Vaccines CPT 90681 Outpatient

Rotavirus vaccine (Rotarix) cost in Fresno, CA

In Fresno, CA, 5 hospitals list a cash price for rotavirus vaccine, oral, 2-dose schedule (Rotarix): from $147.28 to $469.19, with a median of $469.19. The lowest listed price is at Kaiser Foundation Hospital - Fresno — $321.91 less than the median here. Across California, the median is $156.56 at 55 hospitals.

Cash prices at 5 facilities across 2 cities for code 90681, 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$147.28Kaiser Foundation Hospital - Fresno

Median$469.19half of hospitals charge less

Highest$469.19in this market

Difference3.2×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 Fresno, CA.

median

Lowest $147.28Highest $469.19

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Kaiser Foundation Hospital - Fresno lowest Fresno, CA · (559) 448-4500 RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE source file	$147.28	$263.00	—	44%
Kaiser Foundation Hospital - Fresno Fresno, CA · (559) 448-4500 "Rotavirus Vaccine, Live, 89-12 10exp6 CCID50 /1.5 mL Susp 1.5 mL SYRINGE"+1 more line at this price source file	$256.68	$458.36	—	44%
Community Regional Medical Center Fresno, CA · (559) 459-6000 ROTAVIRUS VAC LIVE PENT 2ML File of Jun 18, 2026 · source file	$469.19	$586.48	$119.45–$645.13	20%
Clovis Community Medical Center Clovis, CA · (559) 324-4000 ROTAVIRUS VAC LIVE PENT 2ML File of Jun 15, 2026 · source file	$469.19	$586.48	$106.60–$645.13	20%
Fresno Heart and Surgical Hospital Fresno, CA · (559) 459-6000 ROTAVIRUS VAC LIVE PENT 2ML File of Jun 16, 2026 · source file	$469.19	$586.48	$119.45–$645.13	20%
Community Behavioral Health Center Fresno, CA · (559) 459-6000 ROTAVIRUS VAC LIVE PENT 2ML File of Jun 18, 2026 · source file	$469.19	$586.48	$119.45–$645.13	20%

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 $147.28, median $469.19, highest $469.19 — a 3.2× difference within the same market.

As an inpatient, the same code is billed by 5 facilities here, median $469.19. 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 4 of 4 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

Rotarix protects babies against rotavirus diarrhea. It is given as liquid by mouth, in two doses at 2 and 4 months.

What the price covers

The price is for the vaccine dose. Giving an oral or nasal vaccine is billed as 90473 rather than the injection fee 90471; ask whether it is included.