Vaccines CPT 90714 Inpatient — admitted to hospital

Tetanus shot (Td) cost in Bismarck, ND — inpatient

In Bismarck, ND, 2 hospitals list a cash price for Td vaccine (tetanus and diphtheria booster), age 7 and older as an inpatient: 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 inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Mar 4, 2026.

Lowest$22.20St. Alexius Medical Center
Median$30.54half pay less
Highest$38.88in 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 Bismarck, ND.

median
Lowest $22.20Highest $39.72

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile 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 $37.74–$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 $26.73–$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 $57.63–$70.09 49% Feb 28, 2026
source file

Inpatient: lowest $22.20, median $30.54, highest $38.88 — a 1.8× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $30.54 — that is the price to compare if you are not being admitted.

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).