COVID-19 vaccine (Pfizer) cost in San Francisco, CA
In San Francisco-Oakland-Fremont, CA, 13 hospitals list a cash price for COVID-19 vaccine (Pfizer-BioNTech), age 12 and older: from $232.96 to $626.00, with a median of $232.96. The lowest listed price is at Kaiser Foundation Hospital - Walnut Creek and 9 other hospitals. Across California, the median is $232.96 at 74 hospitals.
- The median here, $232.96, is 19% above the US median of $196.27.
- San Francisco, CA has the lowest median of 2 metro areas in California with at least 10 hospitals pricing this code.
- 1 of 13 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 13 facilities across 11 cities for code 91320, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 30, 2026; the hospital files themselves were last updated between Mar 26, 2026 and Sep 30, 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 San Francisco-Oakland-Fremont, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Kaiser Foundation Hospital - Walnut Creek lowest Walnut Creek, CA · (925) 295-4000 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE File of Apr 1, 2026 · source file | $232.96 | $416.00 | — | 44% |
| Kaiser Fnd Hospital - Richmond Campus lowest Richmond, CA · (510) 752-1000 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE File of Apr 1, 2026 · source file | $232.96 | $416.00 | — | 44% |
| Kaiser Foundation Hospital - Fremont lowest Fremont, CA · (510) 784-4000 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE File of Apr 1, 2026 · source file | $232.96 | $416.00 | — | 44% |
| Kaiser Foundation Hospital - San Francisco lowest San Francisco, CA · (415) 833-2646 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE File of Apr 1, 2026 · source file | $232.96 | $416.00 | — | 44% |
| Kaiser Foundation Hospital - San Leandro lowest San Leandro, CA · (510) 454-1000 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE File of Apr 1, 2026 · source file | $232.96 | $416.00 | — | 44% |
| Kaiser Foundation Hospital - South San Francisco lowest South San Francisco, CA · (650) 742-3200 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE File of Apr 1, 2026 · source file | $232.96 | $416.00 | — | 44% |
| Kaiser Foundation Hospital - San Rafael lowest San Rafael, CA · (415) 444-2000 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE File of Apr 1, 2026 · source file | $232.96 | $416.00 | — | 44% |
| Kaiser Foundation Hospital - Antioch lowest Antioch, CA · (925) 813-6500 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE File of Apr 1, 2026 · source file | $232.96 | $416.00 | — | 44% |
| Kaiser Foundation Hospital - Oakland/Richmond lowest Oakland, CA · (510) 752-1000 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE File of Apr 1, 2026 · source file | $232.96 | $416.00 | — | 44% |
| Kaiser Foundation Hospital - Redwood City lowest Redwood City, CA · (650) 299-2000 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE File of Apr 1, 2026 · source file | $232.96 | $416.00 | — | 44% |
| Kaiser Foundation Hospital - Redwood City Redwood City, CA · (650) 299-2000 "COVID vacc, 2025-2026 (12y up) PF 30 mcg/0.3 mL Syringe 0.3 mL SYRINGE" File of Apr 1, 2026 · source file | $299.55 | $534.91 | — | 44% |
| Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 "COVID vacc, 2025-2026 (12y up) PF 30 mcg/0.3 mL Syringe 0.3 mL SYRINGE" File of Apr 1, 2026 · source file | $299.55 | $534.91 | — | 44% |
| Kaiser Foundation Hospital - San Leandro San Leandro, CA · (510) 454-1000 "COVID vacc, 2025-2026 (12y up) PF 30 mcg/0.3 mL Syringe 0.3 mL SYRINGE" File of Apr 1, 2026 · source file | $299.55 | $534.91 | — | 44% |
| Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 "COVID vacc, 2025-2026 (12y up) PF 30 mcg/0.3 mL Syringe 0.3 mL SYRINGE" File of Apr 1, 2026 · source file | $299.55 | $534.91 | — | 44% |
| Kaiser Foundation Hospital - San Rafael San Rafael, CA · (415) 444-2000 "COVID vacc, 2025-2026 (12y up) PF 30 mcg/0.3 mL Syringe 0.3 mL SYRINGE" File of Apr 1, 2026 · source file | $299.55 | $534.91 | — | 44% |
| Kaiser Fnd Hospital - Richmond Campus Richmond, CA · (510) 752-1000 "COVID vacc, 2025-2026 (12y up) PF 30 mcg/0.3 mL Syringe 0.3 mL SYRINGE" File of Apr 1, 2026 · source file | $299.55 | $534.91 | — | 44% |
| Kaiser Foundation Hospital - San Francisco San Francisco, CA · (415) 833-2646 "COVID vacc, 2025-2026 (12y up) PF 30 mcg/0.3 mL Syringe 0.3 mL SYRINGE" File of Apr 1, 2026 · source file | $299.55 | $534.91 | — | 44% |
| Kaiser Foundation Hospital - South San Francisco South San Francisco, CA · (650) 742-3200 "COVID vacc, 2025-2026 (12y up) PF 30 mcg/0.3 mL Syringe 0.3 mL SYRINGE" File of Apr 1, 2026 · source file | $299.55 | $534.91 | — | 44% |
| Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 "COVID vacc, 2025-2026 (12y up) PF 30 mcg/0.3 mL Syringe 0.3 mL SYRINGE" File of Apr 1, 2026 · source file | $299.55 | $534.91 | — | 44% |
| Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA · (925) 295-4000 "COVID vacc, 2025-2026 (12y up) PF 30 mcg/0.3 mL Syringe 0.3 mL SYRINGE" File of Apr 1, 2026 · source file | $299.55 | $534.91 | — | 44% |
| MarinHealth Medical Center Greenbrae, CA · (415) 925-7900 Comirnaty 2025-2026 Age Over 65 / High Risk 12-64 File of Mar 26, 2026 · source file | $329.72 | $549.54 | $2,330.00 | 40% |
| Sequoia Hospital Redwood City, CA · (650) 369-5811 SARSCOV VAC30MCG/0.3MLPFS File of Sep 30, 2026 · source file | $556.40 | $1,631.00 | $407.75–$1,631.00 | 66% |
| Chinese Hospital San Francisco, CA · (415) 677-2480 Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use File of Jul 22, 2026 · source file | $626.00 | $626.00 | $255.53–$1,126.80 | — |
Outpatient: lowest $232.96, median $232.96, highest $626.00 — a 2.7× difference within the same market.
As an inpatient, the same code is billed by 11 facilities here, median $232.96. 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 3 of 3 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 COVID-19 vaccine (Pfizer) is, what the price covers and why prices differ: COVID-19 vaccine (Pfizer) explained.