Vaccines CPT 90690 Outpatient

Typhoid vaccine, oral (Vivotif) cost in Seattle, WA

In Seattle-Tacoma-Bellevue, WA, 2 hospitals list a cash price for typhoid vaccine, oral capsules (Vivotif): from $9.57 to $34.80, with a median of $22.19. The lowest listed price is at Providence Regional Medical Center Everett — $12.62 less than the median here. Across Washington, the median is $22.19 at 2 hospitals.

Cash prices at 2 facilities across 2 cities for code 90690, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$9.57Providence Regional Medical Center Everett

Median$22.19half of hospitals charge less

Highest$34.80in this market

Difference3.6×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 Seattle-Tacoma-Bellevue, WA.

median

Lowest $9.57Highest $34.80

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Providence Regional Medical Center Everett lowest Everett, WA · (425) 261-2000 TYPHOID VACCINE CAP DELAYED RELEASE File of Apr 1, 2026 · source file	$9.57	$18.41	—	48%
Virginia Mason Medical Center Seattle, WA · (206) 223-6600 ORAL, TYPHOID VACCINE LIVE, PER VAC source file	$34.80	$68.24	$40.94–$54.59	49%

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.

Outpatient: lowest $9.57, median $22.19, highest $34.80 — a 3.6× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $22.19. 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 below the highest rate a health plan has negotiated and 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.