COVID-19 vaccine (Pfizer) cost in Nashville, TN
In Nashville-Davidson--Murfreesboro--Franklin, TN, 4 hospitals list a cash price for COVID-19 vaccine (Pfizer-BioNTech), age 12 and older: from $79.75 to $247.16, with a median of $197.83. The lowest listed price is at Vanderbilt Wilson County Hospital — $118.08 less than the median here. Across Tennessee, the median is $166.10 at 17 hospitals.
Cash prices at 4 facilities across 4 cities for code 91320, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Oct 1, 2025 and Oct 1, 2025.
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.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 HC SARSCV2 VAC 30MCG TRS-SUC IM PFIZER | $79.75 | $275.00 | $19.25–$275.00 | 71% | Oct 1, 2025 source file |
| Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 PR SARSCV2 VAC 30MCG TRS-SUC IM | $79.75 | $275.00 | $98.33–$206.25 | 71% | Oct 1, 2025 source file |
| Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 COMIRNATY 2023-24 (12Y UP)(PF) 30 MCG/0.3 ML INTRAMUSCULAR SYRINGE | $79.75 | $275.00 | $82.50–$275.00 | 71% | Oct 1, 2025 source file |
| Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 COMIRNATY 2024-25 (12Y UP)(PF) 30 MCG/0.3 ML INTRAMUSCULAR SYRINGE | $79.75 | $275.00 | $82.50–$275.00 | 71% | Oct 1, 2025 source file |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HC SARSCV2 VAC 30MCG TRS-SUC IM PFIZER | $148.50 | $275.00 | $60.50–$275.00 | 46% | Oct 1, 2025 source file |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 COMIRNATY 2023-24 (12Y UP)(PF) 30 MCG/0.3 ML INTRAMUSCULAR SYRINGE | $148.50 | $275.00 | $82.50–$275.00 | 46% | Oct 1, 2025 source file |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 COMIRNATY 2024-25 (12Y UP)(PF) 30 MCG/0.3 ML INTRAMUSCULAR SYRINGE | $148.50 | $275.00 | $82.50–$275.00 | 46% | Oct 1, 2025 source file |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 PR SARSCV2 VAC 30MCG TRS-SUC IM | $148.50 | $275.00 | $98.33–$206.25 | 46% | Oct 1, 2025 source file |
| Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 COMIRNATY VAC 30MCG TRS-SUC IM | $247.16 | $823.85 | $159.94–$281.87 | 70% | — source file |
| Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 COMIRNATY VAC 30MCG TRS-SUC IM | $247.16 | $823.85 | $159.94–$281.87 | 70% | — source file |
Outpatient: lowest $79.75, median $197.83, highest $247.16 — a 3.1× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $114.13. 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 4 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 it is
This code is the Pfizer-BioNTech COVID-19 vaccine for people 12 and older, updated each season to match circulating variants. Who is advised to get it changed in 2025, so check current guidance with a doctor or pharmacist.
What the price covers
The price is for the vaccine dose. Giving the shot is billed separately, for COVID-19 vaccines with code 90480 rather than 90471.