Vaccines CPT 90681 Outpatient

Rotavirus vaccine (Rotarix) cost in Lexington, NE

In Lexington, NE, 2 hospitals list a cash price for rotavirus vaccine, oral, 2-dose schedule (Rotarix): from $190.00 to $353.31, with a median of $271.66. The lowest listed price is at Gothenburg Health — $81.66 less than the median here. Across Nebraska, the median is $135.00 at 12 hospitals.

Cash prices at 2 facilities across 2 cities for code 90681, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Dec 28, 2025 and Dec 28, 2025.

Lowest$190.00Gothenburg Health
Median$271.66half pay less
Highest$353.31in this market
Difference1.9×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 Lexington, NE.

median
Lowest $190.00Highest $353.31

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Gothenburg Health lowest Gothenburg, NE · (308) 537-3661 Rotavirus (Rv1) (2 Dose) Vaccine Charge $190.00 $211.00 $130.00–$203.00 10% —
source file
Lexington Regional Health Center Lexington, NE · (308) 324-5651 rotavirus vaccine monovalent Liq 1.5 mL (Rotarix) [LRHC] $353.31 $368.03 $184.02–$368.03 4% Dec 28, 2025
source file
Lexington Regional Health Center Lexington, NE · (308) 324-5651 rotavirus vaccine monovalent Liq 1.5 mL (Rotarix) [LRHC] $353.31 $368.03 $184.02–$368.03 4% Dec 28, 2025
source file

Outpatient: lowest $190.00, median $271.66, highest $353.31 — a 1.9× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $353.31. 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

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.

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 90681 ($182.24). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Gothenburg Health Gothenburg, NEVfc Rotavirus (2 Dose) Vaccine Charge $14.00 file