Vaccine administration fee cost in Virginia
In Virginia, 66 hospitals publish a cash price for vaccine administration fee (giving the shot), first vaccine of the visit: from $10.62 to $412.15, with a median of $56.40. The lowest price is at Riverside Smithfield Hospital (Smithfield). The highest price is 38.8× the lowest.
- The median here, $56.40, is 4% below the US median of $58.54.
- That is 0.8× Medicare's 2026 national rate for the same service ($73.56).
- Virginia ranks 25th of 50 states by median, cheapest first.
- 13 of 66 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 1, 2026. See them on a map
Lowest$10.62Riverside Smithfield Hospital
Median$56.40half of hospitals charge less
Highest$412.15in Virginia
Lowest saves$45.78vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Riverside Smithfield Hospital lowest Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC Admin Hep B Vvfc | $10.62 | $21.24 | Mar 11, 2026 source file |
| Carilion Franklin Memorial Hospital Rocky Mt · Roanoke, VA HB FLU IMMUNIZATION ADMIN 1 VACCINE@ | $15.75 | $45.00 | Dec 15, 2025 source file |
| Carilion Giles Community Hospital Roanoke · Roanoke, VA HB FLU IMMUNIZATION ADMIN 1 VACCINE@ | $15.75 | $45.00 | Dec 15, 2025 source file |
| Carilion New River Valley Medical Center Christiansburg · Blacksburg-Christiansburg-Radford, VA HB FLU IMMUNIZATION ADMIN 1 VACCINE@ | $15.75 | $45.00 | Dec 15, 2025 source file |
| Carilion Roanoke Community Hospital Roanoke · Roanoke, VA HB FLU IMMUNIZATION ADMIN 1 VACCINE@ | $15.75 | $45.00 | Dec 15, 2025 source file |
| Carilion Roanoke Memorial Hospital Roanoke · Roanoke, VA HB FLU IMMUNIZATION ADMIN 1 VACCINE@ | $15.75 | $45.00 | Apr 17, 2026 source file |
| Carilion Rockbridge Community Hospital Lexington · Lexington, VA HB FLU IMMUNIZATION ADMIN 1 VACCINE@ | $15.75 | $45.00 | Dec 15, 2025 source file |
| Carilion Tazewell Community Hospital Tazewell · Bluefield, WV-VA HB FLU IMMUNIZATION ADMIN 1 VACCINE@ | $15.75 | $45.00 | Dec 15, 2025 source file |
| Children's Hospital of the King's Daughters Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC SP-VVFC-IMMUNZ ADMN-1ST | $20.07 | $22.30 | Mar 17, 2026 source file |
| Sentara Martha Jefferson Hospital Charlottesville · Charlottesville, VA 90471 Immunization Admin,1Vac | $20.50 | $41.00 | Apr 1, 2026 source file |
| Sentara RMH Medical Center Harrisonburg · Harrisonburg, VA 90471 Immunization Admin,1 Vac | $20.50 | $41.00 | Apr 1, 2026 source file |
| Dickenson Community Hospital Clintwood · Clintwood, VA HC IMMUNIZATION ADMIN 1 VACCINE | $25.07 | $109.00 | Mar 23, 2026 source file |
| Lee County Community Hospital Pennington Gap · Pennington Gap, VA HC IMMUNIZATION ADMIN 1 VACCINE | $25.07 | $109.00 | Mar 23, 2026 source file |
| Johnston Memorial Hospital Abingdon · Kingsport-Bristol, TN-VA HC IMMUNIZATION ADMIN 1 VACCINE | $25.50 | $170.00 | Mar 23, 2026 source file |
| Lonesome Pine Hospital Big Stone Gap · Big Stone Gap, VA HC IMMUNIZATION ADMIN 1 VACCINE | $25.50 | $170.00 | Mar 23, 2026 source file |
| Russell County Hospital Lebanon · Lebanon, VA HC IMMUNIZATION ADMIN 1 VACCINE | $25.50 | $170.00 | Mar 23, 2026 source file |
| Smyth County Community Hospital Marion · Marion, VA HC IMMUNIZATION ADMIN 1 VACCINE | $25.50 | $170.00 | Mar 23, 2026 source file |
| Augusta Health Fishersville · Staunton-Stuarts Draft, VA Vaccine Administratin Single | $35.00 | $70.00 | Apr 1, 2026 source file |
| Sentara Halifax Regional Hospital South Boston · South Boston, VA 90471 Immunization Admin,1Vac | $43.50 | $87.00 | Apr 1, 2026 source file |
| Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC Immunization Administration | $46.20 | $77.00 | Apr 1, 2026 source file |
| Hospital for Extended Recovery Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC 90471 Immunization Admin,1 Vac | $48.00 | $96.00 | Apr 1, 2026 source file |
| Sentara Careplex Hospital Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC 90471 Immunization Admin,1 Vac | $48.00 | $96.00 | Apr 1, 2026 source file |
| Sentara Leigh Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Immunization Admin | $48.00 | $96.00 | Apr 1, 2026 source file |
| Sentara Norfolk General Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC 90471 Immunization Admin,1Vac | $48.00 | $96.00 | Apr 1, 2026 source file |
| Sentara Northern Virginia Medical Center Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Vaccine/Immun Inj-Other | $48.00 | $96.00 | Apr 1, 2026 source file |
| Sentara Obici Hospital Suffolk · Suffolk, VA Vaccine/Immun Inj-Other | $48.00 | $96.00 | Apr 1, 2026 source file |
| Sentara Princess Anne Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC 90471 Immunization Admin,1 Vac | $48.00 | $96.00 | Apr 1, 2026 source file |
| Sentara Virginia Beach General Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Vaccine/Immun Inj-Other | $48.00 | $96.00 | Apr 1, 2026 source file |
| Bath Community Hospital Hot Springs · Hot Springs, VA IMMUNIZATION NOT FLU | $52.50 | $70.00 | Mar 25, 2026 source file |
| Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC Immunization Administration | $52.80 | $88.00 | Apr 1, 2026 source file |
| Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC Immunization Administration | $52.80 | $88.00 | Apr 1, 2026 source file |
| Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC Immunization Administration | $52.80 | $88.00 | Apr 1, 2026 source file |
| Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC Immunization Administration | $52.80 | $88.00 | Apr 1, 2026 source file |
| Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Immunization Administration | $60.00 | $100.00 | Apr 1, 2026 source file |
| Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Immunization Administration | $60.00 | $100.00 | Apr 1, 2026 source file |
| Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC ADMIN ALL OTHER VACCINES INIT | $65.00 | $130.00 | Apr 1, 2026 source file |
| Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC ADMIN ALL OTHER VACCINES INIT | $65.00 | $130.00 | Apr 1, 2026 source file |
| Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC ADMIN ALL OTHER VACCINES INIT | $65.00 | $130.00 | Apr 1, 2026 source file |
| Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC ADMIN ALL OTHER VACCINES INIT | $65.00 | $130.00 | Apr 1, 2026 source file |
| Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC ADMIN ALL OTHER VACCINES INIT | $65.00 | $130.00 | Apr 1, 2026 source file |
| Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc Immunization Administration | $68.55 | $114.25 | Jul 1, 2026 source file |
| Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Immunization admin | $69.00 | $138.00 | Dec 30, 2024 source file |
| Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Immunization admin | $69.00 | $138.00 | Dec 30, 2024 source file |
| Wythe County Community Hospital Wytheville · Wytheville, VA Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) | $71.20 | $178.00 | Jul 10, 2026 source file |
| Sovah Health - Danville Danville · Danville, VA Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) | $81.60 | $204.00 | Jul 11, 2026 source file |
| Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Immunization Administration | $84.60 | $141.00 | Apr 1, 2026 source file |
| Sovah Health - Martinsville Martinsville · Martinsville, VA Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) | $88.80 | $222.00 | Jul 10, 2026 source file |
| Fauquier Health Warrenton · Washington-Arlington-Alexandria, DC-VA-MD-WV Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) | $95.20 | $238.00 | Jul 14, 2026 source file |
| Lewisgale Medical Center Roanoke · Roanoke, VA IMMUNIZ ADMIN SGL | $96.00 | $96.00 | Sep 1, 2026 source file |
| Lewisgale Hospital Alleghany Low Moor · Low Moor, VA IMMUNIZ ADMIN SGL | $135.00 | $135.00 | Sep 1, 2026 source file |
| Twin County Regional Healthcare Galax · Galax, VA Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) | $136.19 | $340.47 | Jul 10, 2026 source file |
| Bon Secours Southside Medical Center Petersburg · Richmond, VA HC Immunization Administration | $137.10 | $457.00 | Apr 1, 2026 source file |
| Lewisgale Hospital Montgomery Christiansburg · Blacksburg-Christiansburg-Radford, VA IMMUNIZ ADMIN SGL | $140.00 | $140.00 | Sep 1, 2026 source file |
| Clinch Valley Health Richlands · Bluefield, WV-VA Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) | $146.52 | $366.31 | Jul 14, 2026 source file |
| Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA HC Immunization Administration | $194.10 | $647.00 | Apr 1, 2026 source file |
| Chippenham Hospital Chesterfield · Richmond, VA IMMUNIZ ADMIN SGL | $204.00 | $204.00 | Sep 1, 2026 source file |
| Henrico Doctors Hospital - Forest Mechanicsville · Richmond, VA IMMUNIZ ADMIN SGL | $204.00 | $204.00 | Sep 1, 2026 source file |
| Johnston-Willis Hospital Richmond · Richmond, VA IMMUNIZ ADMIN SGL | $204.00 | $204.00 | Sep 1, 2026 source file |
| Parham Doctors Hospital Richmond · Richmond, VA IMMUNIZ ADMIN SGL | $204.00 | $204.00 | Sep 1, 2026 source file |
| Retreat Doctors Hospital Richmond · Richmond, VA IMMUNIZ ADMIN SGL | $204.00 | $204.00 | Sep 1, 2026 source file |
| Tricities Hospital Prince George · Richmond, VA IMMUNIZ ADMIN SGL | $204.00 | $204.00 | Sep 1, 2026 source file |
| Spotsylvania Regional Medical Center Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV IMMUNIZ ADMIN SGL | $204.12 | $204.12 | Sep 1, 2026 source file |
| Bon Secours Southern Virginia Medical Center Emporia · Emporia, VA HC Immunization Administration | $208.50 | $695.00 | Apr 1, 2026 source file |
| Lewisgale Hospital Pulaski Pulaski · Blacksburg-Christiansburg-Radford, VA IMMUNIZ ADMIN SGL | $377.00 | $377.00 | Sep 1, 2026 source file |
| Reston Hospital Center Reston · Washington-Arlington-Alexandria, DC-VA-MD-WV IMMUNIZ ADMIN SGL | $412.15 | $412.15 | Sep 1, 2026 source file |
| Stonesprings Hospital Center Dulles · Washington-Arlington-Alexandria, DC-VA-MD-WV IMMUNIZ ADMIN SGL | $412.15 | $412.15 | Sep 1, 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 |
|---|---|---|---|
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 12 | $10.62 | $48.00 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 12 | $48.00 | $67.00 |
| Richmond, VA | 11 | $52.80 | $204.00 |
| Roanoke, VA | 6 | $15.75 | $15.75 |
| Blacksburg-Christiansburg-Radford, VA | 3 | $15.75 | $140.00 |
| Bluefield, WV-VA | 2 | $15.75 | $81.14 |
| Big Stone Gap, VA | 1 | $25.50 | $25.50 |
| Clintwood, VA | 1 | $25.07 | $25.07 |
| Charlottesville, VA | 1 | $20.50 | $20.50 |
| Danville, VA | 1 | $81.60 | $81.60 |
| Emporia, VA | 1 | $208.50 | $208.50 |
| Galax, VA | 1 | $136.19 | $136.19 |
| Hot Springs, VA | 1 | $52.50 | $52.50 |
| Harrisonburg, VA | 1 | $20.50 | $20.50 |
| Kilmarnock, VA | 1 | $46.20 | $46.20 |
| Kingsport-Bristol, TN-VA | 1 | $25.50 | $25.50 |
| Lebanon, VA | 1 | $25.50 | $25.50 |
| Lexington, VA | 1 | $15.75 | $15.75 |
| Low Moor, VA | 1 | $135.00 | $135.00 |
| Marion, VA | 1 | $25.50 | $25.50 |
| Martinsville, VA | 1 | $88.80 | $88.80 |
| Pennington Gap, VA | 1 | $25.07 | $25.07 |
| South Boston, VA | 1 | $43.50 | $43.50 |
| Suffolk, VA | 1 | $48.00 | $48.00 |
| Staunton-Stuarts Draft, VA | 1 | $35.00 | $35.00 |
| Wytheville, VA | 1 | $71.20 | $71.20 |
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
- North Dakota$48.00
- 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
- Washington$42.86
- West Virginia$43.50
- Wisconsin$38.69
- Wyoming$56.57
Median cash price across the state's hospitals.