Vaccines CPT 90690 Inpatient — admitted to hospital

Typhoid vaccine, oral (Vivotif) cost in Madisonville, TX — inpatient

In Madisonville, TX, 1 hospital lists a cash price for typhoid vaccine, oral capsules (Vivotif) as an inpatient: from $7.53 to $7.53, with a median of $7.53. Across Texas, the median is $7.53 at 8 hospitals.

Cash prices at 1 facility for code 90690, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Feb 28, 2026.

Lowest$7.53Madison St Joseph Health Center
Median$7.53half of hospitals charge less
Highest$7.53in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Madison St Joseph Health Center Madisonville, TX · (936) 348-2631 TYPHOID VACCINE ORAL File of Feb 28, 2026 · source file $7.53 $43.00 $7.31–$43.00 82%
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 $7.53, median $7.53, highest $7.53.

As an outpatient, the same code is billed by 1 facility here, median $7.53 — that is the price to compare if you are not being admitted.

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. 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.