Tetanus shot (Td) cost in Bismarck, ND
In Bismarck, ND, 2 hospitals list a cash price for Td vaccine (tetanus and diphtheria booster), age 7 and older: from $22.20 to $38.88, with a median of $30.54. The lowest listed price is at St. Alexius Medical Center — $8.34 less than the median here. Across North Dakota, the median is $56.42 at 12 hospitals.
Cash prices at 2 facilities for code 90714, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Mar 4, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Bismarck, ND.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| St. Alexius Medical Center lowest Bismarck, ND · (701) 530-7000 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION | $22.20 | $43.52 | $32.20–$39.17 | 49% | Feb 28, 2026 source file |
| St. Alexius Medical Center Bismarck, ND · (701) 530-7000 HC TD VACCINE NO PRSRV >/= 7 YO IM | $26.01 | $51.00 | $36.84–$45.90 | 49% | Feb 28, 2026 source file |
| Sanford Medical Center Bismarck Bismarck, ND · (701) 323-6000 Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU | $38.88 | $48.60 | $15.41–$43.74 | 20% | Mar 4, 2026 source file |
| St. Alexius Medical Center Bismarck, ND · (701) 530-7000 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $39.72 | $77.88 | $36.84–$70.09 | 49% | Feb 28, 2026 source file |
Outpatient: lowest $22.20, median $30.54, highest $38.88 — a 1.8× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $30.54. 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 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 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
Td is a tetanus and diphtheria booster without the whooping cough part. It is used for the 10-year booster and after injuries, and either Td or Tdap can be used for that.
What the price covers
The price is for the vaccine dose. Giving the shot is usually a separate line (code 90471 for the first vaccine of the visit).