Vaccines CPT 90681 Outpatient

Rotavirus vaccine (Rotarix) cost in San Jose, CA

In San Jose-Sunnyvale-Santa Clara, CA, 4 hospitals list a cash price for rotavirus vaccine, oral, 2-dose schedule (Rotarix): from $98.00 to $147.28, with a median of $139.14. The lowest listed price is at Stanford Health Care — $41.14 less than the median here. Across California, the median is $181.28 at 56 hospitals.

Cash prices at 4 facilities across 4 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 Mar 31, 2026 and Apr 1, 2026.

Lowest$98.00Stanford Health Care
Median$139.14half pay less
Highest$147.28in 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 San Jose-Sunnyvale-Santa Clara, CA.

median
Lowest $98.00Highest $256.68

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Stanford Health Care lowest Stanford, CA · (650) 723-4000 Rv1 Vaccine 2 Dose Schedule Live for Oral Use $98.00 $245.00 — 60% Apr 1, 2026
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Lucile Salter Packard Children's Hospital at Stanford Palo Alto, CA · (650) 497-8000 HC Rotavirus Live Rv1 2 Dose Oral Susp $131.00 $262.00 $83.81 50% Mar 31, 2026
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Kaiser Foundation Hospital - Santa Clara Santa Clara, CA · (408) 236-6400 RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE $147.28 $263.00 — 44% —
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Kaiser Foundation Hospital - San Jose San Jose, CA · (408) 972-7000 RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE $147.28 $263.00 — 44% —
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Kaiser Foundation Hospital - San Jose San Jose, CA · (408) 972-7000 "Rotavirus Vaccine, Live, 89-12 10exp6 CCID50 /1.5 mL Susp 1.5 mL SYRINGE" $256.68 $458.36 — 44% —
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Kaiser Foundation Hospital - San Jose San Jose, CA · (408) 972-7000 "Rotavirus Vaccine, Live, 89-12 10exp6 CCID50/mL Recon susp 1 mL VIAL" $256.68 $458.36 — 44% —
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Kaiser Foundation Hospital - Santa Clara Santa Clara, CA · (408) 236-6400 "Rotavirus Vaccine, Live, 89-12 10exp6 CCID50 /1.5 mL Susp 1.5 mL SYRINGE" $256.68 $458.36 — 44% —
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Kaiser Foundation Hospital - Santa Clara Santa Clara, CA · (408) 236-6400 "Rotavirus Vaccine, Live, 89-12 10exp6 CCID50/mL Recon susp 1 mL VIAL" $256.68 $458.36 — 44% —
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Outpatient: lowest $98.00, median $139.14, highest $147.28 — a 1.5× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $147.28. 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 not 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 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.