Vaccines CPT 90690 Outpatient

Typhoid vaccine, oral (Vivotif) cost in Cleveland, OH

In Cleveland, OH, 22 hospitals list a cash price for typhoid vaccine, oral capsules (Vivotif): from $45.75 to $365.66, with a median of $77.63. The lowest listed price is at Euclid Hospital and 9 other hospitals — $31.88 less than the median here. Across Ohio, the median is $49.59 at 34 hospitals.

Cash prices at 22 facilities across 16 cities for code 90690, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 14, 2026.

Lowest$45.75Euclid Hospital + 9 more
Median$77.63half pay less
Highest$365.66in this market
Difference8.0×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 Cleveland, OH.

median
Lowest $45.75Highest $365.66

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Euclid Hospital lowest Euclid, OH · (216) 531-9000 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $11.99–$70.38 35% Jun 15, 2026
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Hillcrest Hospital lowest Mayfield Heights, OH · (440) 312-4500 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $10.94–$70.38 35% Jun 15, 2026
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Lodi Community Hospital lowest Lodi, OH · (330) 948-1222 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $19.90–$70.38 35% Jun 15, 2026
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Lodi Community Hospital lowest Lodi, OH · (330) 948-1222 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $19.90–$70.38 35% Jun 15, 2026
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Marymount Hospital lowest Garfield Heights, OH · (216) 587-8210 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $11.99–$70.38 35% Jun 15, 2026
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Marymount Hospital lowest Garfield Heights, OH · (216) 587-8210 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $11.99–$70.38 35% Jun 15, 2026
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Fairview Hospital lowest Cleveland, OH · (216) 476-7000 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $10.94–$70.38 35% Jun 15, 2026
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Fairview Hospital lowest Cleveland, OH · (216) 476-7000 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $10.94–$70.38 35% Jun 15, 2026
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South Pointe Hospital lowest Warrensville Heights, OH · (216) 491-6523 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $11.99–$70.38 35% Jun 15, 2026
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South Pointe Hospital lowest Warrensville Heights, OH · (216) 491-6523 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $11.99–$70.38 35% Jun 15, 2026
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Medina Hospital lowest Medina, OH · (330) 725-1000 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $10.20–$70.38 35% Jun 15, 2026
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Medina Hospital lowest Medina, OH · (330) 725-1000 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $10.20–$70.38 35% Jun 15, 2026
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Cleveland Clinic Children's Hospital for Rehabilitation lowest Cleveland, OH · (216) 448-6400 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $19.90–$70.38 35% Jun 15, 2026
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Cleveland Clinic Children's Hospital for Rehabilitation lowest Cleveland, OH · (216) 448-6400 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $19.90–$70.38 35% Jun 15, 2026
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Lutheran Hospital lowest Cleveland, OH · (216) 696-4300 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $11.99–$70.38 35% Jun 15, 2026
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Lutheran Hospital lowest Cleveland, OH · (216) 696-4300 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $11.99–$70.38 35% Jun 15, 2026
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Euclid Hospital lowest Euclid, OH · (216) 531-9000 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $11.99–$70.38 35% Jun 15, 2026
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Hillcrest Hospital lowest Mayfield Heights, OH · (440) 312-4500 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $10.94–$70.38 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital lowest Avon, OH · (440) 695-5000 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $11.99–$70.38 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital lowest Avon, OH · (440) 695-5000 VIVOTIF 2 BILLION UNIT CAPSULEDELAYED RELEASE $45.75 $70.38 $11.99–$70.38 35% Jun 15, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 TYPHOID VACC CAP EC $74.75 $115.00 $25.07–$115.00 35% Jun 16, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 TYPHOID VACC CAP EC $74.75 $115.00 $25.07–$115.00 35% Jun 16, 2026
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Metrohealth System Cleveland, OH · (216) 778-7089 Typhoid Vaccine, Oral $80.50 $230.00 — 65% Apr 1, 2026
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University Hospitals Conneaut Medical Center Conneaut, OH · (440) 593-1131 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE [29268] $365.66 $487.54 $151.14–$487.54 25% Jul 14, 2026
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Lake West Hospital Willoughby, OH · (440) 953-9600 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE [29268] $365.66 $487.54 $195.02–$438.79 25% Jul 14, 2026
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UH Regional Hospitals Chardon, OH · (440) 285-6246 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE [29268] $365.66 $487.54 $127.25–$438.79 25% Jul 14, 2026
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University Hospitals - Elyria Medical Center Elyria, OH · (440) 329-7500 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE [29268] $365.66 $487.54 $160.89–$438.79 25% Jul 14, 2026
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University Hospitals Ahuja Medical Center Beachwood, OH · (216) 593-5511 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE [29268] $365.66 $487.54 $107.75–$438.79 25% Jul 14, 2026
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Uhhs Memorial Hospital of Geneva Geneva, OH · (440) 415-0151 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE [29268] $365.66 $487.54 $97.51–$462.19 25% Jul 14, 2026
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Parma Community General Hospital Parma, OH · (440) 743-3000 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE [29268] $365.66 $487.54 $148.21–$438.79 25% Jul 14, 2026
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UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE [29268] $365.66 $487.54 $162.84–$438.79 25% Jul 14, 2026
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UH St John Medical Center Westlake, OH · (440) 835-8000 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE [29268] $365.66 $487.54 $119.45–$438.79 25% Jul 14, 2026
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UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE [29268] $365.66 $487.54 $131.64–$812.25 25% Jul 14, 2026
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University Hospitals Beachwood Medical Center Beachwood, OH · (216) 545-4800 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE [29268] $365.66 $487.54 $195.02–$438.79 25% Jul 14, 2026
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Outpatient: lowest $45.75, median $77.63, highest $365.66 — a 8.0× difference within the same market.

As an inpatient, the same code is billed by 22 facilities here, median $77.63. 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 21 of 21 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

Vivotif is the oral typhoid vaccine: four capsules taken every other day, finished at least a week before travel. It protects for about five years.

What the price covers

The price is for the capsules. There is no injection, so no 90471 administration fee should apply; a travel visit may be billed separately.