Meningitis vaccine (MenQuadfi) cost without insurance
The median hospital cash price for meningococcal ACWY vaccine (MenQuadfi) is $256.90 across 884 US hospitals; most list between $103.46 and $1,040.82. The lowest outpatient cash price in any of 440 markets is $31.05. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Oct 2, 2026 Each price links to its source file All Vaccine costs
Lowest$31.05any market
Median market$236.25middle of market medians
Most below$1,040.829 in 10 hospitals
Listings883hospital prices
Compared with the vaccine's list price
$177.11 (MenQuadfi) per dose is the manufacturer's private-sector price in the CDC vaccine price list: what a clinic or pharmacy pays for the vaccine itself. The median hospital cash price, $256.90 across 884 hospitals, is 1.5× that.
Giving the shot is billed separately (CPT 90471), and anyone who gives it adds a markup, so treat this as a floor: a concrete number to mention when you ask for a cash discount. Source: CDC.
What is CPT 90619?
MenQuadfi is a meningococcal conjugate vaccine against types A, C, W and Y. Preteens get it at 11 or 12 with a booster at 16, and it is required by many colleges and camps.
What the price covers
The price is for the vaccine dose. Giving the shot is usually a separate line (code 90471 for the first vaccine of the visit, 90472 for each additional one).
Why prices differ
Pharmacies, health departments and pediatric offices also give this vaccine, and hospital prices for the same dose vary widely.
What to ask
Ask whether the self-pay price for CPT 90619 includes giving the shot (90471) and how many doses the full series needs.
Prices by state
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$413.40
- Alaska$389.03
- Arizona$635.95
- Arkansas$229.90
- California$267.00
- Colorado$478.87
- Connecticut$365.65
- Delaware$620.34
- District of Columbia$298.14
- Florida$603.69
- Georgia$165.76
- Hawaii$416.43
- Idaho$211.17
- Illinois$254.86
- Indiana$313.52
- Iowa$149.50
- Kansas$181.86
- Kentucky$584.68
- Louisiana$83.70
- Maine$446.30
- Maryland$361.20
- Massachusetts$425.03
- Michigan$236.25
- Minnesota$136.00
- Mississippi$332.49
- Missouri$353.51
- Montana$330.35
- Nebraska$235.00
- Nevada$1,008.00
- New Hampshire$234.80
- New Jersey$134.69
- New Mexico$232.50
- New York$244.40
- North Carolina$211.69
- North Dakota$184.50
- Ohio$399.75
- Oklahoma$210.40
- Oregon$211.78
- Pennsylvania$445.38
- Rhode Island$218.00
- South Carolina$206.61
- South Dakota$220.53
- Tennessee$332.12
- Texas$714.01
- Utah$312.48
- Virginia$295.00
- Washington$153.60
- West Virginia$173.35
- Wisconsin$203.41
- Wyoming$728.00
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Ahoskie, NC single city | 1 | $1,414.41 | $1,414.41 | $1,414.41 | 1.0× |
| Albany, KY single city | 1 | $204.51 | $204.51 | $204.51 | 1.0× |
| Amory, MS single city | 1 | $520.30 | $520.30 | $520.30 | 1.0× |
| Anaconda, MT single city | 1 | $307.95 | $307.95 | $307.95 | 1.0× |
| Antigo, WI single city | 1 | $162.50 | $162.50 | $162.50 | 1.0× |
| Appleton, MN single city | 1 | $567.60 | $567.60 | $567.60 | 1.0× |
| Armour, SD single city | 1 | $183.60 | $183.60 | $183.60 | 1.0× |
| Atkinson, NE single city | 1 | $219.00 | $219.00 | $219.00 | 1.0× |
| Aberdeen, WA | 1 | $130.68 | $130.68 | $130.68 | 1.0× |
| Akron, OH | 3 | $243.75 | $401.05 | $1,080.75 | 4.4× |
| Albany, OR | 2 | $200.80 | $352.69 | $504.58 | 2.5× |
| Albany-Schenectady-Troy, NY | 1 | $185.25 | $185.25 | $185.25 | 1.0× |
| Albemarle, NC | 1 | $67.00 | $67.00 | $67.00 | 1.0× |
| Albuquerque, NM | 1 | $232.50 | $232.50 | $232.50 | 1.0× |
| Alexandria, LA | 1 | $589.55 | $589.55 | $589.55 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 9 | $124.66 | $1,268.14 | $3,613.18 | 29.0× |
| Altoona, PA | 2 | $82.20 | $291.40 | $500.60 | 6.1× |
| Anchorage, AK | 3 | $138.69 | $786.48 | $4,087.10 | 29.5× |
| Ann Arbor, MI | 1 | $112.80 | $112.80 | $112.80 | 1.0× |
| Appleton, WI | 2 | $216.16 | $216.16 | $216.16 | 1.0× |
| Ardmore, OK | 1 | $859.75 | $859.75 | $859.75 | 1.0× |
| Asheville, NC | 2 | $1,491.40 | $1,491.40 | $1,491.40 | 1.0× |
| Astoria, OR | 2 | $172.80 | $197.78 | $222.75 | 1.3× |
| Athens, OH | 1 | $399.75 | $399.75 | $399.75 | 1.0× |
| Athens-Clarke County, GA | 1 | $36.30 | $36.30 | $36.30 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 4 | $165.76 | $306.49 | $306.49 | 1.8× |
| Atlantic City-Hammonton, NJ | 1 | $350.46 | $350.46 | $350.46 | 1.0× |
| Auburn-Opelika, AL | 1 | $126.50 | $126.50 | $126.50 | 1.0× |
| Augusta-Richmond County, GA-SC | 2 | $36.30 | $220.07 | $403.84 | 11.1× |
| Austin-Round Rock-San Marcos, TX | 6 | $677.00 | $768.50 | $1,592.00 | 2.4× |
| Bad Axe, MI single city | 1 | $227.15 | $227.15 | $227.15 | 1.0× |
| Bar Harbor, ME single city | 1 | $304.20 | $304.20 | $304.20 | 1.0× |
| Bassett, NE single city | 1 | $251.00 | $251.00 | $251.00 | 1.0× |
| Berlin, WI single city | 1 | $216.16 | $216.16 | $216.16 | 1.0× |
| Black River Falls, WI single city | 1 | $842.31 | $842.31 | $842.31 | 1.0× |
| Blue Hill, ME single city | 1 | $120.26 | $120.26 | $120.26 | 1.0× |
| Bowman, ND single city | 1 | $240.30 | $240.30 | $240.30 | 1.0× |
| Brookville, PA single city | 1 | $500.60 | $500.60 | $500.60 | 1.0× |
| Buckhannon, WV single city | 1 | $220.50 | $220.50 | $220.50 | 1.0× |
| Bakersfield-Delano, CA | 1 | $156.56 | $156.56 | $156.56 | 1.0× |
| Baltimore-Columbia-Towson, MD | 4 | $187.43 | $440.69 | $540.92 | 2.9× |
| Bangor, ME | 1 | $56.16 | $56.16 | $56.16 | 1.0× |
| Batavia, NY | 1 | $315.15 | $315.15 | $315.15 | 1.0× |
| Bay City, MI | 1 | $236.25 | $236.25 | $236.25 | 1.0× |
| Beaver Dam, WI | 1 | $203.41 | $203.41 | $203.41 | 1.0× |
| Beckley, WV | 1 | $212.40 | $212.40 | $212.40 | 1.0× |
| Bellingham, WA | 1 | $251.26 | $251.26 | $251.26 | 1.0× |
| Bend, OR | 1 | $156.00 | $156.00 | $156.00 | 1.0× |
| Birmingham, AL | 1 | $1,744.00 | $1,744.00 | $1,744.00 | 1.0× |
| Bismarck, ND | 1 | $260.33 | $260.33 | $260.33 | 1.0× |
| Blackfoot, ID | 1 | $140.00 | $140.00 | $140.00 | 1.0× |
| Blacksburg-Christiansburg-Radford, VA | 1 | $273.00 | $273.00 | $273.00 | 1.0× |
| Bloomington, IL | 1 | $254.86 | $254.86 | $254.86 | 1.0× |
| Bluefield, WV-VA | 2 | $147.00 | $210.00 | $273.00 | 1.9× |
| Boise City, ID | 3 | $211.17 | $211.17 | $581.41 | 2.8× |
| Boston-Cambridge-Newton, MA-NH | 5 | $165.17 | $375.19 | $1,360.80 | 8.2× |
| Bowling Green, KY | 3 | $204.51 | $204.51 | $445.42 | 2.2× |
| Bradford, PA | 1 | $384.60 | $384.60 | $384.60 | 1.0× |
| Brainerd, MN | 1 | $63.24 | $63.24 | $63.24 | 1.0× |
| Brevard, NC | 1 | $1,491.40 | $1,491.40 | $1,491.40 | 1.0× |
| Brownsville-Harlingen, TX | 1 | $714.01 | $714.01 | $714.01 | 1.0× |
| Buffalo-Cheektowaga, NY | 4 | $197.00 | $197.00 | $417.68 | 2.1× |
| Cadiz, OH single city | 1 | $220.50 | $220.50 | $220.50 | 1.0× |
| Caro, MI single city | 1 | $227.15 | $227.15 | $227.15 | 1.0× |
| Centerville, IA single city | 1 | $219.00 | $219.00 | $219.00 | 1.0× |
| Charlevoix, MI single city | 1 | $579.70 | $579.70 | $579.70 | 1.0× |
| Cheraw, SC single city | 1 | $206.61 | $206.61 | $206.61 | 1.0× |
| Columbia, KY single city | 1 | $551.43 | $551.43 | $551.43 | 1.0× |
| Concord, NC single city | 1 | $66.63 | $66.63 | $66.63 | 1.0× |
| Corydon, IA single city | 1 | $316.03 | $316.03 | $316.03 | 1.0× |
| Cut Bank, MT single city | 1 | $203.46 | $203.46 | $203.46 | 1.0× |
| Cadillac, MI | 1 | $279.99 | $279.99 | $279.99 | 1.0× |
| Canton-Massillon, OH | 1 | $401.05 | $401.05 | $401.05 | 1.0× |
| Cape Coral-Fort Myers, FL | 5 | $148.73 | $148.73 | $148.73 | 1.0× |
| Champaign-Urbana, IL | 2 | $232.00 | $243.43 | $254.86 | 1.1× |
| Charleston, WV | 1 | $143.00 | $143.00 | $143.00 | 1.0× |
| Charleston-Mattoon, IL | 1 | $291.78 | $291.78 | $291.78 | 1.0× |
| Charleston-North Charleston, SC | 3 | $496.00 | $496.00 | $496.00 | 1.0× |
| Charlotte-Concord-Gastonia, NC-SC | 17 | $40.64 | $66.63 | $1,379.00 | 33.9× |
| Chattanooga, TN-GA | 4 | $1,453.97 | $1,453.97 | $1,466.97 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 26 | $81.98 | $251.00 | $1,021.30 | 12.5× |
| Chillicothe, OH | 1 | $89.00 | $89.00 | $89.00 | 1.0× |
| Cincinnati, OH-KY-IN | 1 | $240.22 | $240.22 | $240.22 | 1.0× |
| Clarksburg, WV | 1 | $147.00 | $147.00 | $147.00 | 1.0× |
| Cleveland, OH | 13 | $38.15 | $401.05 | $825.36 | 21.6× |
| Clinton, IA | 2 | $149.50 | $233.26 | $317.02 | 2.1× |
| Cody, WY | 1 | $728.00 | $728.00 | $728.00 | 1.0× |
| Coeur d'Alene, ID | 1 | $347.29 | $347.29 | $347.29 | 1.0× |
| Columbus, GA-AL | 1 | $36.30 | $36.30 | $36.30 | 1.0× |
| Columbus, OH | 8 | $376.63 | $399.75 | $399.75 | 1.1× |
| Corbin, KY | 1 | $1,508.46 | $1,508.46 | $1,508.46 | 1.0× |
| Corning, NY | 1 | $243.60 | $243.60 | $243.60 | 1.0× |
| Cortland, NY | 1 | $243.60 | $243.60 | $243.60 | 1.0× |
| Corvallis, OR | 1 | $504.58 | $504.58 | $504.58 | 1.0× |
| Crawfordsville, IN | 1 | $290.38 | $290.38 | $290.38 | 1.0× |
| Crestview-Fort Walton Beach-Destin, FL | 1 | $640.00 | $640.00 | $640.00 | 1.0× |
| Crossville, TN | 1 | $187.41 | $187.41 | $187.41 | 1.0× |
| Cumberland, MD-WV | 1 | $220.50 | $220.50 | $220.50 | 1.0× |
| Davenport, WA single city | 1 | $3,767.91 | $3,767.91 | $3,767.91 | 1.0× |
| Dawson, MN single city | 1 | $195.89 | $195.89 | $195.89 | 1.0× |
| Decorah, IA single city | 1 | $203.69 | $203.69 | $203.69 | 1.0× |
| DeKalb, MS single city | 1 | $103.50 | $103.50 | $103.50 | 1.0× |
| Devils Lake, ND single city | 1 | $134.53 | $134.53 | $134.53 | 1.0× |
| Dillon, MT single city | 1 | $418.00 | $418.00 | $418.00 | 1.0× |
| Dillon, SC single city | 1 | $206.61 | $206.61 | $206.61 | 1.0× |
| Durham, NC single city | 1 | $262.77 | $262.77 | $262.77 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 16 | $367.70 | $995.40 | $1,031.78 | 2.8× |
| Danville, IL | 1 | $254.86 | $254.86 | $254.86 | 1.0× |
| Davenport-Moline-Rock Island, IA-IL | 5 | $288.70 | $317.02 | $357.30 | 1.2× |
| Dayton-Kettering-Beavercreek, OH | 1 | $216.30 | $216.30 | $216.30 | 1.0× |
| Denver-Aurora-Centennial, CO | 10 | $170.34 | $486.31 | $2,412.64 | 14.2× |
| Des Moines-West Des Moines, IA | 3 | $142.35 | $149.50 | $230.00 | 1.6× |
| Detroit-Warren-Dearborn, MI | 10 | $210.75 | $236.25 | $296.25 | 1.4× |
| Dodge City, KS | 1 | $199.50 | $199.50 | $199.50 | 1.0× |
| Dover, DE | 1 | $620.34 | $620.34 | $620.34 | 1.0× |
| DuBois, PA | 1 | $500.60 | $500.60 | $500.60 | 1.0× |
| Dubuque, IA | 2 | $142.35 | $145.93 | $149.50 | 1.1× |
| Duluth, MN-WI | 2 | $109.65 | $122.83 | $136.00 | 1.2× |
| Durant, OK | 1 | $190.62 | $190.62 | $190.62 | 1.0× |
| Durham-Chapel Hill, NC | 1 | $255.81 | $255.81 | $255.81 | 1.0× |
| Eagle River, WI single city | 1 | $162.50 | $162.50 | $162.50 | 1.0× |
| Eldorado, IL single city | 1 | $371.86 | $371.86 | $371.86 | 1.0× |
| Elkader, IA single city | 1 | $142.35 | $142.35 | $142.35 | 1.0× |
| Emmetsburg, IA single city | 1 | $169.50 | $169.50 | $169.50 | 1.0× |
| East Stroudsburg, PA | 1 | $1,268.14 | $1,268.14 | $1,268.14 | 1.0× |
| Eau Claire, WI | 2 | $162.50 | $182.96 | $203.41 | 1.3× |
| El Paso, TX | 6 | $72.47 | $1,168.00 | $1,168.00 | 16.1× |
| Elizabethtown, KY | 1 | $1,508.46 | $1,508.46 | $1,508.46 | 1.0× |
| Eugene-Springfield, OR | 3 | $251.26 | $251.26 | $251.26 | 1.0× |
| Evansville, IN | 1 | $102.63 | $102.63 | $102.63 | 1.0× |
| Farmington, CT single city | 1 | $378.00 | $378.00 | $378.00 | 1.0× |
| Franklin, NC single city | 1 | $1,491.40 | $1,491.40 | $1,491.40 | 1.0× |
| Friday Harbor, WA single city | 1 | $251.26 | $251.26 | $251.26 | 1.0× |
| Friendship, WI single city | 1 | $68.07 | $68.07 | $68.07 | 1.0× |
| Fairmont, WV | 1 | $199.70 | $199.70 | $199.70 | 1.0× |
| Fargo, ND-MN | 1 | $208.00 | $208.00 | $208.00 | 1.0× |
| Fayetteville-Springdale-Rogers, AR | 3 | $136.00 | $229.01 | $599.54 | 4.4× |
| Fergus Falls, MN | 1 | $178.75 | $178.75 | $178.75 | 1.0× |
| Flagstaff, AZ | 1 | $572.46 | $572.46 | $572.46 | 1.0× |
| Flint, MI | 1 | $236.25 | $236.25 | $236.25 | 1.0× |
| Florence, SC | 1 | $206.61 | $206.61 | $206.61 | 1.0× |
| Fond du Lac, WI | 1 | $216.16 | $216.16 | $216.16 | 1.0× |
| Fort Smith, AR-OK | 3 | $230.79 | $544.51 | $544.51 | 2.4× |
| Fort Wayne, IN | 5 | $262.16 | $371.31 | $444.93 | 1.7× |
| Frankfort, KY | 1 | $655.51 | $655.51 | $655.51 | 1.0× |
| Freeport, IL | 1 | $280.00 | $280.00 | $280.00 | 1.0× |
| Fresno, CA | 5 | $245.28 | $942.92 | $942.92 | 3.8× |
| Gassaway, WV single city | 1 | $220.50 | $220.50 | $220.50 | 1.0× |
| Gaylord, MI single city | 1 | $584.80 | $584.80 | $584.80 | 1.0× |
| Goldendale, WA single city | 1 | $132.00 | $132.00 | $132.00 | 1.0× |
| Grayling, MI single city | 1 | $279.99 | $279.99 | $279.99 | 1.0× |
| Greenfield, IA single city | 1 | $228.75 | $228.75 | $228.75 | 1.0× |
| Greenfield, OH single city | 1 | $89.00 | $89.00 | $89.00 | 1.0× |
| Gainesville, FL | 3 | $386.64 | $833.84 | $833.84 | 2.2× |
| Gainesville, TX | 1 | $281.00 | $281.00 | $281.00 | 1.0× |
| Glasgow, KY | 1 | $584.68 | $584.68 | $584.68 | 1.0× |
| Gloversville, NY | 1 | $210.56 | $210.56 | $210.56 | 1.0× |
| Grand Forks, ND-MN | 2 | $123.34 | $140.67 | $158.00 | 1.3× |
| Grand Rapids, MN | 1 | $109.65 | $109.65 | $109.65 | 1.0× |
| Grand Rapids-Wyoming-Kentwood, MI | 2 | $70.85 | $88.18 | $105.50 | 1.5× |
| Great Bend, KS | 1 | $181.53 | $181.53 | $181.53 | 1.0× |
| Green Bay, WI | 1 | $78.25 | $78.25 | $78.25 | 1.0× |
| Greenville, NC | 1 | $1,414.41 | $1,414.41 | $1,414.41 | 1.0× |
| Hamilton, AL single city | 1 | $520.30 | $520.30 | $520.30 | 1.0× |
| Harbor Beach, MI single city | 1 | $180.75 | $180.75 | $180.75 | 1.0× |
| Hartford, CT single city | 1 | $353.29 | $353.29 | $353.29 | 1.0× |
| Haxtun, CO single city | 1 | $287.00 | $287.00 | $287.00 | 1.0× |
| Hermann, MO single city | 1 | $144.60 | $144.60 | $144.60 | 1.0× |
| Highlands, NC single city | 1 | $1,491.40 | $1,491.40 | $1,491.40 | 1.0× |
| Homer, AK single city | 1 | $389.03 | $389.03 | $389.03 | 1.0× |
| Horse Cave, KY single city | 1 | $204.51 | $204.51 | $204.51 | 1.0× |
| Hot Springs, VA single city | 1 | $280.82 | $280.82 | $280.82 | 1.0× |
| Hagerstown-Martinsburg, MD-WV | 1 | $143.00 | $143.00 | $143.00 | 1.0× |
| Hailey, ID | 1 | $211.17 | $211.17 | $211.17 | 1.0× |
| Hammond, LA | 1 | $209.70 | $209.70 | $209.70 | 1.0× |
| Henderson, KY | 1 | $93.30 | $93.30 | $93.30 | 1.0× |
| Hermitage, PA | 1 | $82.20 | $82.20 | $82.20 | 1.0× |
| Houghton, MI | 1 | $162.50 | $162.50 | $162.50 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 15 | $165.08 | $524.00 | $1,273.35 | 7.7× |
| Huntingdon, PA | 1 | $500.60 | $500.60 | $500.60 | 1.0× |
| Huntsville, TX | 1 | $55.00 | $55.00 | $55.00 | 1.0× |
| Ilwaco, WA single city | 1 | $123.00 | $123.00 | $123.00 | 1.0× |
| International Falls, MN single city | 1 | $158.92 | $158.92 | $158.92 | 1.0× |
| Iron River, MI single city | 1 | $162.50 | $162.50 | $162.50 | 1.0× |
| Ironwood, MI single city | 1 | $162.50 | $162.50 | $162.50 | 1.0× |
| Iuka, MS single city | 1 | $520.30 | $520.30 | $520.30 | 1.0× |
| Indiana, PA | 1 | $437.42 | $437.42 | $437.42 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 1 | $247.52 | $247.52 | $247.52 | 1.0× |
| Jena, LA single city | 1 | $120.00 | $120.00 | $120.00 | 1.0× |
| Jackson, MS | 2 | $100.80 | $100.80 | $100.80 | 1.0× |
| Jacksonville, FL | 3 | $372.00 | $386.64 | $401.76 | 1.1× |
| Janesville-Beloit, WI | 1 | $584.63 | $584.63 | $584.63 | 1.0× |
| Jasper, IN | 1 | $226.35 | $226.35 | $226.35 | 1.0× |
| Johnstown, PA | 1 | $497.59 | $497.59 | $497.59 | 1.0× |
| Joplin, MO-KS | 1 | $745.12 | $745.12 | $745.12 | 1.0× |
| Keosauqua, IA single city | 1 | $140.85 | $140.85 | $140.85 | 1.0× |
| Knox, IN single city | 1 | $387.76 | $387.76 | $387.76 | 1.0× |
| Kotzebue, AK single city | 1 | $390.00 | $390.00 | $390.00 | 1.0× |
| Kahului-Wailuku, HI | 1 | $401.80 | $401.80 | $401.80 | 1.0× |
| Kansas City, MO-KS | 7 | $180.12 | $269.22 | $621.44 | 3.5× |
| Kennewick-Richland, WA | 1 | $78.10 | $78.10 | $78.10 | 1.0× |
| Ketchikan, AK | 1 | $251.26 | $251.26 | $251.26 | 1.0× |
| Kiryas Joel-Poughkeepsie-Newburgh, NY | 1 | $620.00 | $620.00 | $620.00 | 1.0× |
| Knoxville, TN | 5 | $175.70 | $193.26 | $193.26 | 1.1× |
| Ladysmith, WI single city | 1 | $203.41 | $203.41 | $203.41 | 1.0× |
| Lexington, VA single city | 1 | $273.00 | $273.00 | $273.00 | 1.0× |
| Linton, ND single city | 1 | $161.00 | $161.00 | $161.00 | 1.0× |
| Littlefield, TX single city | 1 | $46.00 | $46.00 | $46.00 | 1.0× |
| Louisville, MS single city | 1 | $144.67 | $144.67 | $144.67 | 1.0× |
| Lousiana, MO single city | 1 | $164.80 | $164.80 | $164.80 | 1.0× |
| Lovelock, NV single city | 1 | $375.00 | $375.00 | $375.00 | 1.0× |
| Luther Eads, CO single city | 1 | $175.20 | $175.20 | $175.20 | 1.0× |
| La Crosse-Onalaska, WI-MN | 2 | $70.48 | $117.90 | $165.32 | 2.3× |
| Lafayette, LA | 2 | $210.90 | $222.15 | $233.39 | 1.1× |
| Lafayette-West Lafayette, IN | 1 | $236.80 | $236.80 | $236.80 | 1.0× |
| Lake Havasu City-Kingman, AZ | 1 | $635.95 | $635.95 | $635.95 | 1.0× |
| Lakeland-Winter Haven, FL | 2 | $603.69 | $603.69 | $603.69 | 1.0× |
| Lansing-East Lansing, MI | 3 | $105.50 | $105.50 | $236.25 | 2.2× |
| Las Cruces, NM | 1 | $576.63 | $576.63 | $576.63 | 1.0× |
| Las Vegas-Henderson-North Las Vegas, NV | 3 | $935.00 | $1,081.00 | $1,400.00 | 1.5× |
| Lebanon, PA | 1 | $413.60 | $413.60 | $413.60 | 1.0× |
| Lebanon-Claremont, NH-VT | 2 | $212.30 | $234.80 | $257.30 | 1.2× |
| Lexington Park, MD | 1 | $197.50 | $197.50 | $197.50 | 1.0× |
| Lexington, NE | 1 | $307.00 | $307.00 | $307.00 | 1.0× |
| Lexington-Fayette, KY | 2 | $232.16 | $870.31 | $1,508.46 | 6.5× |
| Little Rock-North Little Rock-Conway, AR | 2 | $94.73 | $161.87 | $229.01 | 2.4× |
| Longview-Kelso, WA | 1 | $251.26 | $251.26 | $251.26 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 12 | $207.90 | $288.72 | $624.06 | 3.0× |
| Louisville/Jefferson County, KY-IN | 14 | $237.87 | $631.22 | $1,508.46 | 6.3× |
| Lubbock, TX | 1 | $126.00 | $126.00 | $126.00 | 1.0× |
| Madison, MN single city | 1 | $216.75 | $216.75 | $216.75 | 1.0× |
| Manistee, MI single city | 1 | $579.70 | $579.70 | $579.70 | 1.0× |
| Manning, SC single city | 1 | $206.61 | $206.61 | $206.61 | 1.0× |
| McCall, ID single city | 1 | $211.17 | $211.17 | $211.17 | 1.0× |
| McCook, NE single city | 1 | $152.10 | $152.10 | $152.10 | 1.0× |
| Medford, WI single city | 1 | $162.50 | $162.50 | $162.50 | 1.0× |
| Memphis, MO single city | 1 | $397.25 | $397.25 | $397.25 | 1.0× |
| Merrill, WI single city | 1 | $162.50 | $162.50 | $162.50 | 1.0× |
| Minocqua, WI single city | 1 | $203.41 | $203.41 | $203.41 | 1.0× |
| Morris, MN single city | 1 | $265.07 | $265.07 | $265.07 | 1.0× |
| Madison, IN | 1 | $373.79 | $373.79 | $373.79 | 1.0× |
| Madison, WI | 1 | $162.50 | $162.50 | $162.50 | 1.0× |
| Mansfield, OH | 2 | $399.75 | $405.68 | $411.60 | 1.0× |
| Marion, NC | 1 | $1,491.40 | $1,491.40 | $1,491.40 | 1.0× |
| Marion, OH | 1 | $399.75 | $399.75 | $399.75 | 1.0× |
| Marquette, MI | 1 | $186.78 | $186.78 | $186.78 | 1.0× |
| Marshall, MN | 1 | $234.96 | $234.96 | $234.96 | 1.0× |
| Mason City, IA | 1 | $149.50 | $149.50 | $149.50 | 1.0× |
| Massena-Ogdensburg, NY | 3 | $218.91 | $218.91 | $218.91 | 1.0× |
| McAllen-Edinburg-Mission, TX | 1 | $528.53 | $528.53 | $528.53 | 1.0× |
| McPherson, KS | 1 | $163.54 | $163.54 | $163.54 | 1.0× |
| Memphis, TN-MS-AR | 1 | $310.54 | $310.54 | $310.54 | 1.0× |
| Merced, CA | 1 | $1,001.15 | $1,001.15 | $1,001.15 | 1.0× |
| Meridian, MS | 2 | $52.50 | $76.50 | $100.50 | 1.9× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 8 | $70.85 | $912.63 | $1,635.00 | 23.1× |
| Michigan City-La Porte, IN | 2 | $222.87 | $348.40 | $473.93 | 2.1× |
| Milwaukee-Waukesha, WI | 2 | $121.37 | $121.37 | $121.37 | 1.0× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 11 | $31.05 | $103.46 | $704.20 | 22.7× |
| Modesto, CA | 1 | $245.28 | $245.28 | $245.28 | 1.0× |
| Monroe, LA | 2 | $137.64 | $153.82 | $170.00 | 1.2× |
| Morgantown, WV | 3 | $132.00 | $147.00 | $750.87 | 5.7× |
| Morristown, TN | 1 | $175.70 | $175.70 | $175.70 | 1.0× |
| Moscow, ID | 1 | $187.00 | $187.00 | $187.00 | 1.0× |
| Moses Lake, WA | 1 | $163.00 | $163.00 | $163.00 | 1.0× |
| Moultrie, GA | 1 | $35.29 | $35.29 | $35.29 | 1.0× |
| Mount Pleasant, MI | 1 | $236.25 | $236.25 | $236.25 | 1.0× |
| Mount Vernon-Anacortes, WA | 2 | $106.14 | $178.70 | $251.26 | 2.4× |
| Muskegon-Norton Shores, MI | 1 | $70.85 | $70.85 | $70.85 | 1.0× |
| Myrtle Beach-Conway-North Myrtle Beach, SC | 4 | $206.61 | $206.61 | $1,380.00 | 6.7× |
| Nashville, IL single city | 1 | $250.40 | $250.40 | $250.40 | 1.0× |
| Neillsville, WI single city | 1 | $203.41 | $203.41 | $203.41 | 1.0× |
| Neodesha, KS single city | 1 | $85.50 | $85.50 | $85.50 | 1.0× |
| Nevada, MO single city | 1 | $99.90 | $99.90 | $99.90 | 1.0× |
| New Hampton, IA single city | 1 | $142.35 | $142.35 | $142.35 | 1.0× |
| New London, WI single city | 1 | $216.16 | $216.16 | $216.16 | 1.0× |
| New Martinsville, WV single city | 1 | $147.00 | $147.00 | $147.00 | 1.0× |
| Nome, AK single city | 1 | $215.50 | $215.50 | $215.50 | 1.0× |
| Naples-Marco Island, FL | 1 | $308.00 | $308.00 | $308.00 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 7 | $353.69 | $864.75 | $1,681.95 | 4.8× |
| New Orleans-Metairie, LA | 8 | $40.32 | $43.20 | $83.70 | 2.1× |
| New Philadelphia-Dover, OH | 1 | $401.05 | $401.05 | $401.05 | 1.0× |
| New Ulm, MN | 1 | $275.03 | $275.03 | $275.03 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 25 | $61.36 | $343.30 | $620.00 | 10.1× |
| Newport, OR | 2 | $200.80 | $200.80 | $200.80 | 1.0× |
| Norfolk, NE | 1 | $260.23 | $260.23 | $260.23 | 1.0× |
| North Port-Bradenton-Sarasota, FL | 2 | $654.00 | $702.43 | $750.86 | 1.1× |
| Oelwein, IA single city | 1 | $142.35 | $142.35 | $142.35 | 1.0× |
| Okeene, OK single city | 1 | $210.40 | $210.40 | $210.40 | 1.0× |
| Olney, IL single city | 1 | $254.86 | $254.86 | $254.86 | 1.0× |
| Orange City, IA single city | 1 | $168.00 | $168.00 | $168.00 | 1.0× |
| Ortonville, MN single city | 1 | $119.85 | $119.85 | $119.85 | 1.0× |
| Ocala, FL | 1 | $1,044.69 | $1,044.69 | $1,044.69 | 1.0× |
| Ocean Pines, MD | 1 | $371.00 | $371.00 | $371.00 | 1.0× |
| Ogden, UT | 2 | $312.48 | $312.48 | $312.48 | 1.0× |
| Oil City, PA | 1 | $144.00 | $144.00 | $144.00 | 1.0× |
| Oklahoma City, OK | 2 | $70.10 | $420.80 | $771.49 | 11.0× |
| Oneonta, NY | 1 | $115.02 | $115.02 | $115.02 | 1.0× |
| Orlando-Kissimmee-Sanford, FL | 6 | $305.00 | $446.82 | $647.18 | 2.1× |
| Oshkosh-Neenah, WI | 2 | $216.16 | $216.16 | $216.16 | 1.0× |
| Owosso, MI | 1 | $163.20 | $163.20 | $163.20 | 1.0× |
| Oxnard-Thousand Oaks-Ventura, CA | 1 | $1,232.50 | $1,232.50 | $1,232.50 | 1.0× |
| Park Falls, WI single city | 1 | $203.41 | $203.41 | $203.41 | 1.0× |
| Pawnee City, NE single city | 1 | $182.00 | $182.00 | $182.00 | 1.0× |
| Perryton, TX single city | 1 | $148.00 | $148.00 | $148.00 | 1.0× |
| Petersburg, WV single city | 1 | $352.80 | $352.80 | $352.80 | 1.0× |
| Phillipsburg, KS single city | 1 | $140.25 | $140.25 | $140.25 | 1.0× |
| Pinckneyville, IL single city | 1 | $163.00 | $163.00 | $163.00 | 1.0× |
| Plainville, KS single city | 1 | $172.50 | $172.50 | $172.50 | 1.0× |
| Polson, MT single city | 1 | $96.00 | $96.00 | $96.00 | 1.0× |
| Pontotoc, MS single city | 1 | $520.30 | $520.30 | $520.30 | 1.0× |
| Princeton, IN single city | 1 | $450.27 | $450.27 | $450.27 | 1.0× |
| Paducah, KY-IL | 1 | $1,508.46 | $1,508.46 | $1,508.46 | 1.0× |
| Palatka, FL | 1 | $499.00 | $499.00 | $499.00 | 1.0× |
| Panama City-Panama City Beach, FL | 1 | $297.00 | $297.00 | $297.00 | 1.0× |
| Parkersburg-Vienna, WV | 1 | $143.00 | $143.00 | $143.00 | 1.0× |
| Pensacola-Ferry Pass-Brent, FL | 1 | $90.71 | $90.71 | $90.71 | 1.0× |
| Peoria, IL | 5 | $196.70 | $254.86 | $254.86 | 1.3× |
| Peru, IN | 1 | $554.83 | $554.83 | $554.83 | 1.0× |
| Petoskey, MI | 1 | $236.25 | $236.25 | $236.25 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 3 | $460.00 | $1,268.14 | $1,268.14 | 2.8× |
| Phoenix-Mesa-Chandler, AZ | 1 | $1,219.33 | $1,219.33 | $1,219.33 | 1.0× |
| Pittsburg, KS | 1 | $745.11 | $745.11 | $745.11 | 1.0× |
| Pittsburgh, PA | 6 | $82.20 | $97.80 | $453.33 | 5.5× |
| Pittsfield, MA | 1 | $602.30 | $602.30 | $602.30 | 1.0× |
| Plainview, TX | 1 | $126.00 | $126.00 | $126.00 | 1.0× |
| Platteville, WI | 1 | $69.01 | $69.01 | $69.01 | 1.0× |
| Poplar Bluff, MO | 1 | $201.25 | $201.25 | $201.25 | 1.0× |
| Port St. Lucie, FL | 2 | $825.36 | $1,113.18 | $1,401.00 | 1.7× |
| Port Townsend, WA | 1 | $131.63 | $131.63 | $131.63 | 1.0× |
| Portland-South Portland, ME | 2 | $588.40 | $1,169.49 | $1,750.58 | 3.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 4 | $188.39 | $219.83 | $480.53 | 2.6× |
| Pottsville, PA | 2 | $90.00 | $90.00 | $90.00 | 1.0× |
| Prescott Valley-Prescott, AZ | 2 | $178.08 | $503.07 | $828.06 | 4.6× |
| Providence-Warwick, RI-MA | 2 | $218.00 | $218.00 | $218.00 | 1.0× |
| Provo-Orem-Lehi, UT | 1 | $819.19 | $819.19 | $819.19 | 1.0× |
| Pullman, WA | 2 | $131.63 | $135.75 | $139.87 | 1.1× |
| Punta Gorda, FL | 1 | $669.04 | $669.04 | $669.04 | 1.0× |
| Refugio, TX single city | 1 | $39.66 | $39.66 | $39.66 | 1.0× |
| Rhinelander, WI single city | 1 | $162.50 | $162.50 | $162.50 | 1.0× |
| Ripley, WV single city | 1 | $214.50 | $214.50 | $214.50 | 1.0× |
| Rockport, ME single city | 1 | $1,678.41 | $1,678.41 | $1,678.41 | 1.0× |
| Roseau, MN single city | 1 | $376.68 | $376.68 | $376.68 | 1.0× |
| Rotan, TX single city | 1 | $239.00 | $239.00 | $239.00 | 1.0× |
| Russellville, KY single city | 1 | $204.51 | $204.51 | $204.51 | 1.0× |
| Raleigh-Cary, NC | 4 | $211.69 | $211.69 | $262.77 | 1.2× |
| Rice Lake, WI | 2 | $203.41 | $212.16 | $220.90 | 1.1× |
| Richmond, VA | 5 | $5,647.00 | $5,647.00 | $5,647.00 | 1.0× |
| Richmond-Berea, KY | 2 | $166.44 | $837.45 | $1,508.46 | 9.1× |
| Riverside-San Bernardino-Ontario, CA | 5 | $288.72 | $288.72 | $544.25 | 1.9× |
| Roanoke, VA | 5 | $273.00 | $273.00 | $295.00 | 1.1× |
| Rochester, MN | 1 | $81.61 | $81.61 | $81.61 | 1.0× |
| Rochester, NY | 5 | $315.15 | $315.15 | $387.88 | 1.2× |
| Rocky Mount, NC | 1 | $1,414.41 | $1,414.41 | $1,414.41 | 1.0× |
| Rolla, MO | 1 | $473.73 | $473.73 | $473.73 | 1.0× |
| Rome, GA | 1 | $144.00 | $144.00 | $144.00 | 1.0× |
| Roswell, NM | 1 | $161.04 | $161.04 | $161.04 | 1.0× |
| Scobey, MT single city | 1 | $352.75 | $352.75 | $352.75 | 1.0× |
| Shattuck, OK single city | 1 | $560.69 | $560.69 | $560.69 | 1.0× |
| Shelby, MT single city | 1 | $356.36 | $356.36 | $356.36 | 1.0× |
| Smith Center, KS single city | 1 | $136.50 | $136.50 | $136.50 | 1.0× |
| Spruce Pine, NC single city | 1 | $1,491.40 | $1,491.40 | $1,491.40 | 1.0× |
| Staples, MN single city | 1 | $274.04 | $274.04 | $274.04 | 1.0× |
| Statesville, NC single city | 1 | $105.36 | $105.36 | $105.36 | 1.0× |
| Ste. Genevieve, MO single city | 1 | $101.00 | $101.00 | $101.00 | 1.0× |
| Summersville, WV single city | 1 | $220.50 | $220.50 | $220.50 | 1.0× |
| Sweetwater, TN single city | 1 | $240.71 | $240.71 | $240.71 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 3 | $245.28 | $245.28 | $245.28 | 1.0× |
| Salt Lake City-Murray, UT | 2 | $240.80 | $498.78 | $756.76 | 3.1× |
| San Antonio-New Braunfels, TX | 13 | $177.83 | $1,066.35 | $1,066.35 | 6.0× |
| San Diego-Chula Vista-Carlsbad, CA | 8 | $167.16 | $167.16 | $288.72 | 1.7× |
| San Francisco-Oakland-Fremont, CA | 12 | $245.28 | $245.28 | $1,001.15 | 4.1× |
| San Jose-Sunnyvale-Santa Clara, CA | 3 | $245.28 | $245.28 | $2,696.88 | 11.0× |
| Santa Rosa-Petaluma, CA | 1 | $245.28 | $245.28 | $245.28 | 1.0× |
| Sayre, PA | 3 | $243.60 | $243.60 | $243.60 | 1.0× |
| Seaford, DE | 1 | $620.34 | $620.34 | $620.34 | 1.0× |
| Seattle-Tacoma-Bellevue, WA | 3 | $83.92 | $144.20 | $362.75 | 4.3× |
| Sebastian-Vero Beach-West Vero Corridor, FL | 2 | $401.05 | $901.53 | $1,402.00 | 3.5× |
| Sevierville, TN | 1 | $169.84 | $169.84 | $169.84 | 1.0× |
| Shawano, WI | 1 | $216.16 | $216.16 | $216.16 | 1.0× |
| Shelby-Kings Mountain, NC | 1 | $66.63 | $66.63 | $66.63 | 1.0× |
| Sioux Falls, SD-MN | 2 | $298.00 | $347.11 | $396.21 | 1.3× |
| Slidell-Mandeville-Covington, LA | 1 | $40.32 | $40.32 | $40.32 | 1.0× |
| Springfield, MO | 2 | $533.05 | $533.05 | $533.05 | 1.0× |
| St. Louis, MO-IL | 5 | $329.00 | $573.17 | $796.71 | 2.4× |
| St. Marys, PA | 1 | $500.60 | $500.60 | $500.60 | 1.0× |
| Starkville, MS | 2 | $520.30 | $547.20 | $574.10 | 1.1× |
| Staunton-Stuarts Draft, VA | 1 | $512.04 | $512.04 | $512.04 | 1.0× |
| Stevens Point-Plover, WI | 3 | $162.50 | $162.50 | $203.41 | 1.3× |
| Stockton-Lodi, CA | 1 | $245.28 | $245.28 | $245.28 | 1.0× |
| Syracuse, NY | 1 | $94.90 | $94.90 | $94.90 | 1.0× |
| Tazewell, TN single city | 1 | $76.98 | $76.98 | $76.98 | 1.0× |
| Tell City, IN single city | 1 | $214.20 | $214.20 | $214.20 | 1.0× |
| Tomahawk, WI single city | 1 | $162.50 | $162.50 | $162.50 | 1.0× |
| Two Harbors, MN single city | 1 | $205.75 | $205.75 | $205.75 | 1.0× |
| Tampa-St. Petersburg-Clearwater, FL | 18 | $371.69 | $603.69 | $1,370.00 | 3.7× |
| Terre Haute, IN | 2 | $581.35 | $581.35 | $581.35 | 1.0× |
| Texarkana, TX-AR | 1 | $554.83 | $554.83 | $554.83 | 1.0× |
| Toledo, OH | 1 | $251.09 | $251.09 | $251.09 | 1.0× |
| Traverse City, MI | 3 | $279.99 | $279.99 | $279.99 | 1.0× |
| Tulsa, OK | 1 | $43.20 | $43.20 | $43.20 | 1.0× |
| Tupelo, MS | 1 | $520.30 | $520.30 | $520.30 | 1.0× |
| Twin Falls, ID | 1 | $211.17 | $211.17 | $211.17 | 1.0× |
| Urban Honolulu, HI | 2 | $416.43 | $422.89 | $429.34 | 1.0× |
| Utica-Rome, NY | 2 | $106.98 | $108.69 | $110.40 | 1.0× |
| Vallejo, CA | 2 | $245.28 | $245.28 | $245.28 | 1.0× |
| Vermillion, SD | 1 | $220.53 | $220.53 | $220.53 | 1.0× |
| Vernal, UT | 1 | $186.78 | $186.78 | $186.78 | 1.0× |
| Vincennes, IN | 1 | $299.70 | $299.70 | $299.70 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 2 | $208.73 | $383.50 | $558.27 | 2.7× |
| Watford City, ND single city | 1 | $284.70 | $284.70 | $284.70 | 1.0× |
| Waupaca, WI single city | 1 | $216.16 | $216.16 | $216.16 | 1.0× |
| Waverly, OH single city | 1 | $89.00 | $89.00 | $89.00 | 1.0× |
| Wedowee, AL single city | 1 | $306.49 | $306.49 | $306.49 | 1.0× |
| Wellsboro, PA single city | 1 | $86.40 | $86.40 | $86.40 | 1.0× |
| West Union, IA single city | 1 | $79.60 | $79.60 | $79.60 | 1.0× |
| Weston, WV single city | 1 | $467.95 | $467.95 | $467.95 | 1.0× |
| Whitehall, WI single city | 1 | $84.96 | $84.96 | $84.96 | 1.0× |
| Wild Rose, WI single city | 1 | $216.16 | $216.16 | $216.16 | 1.0× |
| Winner, SD single city | 1 | $82.00 | $82.00 | $82.00 | 1.0× |
| Winnsboro, LA single city | 1 | $120.00 | $120.00 | $120.00 | 1.0× |
| Woodruff, WI single city | 1 | $162.50 | $162.50 | $162.50 | 1.0× |
| Wray, CO single city | 1 | $223.12 | $223.12 | $223.12 | 1.0× |
| Warren, PA | 1 | $617.00 | $617.00 | $617.00 | 1.0× |
| Warsaw, IN | 1 | $273.36 | $273.36 | $273.36 | 1.0× |
| Washington Court House, OH | 1 | $178.00 | $178.00 | $178.00 | 1.0× |
| Washington, NC | 1 | $1,414.41 | $1,414.41 | $1,414.41 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 8 | $220.50 | $301.12 | $1,547.64 | 7.0× |
| Waterloo-Cedar Falls, IA | 2 | $149.50 | $149.50 | $149.50 | 1.0× |
| Wausau, WI | 2 | $162.50 | $182.96 | $203.41 | 1.3× |
| Waycross, GA | 1 | $934.50 | $934.50 | $934.50 | 1.0× |
| Weirton-Steubenville, WV-OH | 1 | $147.00 | $147.00 | $147.00 | 1.0× |
| Wenatchee-East Wenatchee, WA | 2 | $288.00 | $351.45 | $414.90 | 1.4× |
| Wheeling, WV-OH | 3 | $147.00 | $147.00 | $220.50 | 1.5× |
| Wichita, KS | 2 | $845.79 | $845.79 | $845.79 | 1.0× |
| Wildwood-The Villages, FL | 1 | $1,044.69 | $1,044.69 | $1,044.69 | 1.0× |
| Winston-Salem, NC | 1 | $641.00 | $641.00 | $641.00 | 1.0× |
| Wisconsin Rapids-Marshfield, WI | 2 | $162.50 | $182.96 | $203.41 | 1.3× |
| Worcester, MA | 1 | $425.03 | $425.03 | $425.03 | 1.0× |
| Worthington, MN | 1 | $220.52 | $220.52 | $220.52 | 1.0× |
| York-Hanover, PA | 1 | $221.60 | $221.60 | $221.60 | 1.0× |
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
Highest The highest cash price among those hospitals. A single very high price can be an error in the file; check the median too.
Highest ÷ lowest How many times the highest cash price is above the lowest in the same market.
Common questions
What is CPT code 90619?
CPT 90619 is the billing code for meningococcal ACWY vaccine (MenQuadfi). MenQuadfi is a meningococcal conjugate vaccine against types A, C, W and Y. Preteens get it at 11 or 12 with a booster at 16, and it is required by many colleges and camps.
Is MenQuadfi the same as Menveo?
Both protect against types A, C, W and Y and either can be used; the code differs because the products differ. Neither covers type B, which needs a separate MenB vaccine.
Does insurance cover it?
Most health plans must cover vaccines the CDC recommends for your age with nothing to pay when you use an in-network provider.
What does a dose of the meningitis vaccine (MenQuadfi) cost a clinic or pharmacy?
$177.11 (MenQuadfi) per dose is the manufacturer's private-sector price in the CDC vaccine price list: what a clinic or pharmacy pays for the vaccine itself. The median hospital cash price, $256.90 across 884 hospitals, is 1.5× that. Giving the shot is billed separately (CPT 90471).
Other vaccine prices
Median hospital cash price, one per hospital.