Vaccines CPT 90681 Outpatient

Rotavirus vaccine (Rotarix) cost in St. Louis, MO

In St. Louis, MO-IL, 2 hospitals list a cash price for rotavirus vaccine, oral, 2-dose schedule (Rotarix): from $217.00 to $428.32, with a median of $322.66. The lowest listed price is at Jersey Community Hospital — $105.66 less than the median here. Across Missouri, the median is $233.75 at 9 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 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$217.00Jersey Community Hospital
Median$322.66half pay less
Highest$428.32in 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 St. Louis, MO-IL.

median
Lowest $217.00Highest $428.32

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Jersey Community Hospital lowest Jerseyville, IL · (618) 498-6402 AMB Med Charge (Rotavirus) -> 90681 2 dose oral $217.00 $217.00 $82.00–$184.45 — —
source file
Jersey Community Hospital Jerseyville, IL · (618) 498-6402 90681 Rotavirus vaccine, human, attenuated (RV1), 2dose schedule, live, for oral use $227.00 $227.00 $82.00–$192.95 — —
source file
Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 ROTAVIRUS VACCINE, LIVE, 89-12 STRAIN G1P(8) 10EXP6 CCID50/1.5 ML SUSP $428.32 $658.95 $197.01–$250.14 35% —
source file

Outpatient: lowest $217.00, median $322.66, highest $428.32 — a 2.0× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $217.00. 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 0 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.

Mercy Hospital St Louis Saint Louis, MOVfc Rotavirus Vaccine Oral Dose 2 Dose $11.05 file