Vaccine administration fee cost in North Dakota
In North Dakota, 31 hospitals publish a cash price for vaccine administration fee (giving the shot), first vaccine of the visit: from $10.50 to $95.20, with a median of $48.00. The lowest price is at CHI St Alexius Health (Bismarck). The highest price is 9.1× the lowest.
- The median here, $48.00, is 18% below the US median of $58.54.
- That is 0.7× Medicare's 2026 national rate for the same service ($73.56).
- North Dakota ranks 16th of 50 states by median, cheapest first.
- 8 of 31 hospitals list a cash price equal to their full list price, with no self-pay discount.
Outpatient cash prices, one line per hospital — its lowest listed price for code 90471. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map
Lowest$10.50CHI St Alexius Health
Median$48.00half of hospitals charge less
Highest$95.20in North Dakota
Lowest saves$37.50vs the median
Hospitals in North Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| CHI St Alexius Health lowest Bismarck · Bismarck, ND HC ADMIN STATE NEWBORN HEPATITIS B VACCINE | $10.50 | $20.99 | Sep 30, 2026 source file |
| Lisbon Area Health Services Lisbon · Lisbon, ND VACCINE ADMIN RSV NB (STATE) | $11.55 | $20.99 | Sep 30, 2026 source file |
| Mercy Medical Center Williston · Williston, ND VACCINE ADMIN RSV NB (STATE) | $11.55 | $20.99 | Sep 30, 2026 source file |
| Mercy Hospital of Valley City Valley City · Valley City, ND VACCINE ADMIN RSV NB (STATE) | $12.18 | $20.99 | Sep 30, 2026 source file |
| Carrington Health Center Carrington · Carrington, ND VACCINE ADMIN RSV NB (STATE) | $12.39 | $20.99 | Sep 30, 2026 source file |
| St Joseph's Hospital and Health Center Dickinson · Dickinson, ND VACCINE ADMIN HEP B NB (STATE) | $12.39 | $20.99 | Sep 30, 2026 source file |
| Essentia Health Fargo Fargo · Fargo, ND-MN IMMUN ADMIN;INITIAL-ND VFC | $16.50 | $22.00 | Jan 1, 2026 source file |
| Kenmare Community Hospital Kenmare · Minot, ND ADMIN 1ST STATE VACCINE | $16.79 | $20.99 | Apr 1, 2026 source file |
| Trinity Hospitals Minot · Minot, ND ADMIN 1ST STATE VACCINE | $16.79 | $20.99 | Apr 1, 2026 source file |
| McKenzie County Healthcare System Watford City · Watford City, ND ADMIN IMMUN CORPORATE PRICING | $19.50 | $30.00 | May 1, 2026 source file |
| Pembina County Memorial Hospital Cavalier · Cavalier, ND HC IMMUNIZATION ADMINISTRATION | $20.99 | $20.99 | Nov 13, 2025 source file |
| Southwest Healthcare Services Bowman · Bowman, ND FLU SHOT INJECTION OUTPT | $22.50 | $25.00 | Oct 16, 2025 source file |
| Altru Hospital Grand Forks · Grand Forks, ND-MN HC VACCINE ADMIN CHARGE CONTRACTED 2024 | $23.79 | $39.00 | Mar 1, 2026 source file |
| Altru Hospital Devils Lake Devils Lake · Devils Lake, ND HC VACCINE ADMIN CHARGE CONTRACTED 2024 | $23.79 | $39.00 | Mar 1, 2026 source file |
| SMP Health - St. Aloisius Harvey · Harvey, ND Initial Admin Charge 90471amb Only Admin Charge | $46.00 | $51.00 | — source file |
| Towner County Medical Center Cando · Cando, ND Hc Immunization Administration | $48.00 | $48.00 | — source file |
| Jacobson Memorial Hospital Care Center Elgin · Elgin, ND ADMIN INFLUENZA VIR VAC | $51.00 | $68.00 | Mar 1, 2026 source file |
| Northwood Deaconess Health Center Northwood · Grand Forks, ND-MN HC IMMUNIZATION ADMINISTRATION | $51.00 | $64.00 | Jul 16, 2026 source file |
| Linton Regional Medical Center Linton · Linton, ND Admin Hep B | $53.00 | $53.00 | — source file |
| Tioga Medical Center Tioga · Williston, ND Flu Vaccine Administration-clinic | $53.00 | $53.00 | — source file |
| Unity Medical Center Graften · Graften, ND FLU VACCINE ADMINISTRATION-CLINIC | $58.00 | $58.00 | Mar 5, 2026 source file |
| Heart of America Medical Center Rugby · Rugby, ND HC IMMUNIZATION ADMINISTRATION | $60.75 | $81.00 | Mar 31, 2026 source file |
| Nelson County Health System Hospital McVille · McVille, ND HC IMMUNIZATION ADMINISTRATION | $62.00 | $62.00 | Jul 14, 2026 source file |
| Sanford Hillsboro Medical Center Hillsboro · Hillsboro, ND ADMIN PNEUMOCOCCAL VACCINE | $62.40 | $78.00 | Mar 4, 2026 source file |
| Sanford Mayville Medical Center Mayville · Mayville, ND ADMIN PNEUMOCOCCAL VAC | $62.40 | $78.00 | Mar 4, 2026 source file |
| Ashley Medical Center Ashley · Ashley, ND ADMINISTRATION INJECTION | $64.00 | $64.00 | Oct 9, 2026 source file |
| St. Luke's Hospital Crosby · Crosby, ND PR IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE | $65.53 | $65.53 | Oct 6, 2026 source file |
| Garrison Memorial Hospital Garrison · Garrison, ND HC IMMUNIZATION INJECTION | $65.66 | $98.00 | Sep 30, 2026 source file |
| CHI St Alexius Health Turtle Lake Turtle Lake · Turtle Lake, ND HC ADMIN INFLUENZA VACC | $66.64 | $98.00 | Sep 30, 2026 source file |
| Sanford Medical Center Bismarck Bismarck · Bismarck, ND IMMUN ADMIN 1 VACCINE | $93.60 | $117.00 | Mar 4, 2026 source file |
| Sanford Fargo Medical Center Fargo · Fargo, ND-MN ADMIN PNEUMOCOCCAL VAC | $95.20 | $119.00 | Mar 4, 2026 source file |
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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
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
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Bismarck, ND | 2 | $10.50 | $52.05 |
| Fargo, ND-MN | 2 | $16.50 | $55.85 |
| Grand Forks, ND-MN | 2 | $23.79 | $37.40 |
| Minot, ND | 2 | $16.79 | $16.79 |
| Williston, ND | 2 | $11.55 | $32.28 |
| Ashley, ND | 1 | $64.00 | $64.00 |
| Bowman, ND | 1 | $22.50 | $22.50 |
| Cando, ND | 1 | $48.00 | $48.00 |
| Carrington, ND | 1 | $12.39 | $12.39 |
| Cavalier, ND | 1 | $20.99 | $20.99 |
| Crosby, ND | 1 | $65.53 | $65.53 |
| Devils Lake, ND | 1 | $23.79 | $23.79 |
| Dickinson, ND | 1 | $12.39 | $12.39 |
| Elgin, ND | 1 | $51.00 | $51.00 |
| Garrison, ND | 1 | $65.66 | $65.66 |
| Graften, ND | 1 | $58.00 | $58.00 |
| Harvey, ND | 1 | $46.00 | $46.00 |
| Hillsboro, ND | 1 | $62.40 | $62.40 |
| Linton, ND | 1 | $53.00 | $53.00 |
| Lisbon, ND | 1 | $11.55 | $11.55 |
| Mayville, ND | 1 | $62.40 | $62.40 |
| McVille, ND | 1 | $62.00 | $62.00 |
| Rugby, ND | 1 | $60.75 | $60.75 |
| Turtle Lake, ND | 1 | $66.64 | $66.64 |
| Valley City, ND | 1 | $12.18 | $12.18 |
| Watford City, ND | 1 | $19.50 | $19.50 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What vaccine administration fee is, what the price covers and why prices differ: Vaccine administration fee explained.
Vaccine administration fee (giving the shot), first vaccine of the visit in other states
- Alabama$59.65
- Alaska$83.70
- Arizona$51.83
- Arkansas$26.54
- California$104.60
- Colorado$69.31
- Connecticut$83.20
- Delaware$135.83
- District of Columbia$123.19, 3 hospitals
- Florida$120.18
- Georgia$48.35
- Hawaii$119.45
- Idaho$53.63
- Illinois$57.34
- Indiana$61.60
- Iowa$34.30
- Kansas$38.08
- Kentucky$70.80
- Louisiana$40.38
- Maine$18.30
- Maryland$72.09
- Massachusetts$109.75
- Michigan$23.03
- Minnesota$41.05
- Mississippi$54.40
- Missouri$57.40
- Montana$48.75
- Nebraska$44.10
- Nevada$88.15
- New Hampshire$31.50
- New Jersey$72.00
- New Mexico$46.62
- New York$84.22
- North Carolina$72.00
- Ohio$40.69
- Oklahoma$56.56
- Oregon$57.82
- Pennsylvania$63.73
- Puerto Rico$155.50, 4 hospitals
- Rhode Island$143.40
- South Carolina$55.25
- South Dakota$51.83
- Tennessee$36.30
- Texas$74.52
- Utah$267.90
- Vermont$48.00
- Virginia$56.40
- Washington$42.86
- West Virginia$43.50
- Wisconsin$38.69
- Wyoming$56.57
Median cash price across the state's hospitals.