Vaccines CPT 90690 Inpatient — admitted to hospital

Typhoid vaccine, oral (Vivotif) cost in Detroit, MI — inpatient

In Detroit-Warren-Dearborn, MI, 3 hospitals list a cash price for typhoid vaccine, oral capsules (Vivotif) as an inpatient: from $7.58 to $13.91, with a median of $7.69. The lowest listed price is at McLaren Oakland — $0.11 less than the median here. Across Michigan, the median is $21.17 at 13 hospitals.

Cash prices at 3 facilities across 3 cities for code 90690, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Dec 31, 2025.

Lowest$7.58McLaren Oakland

Median$7.69half of hospitals charge less

Highest$13.91in this market

Difference1.8×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 Detroit-Warren-Dearborn, MI.

median

Lowest $7.58Highest $13.91

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
McLaren Oakland lowest Pontiac, MI · (248) 338-5000 NF - typhoid vaccine, live Oral DR Cap File of Dec 31, 2025 · source file	$7.58	$15.16	$204.61	50%
McLaren Macomb Mount Clemens, MI · (586) 493-8000 NF - typhoid vaccine, live Oral DR Cap File of Dec 31, 2025 · source file	$7.69	$15.37	$226.98	50%
McLaren Lapeer Region Lapeer, MI · (810) 667-5500 NF - typhoid vaccine, live Oral DR Cap File of Dec 31, 2025 · source file	$13.91	$27.82	$368.63	50%

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.

Inpatient: lowest $7.58, median $7.69, highest $13.91 — a 1.8× difference within the same market.

As an outpatient, the same code is billed by 3 facilities here, median $7.69 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 3 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 it is 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.