Vaccines CPT 90746 Outpatient

Hepatitis B vaccine (adult) cost in Nashville, TN

In Nashville-Davidson--Murfreesboro--Franklin, TN, 11 hospitals list a cash price for hepatitis B vaccine, adult dose (3-dose schedule): from $36.54 to $745.79, with a median of $332.80. The lowest listed price is at Vanderbilt Wilson County Hospital — $296.26 less than the median here. Across Tennessee, the median is $125.87 at 43 hospitals.

  • The median here, $332.80, is 189% above the US median of $115.32.
  • 6 of 11 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 11 facilities across 10 cities for code 90746, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Oct 1, 2026.

Lowest$36.54Vanderbilt Wilson County Hospital
Median$332.80half of hospitals charge less
Highest$745.79in this market
Difference20.4×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 Nashville-Davidson--Murfreesboro--Franklin, TN.

median
Lowest $36.54Highest $1,382.59

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 HC HEPATITIS B VACCINE (RECOMBINANT) File of Oct 1, 2026 · source file $36.54 $126.00 — 71%
Maury Regional Hospital Columbia, TN · (931) 381-1111 hepatitis B adult vaccine 10 mcg/1 mL IM Inj File of Jan 1, 2026 · source file $111.93 $273.00 $105.65–$262.08 59%
Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 HEPATITIS B VAC 10MCG/1 ML+1 more line at this price File of Jan 1, 2026 · source file $147.62 $492.05 $65.04–$151.32 70%
Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 HEPATITIS B VAC 10MCG/1 ML+1 more line at this price File of Jan 1, 2026 · source file $147.62 $492.05 $65.04–$151.32 70%
Williamson Medical Center Franklin, TN · (615) 435-5000 ENGERIX B 20mcg/1ml SYRINGE File of Aug 1, 2026 · source file $167.68 $297.40 $119.85–$282.53 44%
Tristar Summit Medical Center Mt Juliet, TN · (615) 316-3000 RECOMBIVAX ADLT 10MCG IM+1 more line at this price File of Sep 1, 2026 · source file $332.80 $332.80 $61.27–$292.86 —
Tristar Skyline Medical Center Nashville, TN · (615) 769-2000 RECOMBIVAX ADLT 10MCG IM+1 more line at this price File of Sep 1, 2026 · source file $342.63 $342.63 $63.08–$335.78 —
Tristar Stonecrest Medical Center Smyrna, TN · (615) 768-2000 RECOMBIVAX ADLT 10MCG IM File of Sep 1, 2026 · source file $596.43 $596.43 $109.80–$548.72 —
Tristar Ashland City Medical Center Ashland City, TN · (615) 792-3030 Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $636.68 $636.68 $117.21–$2,000.00 —
Tristar Southern Hills Medical Center Antioch, TN · (615) 781-4000 RECOMBIVAX ADLT 10MCG IM+1 more line at this price File of Sep 1, 2026 · source file $640.44 $640.44 $87.23–$563.59 —
Tristar Centennial Medical Center Nashville, TN · (615) 342-1000 RECOMBIVAX ADLT 10MCG IM+1 more line at this price File of Sep 1, 2026 · source file $745.79 $745.79 $87.23–$745.79 —
Tristar Stonecrest Medical Center Smyrna, TN · (615) 768-2000 ENGERIX-B ADULT 20MCG IM File of Sep 1, 2026 · source file $1,382.59 $1,382.59 $254.53–$1,271.98 —
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.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $36.54, median $332.80, highest $745.79 — a 20.4× difference within the same market.

As an inpatient, the same code is billed by 5 facilities here, median $147.62. 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 4 of 10 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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 hepatitis B vaccine (adult) is, what the price covers and why prices differ: Hepatitis B vaccine (adult) explained.