (925) 295-4000 human papillomavirus 9-valent vaccine (PF) 0.5 mL Susp 0.5 mL VIAL+1 more line at this price File of Apr 1, 2026 · source file $576.48 $1,029.42 — 44%
Kaiser Foundation Hospital - South San Francisco South San Francisco, CA · (650) 742-3200 human papillomavirus 9-valent vaccine (PF) 0.5 mL Susp 0.5 mL VIAL+1 more line at this price File of Apr 1, 2026 · source file $576.48 $1,029.42 — 44%
Chinese Hospital San Francisco, CA · (415) 677-2480 Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent File of Jul 22, 2026 · source file $987.00 $987.00 $402.89–$1,776.60 —
Alta Bates Summit Medical Center Oakland, CA · (510) 655-4000 HPV 9-VALENT RECOMB VACCINE IM SUSP+1 more line at this price File of Apr 1, 2026 · source file $1,844.91 $1,844.91 — —
Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA · (510) 655-4000 HPV 9-VALENT RECOMB VACCINE IM SUSP+1 more line at this price File of Apr 1, 2026 · source file $1,844.91 $1,844.91 — —
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 $331.52, median $331.52, highest $1,844.91 — a 5.6× difference within the same market.

As an inpatient, the same code is billed by 13 facilities here, median $331.52. 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 HPV vaccine (Gardasil 9) is, what the price covers and why prices differ: HPV vaccine (Gardasil 9) explained.