Tetanus shot (Td) cost in St. Louis, MO
In St. Louis, MO-IL, 6 hospitals list a cash price for Td vaccine (tetanus and diphtheria booster), age 7 and older: from $39.75 to $200.62, with a median of $124.38. The lowest listed price is at Mercy Hospital Lincoln and 1 other hospital — $84.63 less than the median here. Across Missouri, the median is $50.25 at 17 hospitals.
Cash prices at 6 facilities across 5 cities 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 Jun 12, 2026 and Jun 12, 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 St. Louis, MO-IL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Mercy Hospital Lincoln lowest Elsberry, MO Td Vaccine Prsrv Free 7 Yrs or Older for Im Use | $39.75 | $53.00 | $26.50–$47.70 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln lowest Elsberry, MO Td Vaccine Prsrv Free 7 Yrs or Older for Im Use | $39.75 | $53.00 | $26.50–$47.70 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln lowest Elsberry, MO Td Vaccine Prsrv Free 7 Yrs or Older for Im Use | $39.75 | $53.00 | $26.50–$47.70 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln lowest Elsberry, MO Td Vaccine Prsrv Free 7 Yrs or Older for Im Use | $39.75 | $53.00 | $26.50–$47.70 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln lowest Elsberry, MO Td Vaccine Prsrv Free 7 Yrs or Older for Im Use | $39.75 | $53.00 | $26.50–$47.70 | 25% | Jun 12, 2026 source file |
| Mercy Hospitals East Communities lowest Washington, MO Td Vaccine Prsrv Free 7 Yrs or Older for Im Use | $39.75 | $53.00 | $26.50–$45.05 | 25% | Jun 12, 2026 source file |
| Mercy Hospital St Louis Saint Louis, MO TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $122.69 | $188.75 | $12.27–$188.75 | 35% | — source file |
| Gateway Regional Medical Center Granite City, IL · (618) 798-3000 TD IM NO PRSRV GE 7Y | $126.07 | $210.12 | $210.12 | 40% | — source file |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL TETANUS & DIPHTHERIA TOXOIDS (ADULT) 5-2 LFU INJ per 0.5 mL | $145.15 | $201.60 | $18.42–$201.60 | 28% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $200.62 | $308.65 | $20.06–$308.65 | 35% | — source file |
Outpatient: lowest $39.75, median $124.38, highest $200.62 — a 5.0× difference within the same market.
As an inpatient, the same code is billed by 4 facilities here, median $82.91. 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 6 of 6 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).