HPV vaccine (Gardasil 9) cost without insurance
The median hospital cash price for HPV vaccine, 9-valent (Gardasil 9) is $423.00 across 1,298 US hospitals; most list between $156.64 and $1,187.95. The lowest outpatient cash price in any of 650 markets is $49.00. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Nov 11, 2026 Each price links to its source file All Vaccine costs
Lowest$49.00any market
Median market$386.58middle of market medians
Most below$1,187.959 in 10 hospitals
Listings1,284hospital prices
Compared with the vaccine's list price
$329.09 (Gardasil 9) 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, $423.00 across 1,298 hospitals, is 1.3× 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.
Cash or insurance?
If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for HPV vaccine (Gardasil 9), the highest negotiated rate in a hospital's file has a median of $713.93 and the lowest a median of $186.80. At 810 of 979 hospitals that publish both, the cash price is below the highest negotiated rate.
With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.
Plan's rate starts at the median highest negotiated rate and cash at the national median; put in your own numbers. Nothing you type leaves your device. To price a whole year with premiums, use the insurance or cash calculator.
What is CPT 90651?
Gardasil 9 protects against nine types of HPV, the virus behind most cervical cancers and several other cancers. It is routine at ages 11 to 12 and recommended through age 26; adults 27 to 45 may get it after talking with a doctor.
What the price covers
The price is for one dose. , and the series takes two or three doses.
Why prices differ
It is one of the most expensive routine vaccines, and hospital prices for the same dose vary widely.
What to ask
Ask whether the self-pay price for CPT 90651 is per dose, whether it includes giving the shot (90471), and how many doses you will need.
Prices by state
Among 45 states with at least 5 hospitals listing a cash price, the median is lowest in Maine ($160.57), Mississippi ($169.62) and Tennessee ($169.62), and highest in Alabama ($1,288.15), Georgia ($1,109.31) and Florida ($943.84).
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$1,288.15
- Alaska$484.25
- Arizona$446.36
- Arkansas$321.77
- California$387.50
- Colorado$853.17
- Connecticut$571.65
- Delaware$822.15, 3 hospitals
- District of Columbia$699.30, 2 hospitals
- Florida$943.84
- Georgia$1,109.31
- Hawaii$456.75
- Idaho$390.84
- Illinois$490.01
- Indiana$630.84
- Iowa$313.98
- Kansas$423.50
- Kentucky$389.47
- Louisiana$270.54
- Maine$160.57
- Maryland$436.61
- Massachusetts$620.15
- Michigan$334.43
- Minnesota$379.34
- Mississippi$169.62
- Missouri$328.95
- Montana$349.36
- Nebraska$358.07
- Nevada$690.00, 1 hospital
- New Hampshire$278.12
- New Jersey$238.70
- New Mexico$418.86
- New York$498.77
- North Carolina$386.50
- North Dakota$352.75
- Ohio$519.00
- Oklahoma$240.00
- Oregon$324.38
- Pennsylvania$253.60
- Rhode Island$404.00, 2 hospitals
- South Carolina$342.93
- South Dakota$385.31
- Tennessee$169.62
- Texas$546.94
- Utah$266.88, 3 hospitals
- Vermont$617.20, 4 hospitals
- Virginia$836.25
- Washington$272.00
- West Virginia$316.79
- Wisconsin$318.64
- Wyoming$476.75
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Aberdeen, WA | 1 | $162.79 | $162.79 | $162.79 | 1.0× |
| Abilene, KS single city | 1 | $372.40 | $372.40 | $372.40 | 1.0× |
| Ackerman, MS single city | 1 | $67.24 | $67.24 | $67.24 | 1.0× |
| Ada, MN single city | 1 | $545.75 | $545.75 | $545.75 | 1.0× |
| Akron, OH | 5 | $446.25 | $718.90 | $2,156.55 | 4.8× |
| Alamosa, CO | 2 | $630.83 | $630.83 | $630.83 | 1.0× |
| Albany, MO single city | 1 | $328.95 | $328.95 | $328.95 | 1.0× |
| Albany, OR | 1 | $344.00 | $344.00 | $344.00 | 1.0× |
| Albany-Schenectady-Troy, NY | 3 | $142.83 | $228.15 | $228.15 | 1.6× |
| Albemarle, NC | 1 | $201.50 | $201.50 | $201.50 | 1.0× |
| Albertville, AL | 2 | $1,610.26 | $1,610.26 | $1,610.26 | 1.0× |
| Albuquerque, NM | 1 | $412.92 | $412.92 | $412.92 | 1.0× |
| Algona, IA single city | 1 | $523.20 | $523.20 | $523.20 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 9 | $83.00 | $83.00 | $252.60 | 3.0× |
| Alma, NE single city | 1 | $156.62 | $156.62 | $156.62 | 1.0× |
| Altoona, PA | 2 | $186.00 | $554.43 | $922.85 | 5.0× |
| American Falls, ID single city | 1 | $204.90 | $204.90 | $204.90 | 1.0× |
| Ames, IA | 2 | $287.20 | $329.60 | $372.00 | 1.3× |
| Anaconda, MT single city | 1 | $391.58 | $391.58 | $391.58 | 1.0× |
| Anchorage, AK | 3 | $369.17 | $831.20 | $1,285.39 | 3.5× |
| Anderson Creek, NC | 1 | $415.20 | $415.20 | $415.20 | 1.0× |
| Ann Arbor, MI | 2 | $100.75 | $140.76 | $180.76 | 1.8× |
| Antigo, WI single city | 1 | $141.70 | $141.70 | $141.70 | 1.0× |
| Appleton, MN single city | 1 | $1,017.24 | $1,017.24 | $1,017.24 | 1.0× |
| Appleton, WI | 3 | $312.93 | $318.64 | $318.64 | 1.0× |
| Armour, SD single city | 1 | $222.30 | $222.30 | $222.30 | 1.0× |
| Asheville, NC | 2 | $600.39 | $1,504.30 | $2,408.21 | 4.0× |
| Ashland, OH | 1 | $916.50 | $916.50 | $916.50 | 1.0× |
| Ashland, WI single city | 1 | $695.21 | $695.21 | $695.21 | 1.0× |
| Astoria, OR | 2 | $200.25 | $227.33 | $254.40 | 1.3× |
| Atchison, KS | 1 | $316.00 | $316.00 | $316.00 | 1.0× |
| Athens, OH | 1 | $533.36 | $533.36 | $533.36 | 1.0× |
| Athens-Clarke County, GA | 1 | $127.20 | $127.20 | $127.20 | 1.0× |
| Atkinson, NE single city | 1 | $245.00 | $245.00 | $245.00 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 14 | $297.00 | $1,109.31 | $2,113.00 | 7.1× |
| Atlantic City-Hammonton, NJ | 1 | $379.56 | $379.56 | $379.56 | 1.0× |
| Atlantic, IA single city | 1 | $145.13 | $145.13 | $145.13 | 1.0× |
| Auburn, IN | 1 | $630.84 | $630.84 | $630.84 | 1.0× |
| Auburn-Opelika, AL | 1 | $169.40 | $169.40 | $169.40 | 1.0× |
| Audubon, IA single city | 1 | $704.44 | $704.44 | $704.44 | 1.0× |
| Augusta-Richmond County, GA-SC | 2 | $127.20 | $431.83 | $736.46 | 5.8× |
| Austin-Round Rock-San Marcos, TX | 9 | $316.79 | $1,020.00 | $1,901.00 | 6.0× |
| Bad Axe, MI single city | 1 | $305.56 | $305.56 | $305.56 | 1.0× |
| Baker City, OR | 1 | $156.65 | $156.65 | $156.65 | 1.0× |
| Bakersfield-Delano, CA | 2 | $156.56 | $374.55 | $592.54 | 3.8× |
| Baltimore-Columbia-Towson, MD | 5 | $328.53 | $767.40 | $948.05 | 2.9× |
| Bangor, ME | 2 | $101.55 | $259.37 | $417.18 | 4.1× |
| Bar Harbor, ME single city | 1 | $637.20 | $637.20 | $637.20 | 1.0× |
| Barre, VT | 1 | $588.39 | $588.39 | $588.39 | 1.0× |
| Bassett, NE single city | 1 | $475.00 | $475.00 | $475.00 | 1.0× |
| Batavia, NY | 1 | $641.57 | $641.57 | $641.57 | 1.0× |
| Baton Rouge, LA | 3 | $325.40 | $353.50 | $659.00 | 2.0× |
| Baudette, MN single city | 1 | $222.37 | $222.37 | $222.37 | 1.0× |
| Bay City, MI | 1 | $260.75 | $260.75 | $260.75 | 1.0× |
| Beatrice, NE | 1 | $193.00 | $193.00 | $193.00 | 1.0× |
| Beaver Dam, WI | 1 | $485.16 | $485.16 | $485.16 | 1.0× |
| Beckley, WV | 1 | $386.25 | $386.25 | $386.25 | 1.0× |
| Belmond, IA single city | 1 | $591.01 | $591.01 | $591.01 | 1.0× |
| Bemidji, MN | 1 | $242.92 | $242.92 | $242.92 | 1.0× |
| Bend, OR | 1 | $440.80 | $440.80 | $440.80 | 1.0× |
| Berlin, WI single city | 1 | $318.64 | $318.64 | $318.64 | 1.0× |
| Billings, MT | 1 | $346.00 | $346.00 | $346.00 | 1.0× |
| Birmingham, AL | 3 | $250.94 | $250.94 | $322.00 | 1.3× |
| Bishop, CA | 2 | $265.00 | $432.50 | $600.00 | 2.3× |
| Bismarck, ND | 2 | $84.00 | $148.63 | $213.25 | 2.5× |
| Black River Falls, WI single city | 1 | $1,552.69 | $1,552.69 | $1,552.69 | 1.0× |
| Blacksburg-Christiansburg-Radford, VA | 2 | $497.00 | $741.95 | $986.90 | 2.0× |
| Bloomington, IL | 1 | $413.87 | $413.87 | $413.87 | 1.0× |
| Blountstown, FL single city | 1 | $1,107.00 | $1,107.00 | $1,107.00 | 1.0× |
| Bluefield, WV-VA | 1 | $274.50 | $274.50 | $274.50 | 1.0× |
| Boise City, ID | 4 | $156.65 | $308.17 | $459.68 | 2.9× |
| Bonifay, FL single city | 1 | $301.05 | $301.05 | $301.05 | 1.0× |
| Boston-Cambridge-Newton, MA-NH | 11 | $118.35 | $759.06 | $1,858.00 | 15.7× |
| Boulder, CO | 1 | $853.17 | $853.17 | $853.17 | 1.0× |
| Bowman, ND single city | 1 | $389.70 | $389.70 | $389.70 | 1.0× |
| Bozeman, MT | 2 | $353.60 | $353.60 | $353.60 | 1.0× |
| Bradford, PA | 1 | $492.00 | $492.00 | $492.00 | 1.0× |
| Brainerd, MN | 2 | $201.96 | $349.49 | $497.01 | 2.5× |
| Britt, IA single city | 1 | $273.00 | $273.00 | $273.00 | 1.0× |
| Brookville, PA single city | 1 | $922.85 | $922.85 | $922.85 | 1.0× |
| Bryan, OH single city | 1 | $371.88 | $371.88 | $371.88 | 1.0× |
| Buckhannon, WV single city | 1 | $411.50 | $411.50 | $411.50 | 1.0× |
| Buffalo-Cheektowaga, NY | 6 | $213.86 | $423.00 | $617.34 | 2.9× |
| Bunkie, LA single city | 1 | $239.00 | $239.00 | $239.00 | 1.0× |
| Burlington-South Burlington, VT | 1 | $970.21 | $970.21 | $970.21 | 1.0× |
| Cadillac, MI | 1 | $695.30 | $695.30 | $695.30 | 1.0× |
| Cadiz, OH single city | 1 | $411.50 | $411.50 | $411.50 | 1.0× |
| Calhoun, GA | 1 | $2,846.91 | $2,846.91 | $2,846.91 | 1.0× |
| Callaway, NE single city | 1 | $293.00 | $293.00 | $293.00 | 1.0× |
| Cambridge, NE single city | 1 | $343.80 | $343.80 | $343.80 | 1.0× |
| Cambridge, OH | 1 | $384.64 | $384.64 | $384.64 | 1.0× |
| Camden, AR | 1 | $517.32 | $517.32 | $517.32 | 1.0× |
| Canby, MN single city | 1 | $318.07 | $318.07 | $318.07 | 1.0× |
| Cando, ND single city | 1 | $504.00 | $504.00 | $504.00 | 1.0× |
| Canton-Massillon, OH | 1 | $718.90 | $718.90 | $718.90 | 1.0× |
| Cape Girardeau, MO-IL | 1 | $1,067.10 | $1,067.10 | $1,067.10 | 1.0× |
| Carbondale, IL | 2 | $490.01 | $490.01 | $490.01 | 1.0× |
| Carlsbad-Artesia, NM | 1 | $612.00 | $612.00 | $612.00 | 1.0× |
| Caro, MI single city | 1 | $305.56 | $305.56 | $305.56 | 1.0× |
| Carroll, IA | 2 | $313.98 | $387.56 | $461.13 | 1.5× |
| Carthage, TX single city | 1 | $406.90 | $406.90 | $406.90 | 1.0× |
| Cedartown, GA | 1 | $966.03 | $966.03 | $966.03 | 1.0× |
| Celina, OH | 1 | $1,875.67 | $1,875.67 | $1,875.67 | 1.0× |
| Centerville, IA single city | 1 | $377.00 | $377.00 | $377.00 | 1.0× |
| Centralia, WA | 1 | $75.64 | $75.64 | $75.64 | 1.0× |
| Centre, AL single city | 1 | $966.03 | $966.03 | $966.03 | 1.0× |
| Chamberlain, SD single city | 1 | $385.31 | $385.31 | $385.31 | 1.0× |
| Champaign-Urbana, IL | 2 | $413.87 | $486.44 | $559.00 | 1.4× |
| Charles City, IA single city | 1 | $253.20 | $253.20 | $253.20 | 1.0× |
| Charleston, WV | 2 | $274.50 | $274.50 | $274.50 | 1.0× |
| Charleston-Mattoon, IL | 1 | $526.00 | $526.00 | $526.00 | 1.0× |
| Charlevoix, MI single city | 1 | $467.50 | $467.50 | $467.50 | 1.0× |
| Charlotte-Concord-Gastonia, NC-SC | 9 | $129.56 | $201.50 | $201.50 | 1.6× |
| Chattanooga, TN-GA | 1 | $276.75 | $276.75 | $276.75 | 1.0× |
| Cheraw, SC single city | 1 | $342.93 | $342.93 | $342.93 | 1.0× |
| Cheyenne, OK single city | 1 | $284.25 | $284.25 | $284.25 | 1.0× |
| Cheyenne, WY | 1 | $1,078.24 | $1,078.24 | $1,078.24 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 28 | $54.62 | $423.50 | $2,055.97 | 37.6× |
| Chico, CA | 2 | $158.00 | $689.06 | $1,220.11 | 7.7× |
| Chillicothe, OH | 1 | $200.00 | $200.00 | $200.00 | 1.0× |
| Cincinnati, OH-KY-IN | 7 | $414.00 | $552.80 | $614.45 | 1.5× |
| Clarinda, IA single city | 1 | $444.89 | $444.89 | $444.89 | 1.0× |
| Clarion, IA single city | 1 | $591.01 | $591.01 | $591.01 | 1.0× |
| Clarksburg, WV | 1 | $290.50 | $290.50 | $290.50 | 1.0× |
| Clarksville, TN-KY | 1 | $158.10 | $158.10 | $158.10 | 1.0× |
| Clay Center, KS single city | 1 | $473.75 | $473.75 | $473.75 | 1.0× |
| Cleveland, OH | 23 | $107.45 | $718.90 | $1,536.64 | 14.3× |
| Clinton, IA | 2 | $257.40 | $407.33 | $557.26 | 2.2× |
| Clinton, MO single city | 1 | $176.63 | $176.63 | $176.63 | 1.0× |
| Cody, WY | 2 | $201.45 | $339.10 | $476.75 | 2.4× |
| Coeur d'Alene, ID | 2 | $223.13 | $361.07 | $499.00 | 2.2× |
| Columbia, KY single city | 1 | $1,114.82 | $1,114.82 | $1,114.82 | 1.0× |
| Columbia, MO | 1 | $609.56 | $609.56 | $609.56 | 1.0× |
| Columbus, GA-AL | 1 | $127.20 | $127.20 | $127.20 | 1.0× |
| Columbus, NC single city | 1 | $976.71 | $976.71 | $976.71 | 1.0× |
| Columbus, OH | 14 | $232.70 | $439.74 | $1,012.34 | 4.4× |
| Conrad, MT single city | 1 | $348.41 | $348.41 | $348.41 | 1.0× |
| Coos Bay-North Bend, OR | 2 | $247.40 | $354.70 | $462.00 | 1.9× |
| Corbin, KY | 2 | $1,295.18 | $2,228.87 | $3,162.56 | 2.4× |
| Cordova, AK single city | 1 | $464.88 | $464.88 | $464.88 | 1.0× |
| Corning, NY | 1 | $335.16 | $335.16 | $335.16 | 1.0× |
| Corpus Christi, TX | 1 | $324.05 | $324.05 | $324.05 | 1.0× |
| Cortland, NY | 1 | $335.16 | $335.16 | $335.16 | 1.0× |
| Corydon, IA single city | 1 | $1,166.10 | $1,166.10 | $1,166.10 | 1.0× |
| Coudersport, PA single city | 1 | $247.20 | $247.20 | $247.20 | 1.0× |
| Crosby, ND single city | 1 | $1,534.54 | $1,534.54 | $1,534.54 | 1.0× |
| Cuba, NY single city | 1 | $747.00 | $747.00 | $747.00 | 1.0× |
| Cumberland, MD-WV | 2 | $297.00 | $366.25 | $435.50 | 1.5× |
| Cut Bank, MT single city | 1 | $350.30 | $350.30 | $350.30 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 15 | $342.53 | $342.53 | $2,501.01 | 7.3× |
| Dalton, GA | 1 | $2,846.91 | $2,846.91 | $2,846.91 | 1.0× |
| Danville, IL | 1 | $413.87 | $413.87 | $413.87 | 1.0× |
| Davenport-Moline-Rock Island, IA-IL | 7 | $521.70 | $557.26 | $596.56 | 1.1× |
| Dawson, MN single city | 1 | $356.15 | $356.15 | $356.15 | 1.0× |
| Dayton-Kettering-Beavercreek, OH | 3 | $378.70 | $414.00 | $414.00 | 1.1× |
| Deckerville, MI single city | 1 | $220.40 | $220.40 | $220.40 | 1.0× |
| Decorah, IA single city | 1 | $297.22 | $297.22 | $297.22 | 1.0× |
| Delhi, NY single city | 1 | $142.83 | $142.83 | $142.83 | 1.0× |
| Deltona-Daytona Beach-Ormond Beach, FL | 8 | $486.56 | $651.17 | $1,049.13 | 2.2× |
| Denison, IA single city | 1 | $308.00 | $308.00 | $308.00 | 1.0× |
| Denver-Aurora-Centennial, CO | 10 | $225.19 | $943.02 | $2,338.41 | 10.4× |
| Des Moines-West Des Moines, IA | 4 | $245.05 | $326.70 | $693.60 | 2.8× |
| Detroit Lakes, MN | 1 | $474.12 | $474.12 | $474.12 | 1.0× |
| Detroit-Warren-Dearborn, MI | 18 | $210.00 | $446.00 | $806.25 | 3.8× |
| Devils Lake, ND single city | 1 | $345.70 | $345.70 | $345.70 | 1.0× |
| Dickinson, ND | 1 | $383.50 | $383.50 | $383.50 | 1.0× |
| Dillon, MT single city | 1 | $955.46 | $955.46 | $955.46 | 1.0× |
| Dillon, SC single city | 1 | $342.93 | $342.93 | $342.93 | 1.0× |
| Dodge City, KS | 1 | $360.50 | $360.50 | $360.50 | 1.0× |
| Dover Foxcroft, ME single city | 1 | $148.50 | $148.50 | $148.50 | 1.0× |
| Dover, DE | 1 | $822.15 | $822.15 | $822.15 | 1.0× |
| DuBois, PA | 2 | $922.85 | $922.85 | $922.85 | 1.0× |
| Dubuque, IA | 2 | $245.05 | $251.23 | $257.40 | 1.1× |
| Duluth, MN-WI | 9 | $118.59 | $487.41 | $545.75 | 4.6× |
| Durand, WI single city | 1 | $413.94 | $413.94 | $413.94 | 1.0× |
| Durant, OK | 1 | $507.39 | $507.39 | $507.39 | 1.0× |
| Durham, NC single city | 1 | $346.57 | $346.57 | $346.57 | 1.0× |
| Eagle River, WI single city | 1 | $141.70 | $141.70 | $141.70 | 1.0× |
| East Amery, WI single city | 1 | $166.33 | $166.33 | $166.33 | 1.0× |
| East Stroudsburg, PA | 1 | $83.00 | $83.00 | $83.00 | 1.0× |
| Eau Claire, WI | 2 | $141.70 | $313.43 | $485.16 | 3.4× |
| El Paso, TX | 4 | $49.00 | $1,090.35 | $2,139.69 | 43.7× |
| Eldorado, IL single city | 1 | $663.28 | $663.28 | $663.28 | 1.0× |
| Elizabethtown, KY | 1 | $3,162.56 | $3,162.56 | $3,162.56 | 1.0× |
| Elizabethtown, NC single city | 1 | $415.20 | $415.20 | $415.20 | 1.0× |
| Elizabethtown, NY single city | 1 | $970.21 | $970.21 | $970.21 | 1.0× |
| Elkader, IA single city | 1 | $245.05 | $245.05 | $245.05 | 1.0× |
| Ellensburg, WA | 1 | $272.00 | $272.00 | $272.00 | 1.0× |
| Emmetsburg, IA single city | 1 | $294.00 | $294.00 | $294.00 | 1.0× |
| Erie, PA | 1 | $387.30 | $387.30 | $387.30 | 1.0× |
| Estherville, IA single city | 1 | $274.51 | $274.51 | $274.51 | 1.0× |
| Eureka-Arcata, CA | 2 | $257.65 | $320.59 | $383.52 | 1.5× |
| Evansville, IN | 2 | $245.19 | $343.29 | $441.38 | 1.8× |
| Fairfax, MO single city | 1 | $326.90 | $326.90 | $326.90 | 1.0× |
| Fairfield, IA single city | 1 | $144.00 | $144.00 | $144.00 | 1.0× |
| Fairmont, WV | 1 | $343.08 | $343.08 | $343.08 | 1.0× |
| Fargo, ND-MN | 1 | $553.88 | $553.88 | $553.88 | 1.0× |
| Faribault-Northfield, MN | 1 | $442.57 | $442.57 | $442.57 | 1.0× |
| Farmington, CT single city | 1 | $561.28 | $561.28 | $561.28 | 1.0× |
| Faulkton, SD single city | 1 | $746.24 | $746.24 | $746.24 | 1.0× |
| Fayetteville, NC | 3 | $415.20 | $415.20 | $415.20 | 1.0× |
| Fayetteville-Springdale-Rogers, AR | 2 | $281.60 | $291.57 | $301.53 | 1.1× |
| Fergus Falls, MN | 1 | $243.75 | $243.75 | $243.75 | 1.0× |
| Flint, MI | 1 | $403.00 | $403.00 | $403.00 | 1.0× |
| Florence, SC | 1 | $342.93 | $342.93 | $342.93 | 1.0× |
| Florence-Muscle Shoals, AL | 1 | $1,610.26 | $1,610.26 | $1,610.26 | 1.0× |
| Fond du Lac, WI | 1 | $318.64 | $318.64 | $318.64 | 1.0× |
| Fort Wayne, IN | 8 | $630.84 | $751.64 | $1,072.55 | 1.7× |
| Franklin, NC single city | 1 | $2,408.21 | $2,408.21 | $2,408.21 | 1.0× |
| Freeport, IL | 1 | $530.40 | $530.40 | $530.40 | 1.0× |
| Fresno, CA | 5 | $331.52 | $667.66 | $2,185.04 | 6.6× |
| Friendship, WI single city | 1 | $247.90 | $247.90 | $247.90 | 1.0× |
| Gaffney, SC | 1 | $458.40 | $458.40 | $458.40 | 1.0× |
| Gainesville, FL | 1 | $699.42 | $699.42 | $699.42 | 1.0× |
| Gainesville, TX | 1 | $309.00 | $309.00 | $309.00 | 1.0× |
| Gallup, NM | 1 | $410.00 | $410.00 | $410.00 | 1.0× |
| Garrison, ND single city | 1 | $184.25 | $184.25 | $184.25 | 1.0× |
| Gassaway, WV single city | 1 | $435.50 | $435.50 | $435.50 | 1.0× |
| Gaylord, MI single city | 1 | $688.50 | $688.50 | $688.50 | 1.0× |
| Glasgow, KY | 1 | $668.03 | $668.03 | $668.03 | 1.0× |
| Glenwood, MN single city | 1 | $622.91 | $622.91 | $622.91 | 1.0× |
| Gloversville, NY | 1 | $340.00 | $340.00 | $340.00 | 1.0× |
| Goldendale, WA single city | 1 | $382.86 | $382.86 | $382.86 | 1.0× |
| Graceville, MN single city | 1 | $545.75 | $545.75 | $545.75 | 1.0× |
| Grand Forks, ND-MN | 4 | $255.00 | $445.73 | $660.00 | 2.6× |
| Grand Rapids, MN | 3 | $218.03 | $251.60 | $545.75 | 2.5× |
| Grand Rapids-Wyoming-Kentwood, MI | 6 | $94.50 | $253.66 | $334.43 | 3.5× |
| Grants, NM single city | 1 | $424.80 | $424.80 | $424.80 | 1.0× |
| Grantsburg, WI single city | 1 | $268.80 | $268.80 | $268.80 | 1.0× |
| Grayling, MI single city | 1 | $695.30 | $695.30 | $695.30 | 1.0× |
| Great Bend, KS | 1 | $564.63 | $564.63 | $564.63 | 1.0× |
| Green Bay, WI | 1 | $232.54 | $232.54 | $232.54 | 1.0× |
| Greenfield, IA single city | 1 | $386.25 | $386.25 | $386.25 | 1.0× |
| Greenfield, OH single city | 1 | $200.00 | $200.00 | $200.00 | 1.0× |
| Greenville, NC | 1 | $2,468.26 | $2,468.26 | $2,468.26 | 1.0× |
| Greenville-Anderson-Greer, SC | 3 | $262.49 | $323.16 | $458.40 | 1.7× |
| Greenwood, SC | 2 | $736.46 | $797.84 | $859.21 | 1.2× |
| Grenada, MS | 1 | $473.71 | $473.71 | $473.71 | 1.0× |
| Gulfport-Biloxi, MS | 3 | $147.80 | $207.30 | $207.30 | 1.4× |
| Gunnison, CO single city | 1 | $326.40 | $326.40 | $326.40 | 1.0× |
| Hagerstown-Martinsburg, MD-WV | 1 | $274.50 | $274.50 | $274.50 | 1.0× |
| Hailey, ID | 1 | $459.68 | $459.68 | $459.68 | 1.0× |
| Hammond, LA | 2 | $350.53 | $369.29 | $388.05 | 1.1× |
| Hampton, IA single city | 1 | $260.10 | $260.10 | $260.10 | 1.0× |
| Harlan, IA single city | 1 | $571.31 | $571.31 | $571.31 | 1.0× |
| Harrisburg-Carlisle, PA | 3 | $85.48 | $112.60 | $118.54 | 1.4× |
| Hartford, CT single city | 3 | $419.54 | $479.48 | $928.70 | 2.2× |
| Harwarden, IA single city | 1 | $293.16 | $293.16 | $293.16 | 1.0× |
| Haxtun, CO single city | 1 | $355.00 | $355.00 | $355.00 | 1.0× |
| Hayward, WI single city | 1 | $674.97 | $674.97 | $674.97 | 1.0× |
| Helena, MT | 2 | $204.60 | $275.30 | $346.00 | 1.7× |
| Henderson, KY | 1 | $222.90 | $222.90 | $222.90 | 1.0× |
| Hermann, MO single city | 1 | $184.20 | $184.20 | $184.20 | 1.0× |
| Highlands, NC single city | 1 | $2,408.21 | $2,408.21 | $2,408.21 | 1.0× |
| Hilo-Kailua, HI | 1 | $488.60 | $488.60 | $488.60 | 1.0× |
| Holdrege, NE single city | 1 | $243.00 | $243.00 | $243.00 | 1.0× |
| Holland, MI | 1 | $195.00 | $195.00 | $195.00 | 1.0× |
| Homer, AK single city | 1 | $312.14 | $312.14 | $312.14 | 1.0× |
| Hood River, OR | 1 | $200.25 | $200.25 | $200.25 | 1.0× |
| Hot Springs, VA single city | 1 | $685.59 | $685.59 | $685.59 | 1.0× |
| Houghton, MI | 2 | $141.70 | $217.01 | $292.31 | 2.1× |
| Houlton, ME single city | 1 | $642.56 | $642.56 | $642.56 | 1.0× |
| Houma-Bayou Cane-Thibodaux, LA | 1 | $432.67 | $432.67 | $432.67 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 23 | $242.65 | $873.00 | $1,973.80 | 8.1× |
| Huntingdon, PA | 1 | $922.85 | $922.85 | $922.85 | 1.0× |
| Huntington, IN | 1 | $630.84 | $630.84 | $630.84 | 1.0× |
| Huntington-Ashland, WV-KY-OH | 2 | $173.42 | $793.96 | $1,414.50 | 8.2× |
| Huntsville, AL | 2 | $1,610.26 | $1,610.26 | $1,610.26 | 1.0× |
| Ilwaco, WA single city | 1 | $363.00 | $363.00 | $363.00 | 1.0× |
| Imperial, NE single city | 1 | $560.00 | $560.00 | $560.00 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 7 | $150.68 | $441.38 | $1,831.74 | 12.2× |
| International Falls, MN single city | 1 | $422.67 | $422.67 | $422.67 | 1.0× |
| Iowa City, IA | 1 | $711.43 | $711.43 | $711.43 | 1.0× |
| Iron River, MI single city | 1 | $141.70 | $141.70 | $141.70 | 1.0× |
| Ironwood, MI single city | 1 | $141.70 | $141.70 | $141.70 | 1.0× |
| Jackson, MS | 3 | $71.58 | $80.00 | $80.00 | 1.1× |
| Jacksonville, FL | 2 | $411.95 | $533.61 | $655.27 | 1.6× |
| Jacksonville, TX | 1 | $406.90 | $406.90 | $406.90 | 1.0× |
| Jamestown-Dunkirk, NY | 1 | $747.00 | $747.00 | $747.00 | 1.0× |
| Janesville-Beloit, WI | 2 | $170.40 | $377.57 | $584.73 | 3.4× |
| Jefferson, IA single city | 1 | $347.76 | $347.76 | $347.76 | 1.0× |
| Jena, LA single city | 1 | $198.00 | $198.00 | $198.00 | 1.0× |
| John Day, OR single city | 1 | $177.75 | $177.75 | $177.75 | 1.0× |
| Johnson, KS single city | 1 | $522.00 | $522.00 | $522.00 | 1.0× |
| Johnstown, PA | 1 | $857.09 | $857.09 | $857.09 | 1.0× |
| Kahului-Wailuku, HI | 1 | $527.80 | $527.80 | $527.80 | 1.0× |
| Kansas City, MO-KS | 3 | $364.70 | $2,785.44 | $2,785.44 | 7.6× |
| Kearney, NE | 1 | $297.00 | $297.00 | $297.00 | 1.0× |
| Kendallville, IN | 1 | $630.84 | $630.84 | $630.84 | 1.0× |
| Kennewick-Richland, WA | 2 | $126.50 | $180.67 | $234.84 | 1.9× |
| Keosauqua, IA single city | 1 | $235.80 | $235.80 | $235.80 | 1.0× |
| Key West-Key Largo, FL | 2 | $439.40 | $439.40 | $439.40 | 1.0× |
| Killeen-Temple, TX | 2 | $1,124.43 | $1,124.43 | $1,124.43 | 1.0× |
| Kimball, NE single city | 1 | $840.00 | $840.00 | $840.00 | 1.0× |
| Kiryas Joel-Poughkeepsie-Newburgh, NY | 1 | $1,185.00 | $1,185.00 | $1,185.00 | 1.0× |
| Klamath Falls, OR | 1 | $324.38 | $324.38 | $324.38 | 1.0× |
| Knox, IN single city | 1 | $934.73 | $934.73 | $934.73 | 1.0× |
| Kodiak, AK single city | 1 | $1,285.39 | $1,285.39 | $1,285.39 | 1.0× |
| Kokomo, IN | 1 | $441.38 | $441.38 | $441.38 | 1.0× |
| Kotzebue, AK single city | 1 | $828.00 | $828.00 | $828.00 | 1.0× |
| La Crosse-Onalaska, WI-MN | 3 | $134.13 | $269.04 | $992.28 | 7.4× |
| Ladysmith, WI single city | 1 | $485.16 | $485.16 | $485.16 | 1.0× |
| Lafayette, LA | 3 | $57.96 | $430.83 | $497.12 | 8.6× |
| Lafayette-West Lafayette, IN | 1 | $635.18 | $635.18 | $635.18 | 1.0× |
| LaGrange, IN single city | 1 | $630.84 | $630.84 | $630.84 | 1.0× |
| Lake City, IA single city | 1 | $243.00 | $243.00 | $243.00 | 1.0× |
| Lake Village, AR single city | 1 | $418.20 | $418.20 | $418.20 | 1.0× |
| Lakeland-Winter Haven, FL | 5 | $943.84 | $1,359.48 | $7,063.72 | 7.5× |
| Lansing-East Lansing, MI | 5 | $94.50 | $94.50 | $403.00 | 4.3× |
| Lawrence, KS | 1 | $592.14 | $592.14 | $592.14 | 1.0× |
| Lebanon-Claremont, NH-VT | 4 | $171.12 | $278.12 | $646.00 | 3.8× |
| Lewiston-Auburn, ME | 1 | $119.70 | $119.70 | $119.70 | 1.0× |
| Lexington Park, MD | 1 | $346.12 | $346.12 | $346.12 | 1.0× |
| Lexington, NE | 3 | $317.76 | $496.00 | $511.00 | 1.6× |
| Lexington-Fayette, KY | 2 | $303.88 | $1,733.22 | $3,162.56 | 10.4× |
| Linton, ND single city | 1 | $459.00 | $459.00 | $459.00 | 1.0× |
| Litchfield, MN single city | 1 | $220.46 | $220.46 | $220.46 | 1.0× |
| Little Falls, MN single city | 1 | $255.20 | $255.20 | $255.20 | 1.0× |
| Little Rock-North Little Rock-Conway, AR | 4 | $60.72 | $372.98 | $444.42 | 7.3× |
| Livingston, MT single city | 1 | $363.95 | $363.95 | $363.95 | 1.0× |
| Logansport, IN | 1 | $630.84 | $630.84 | $630.84 | 1.0× |
| Longview, TX | 1 | $406.90 | $406.90 | $406.90 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 13 | $350.00 | $535.30 | $956.69 | 2.7× |
| Louisville, KY single city | 1 | $309.95 | $309.95 | $309.95 | 1.0× |
| Louisville/Jefferson County, KY-IN | 9 | $309.95 | $309.95 | $3,162.56 | 10.2× |
| Lousiana, MO single city | 1 | $368.00 | $368.00 | $368.00 | 1.0× |
| Lovelock, NV single city | 1 | $690.00 | $690.00 | $690.00 | 1.0× |
| Low Moor, VA single city | 1 | $1,579.04 | $1,579.04 | $1,579.04 | 1.0× |
| Lubbock, TX | 3 | $170.10 | $916.00 | $2,359.28 | 13.9× |
| Macon-Bibb County, GA | 1 | $447.00 | $447.00 | $447.00 | 1.0× |
| Madison, IN | 1 | $694.78 | $694.78 | $694.78 | 1.0× |
| Madison, MN single city | 1 | $378.25 | $378.25 | $378.25 | 1.0× |
| Madison, SD single city | 1 | $920.58 | $920.58 | $920.58 | 1.0× |
| Madison, WI | 1 | $141.70 | $141.70 | $141.70 | 1.0× |
| Madisonville, KY | 1 | $444.54 | $444.54 | $444.54 | 1.0× |
| Malone, NY single city | 1 | $970.21 | $970.21 | $970.21 | 1.0× |
| Manchester, CT single city | 1 | $907.95 | $907.95 | $907.95 | 1.0× |
| Manchester, IA single city | 1 | $219.20 | $219.20 | $219.20 | 1.0× |
| Manchester-Nashua, NH | 3 | $109.98 | $201.60 | $356.60 | 3.2× |
| Manistee, MI single city | 1 | $467.50 | $467.50 | $467.50 | 1.0× |
| Manning, SC single city | 1 | $342.93 | $342.93 | $342.93 | 1.0× |
| Maquoketa, IA single city | 1 | $895.59 | $895.59 | $895.59 | 1.0× |
| Marietta, OH | 2 | $383.99 | $383.99 | $383.99 | 1.0× |
| Marion, NC | 1 | $977.51 | $977.51 | $977.51 | 1.0× |
| Marion-Herrin, IL | 2 | $490.01 | $601.28 | $712.55 | 1.5× |
| Marquette, MI | 1 | $483.05 | $483.05 | $483.05 | 1.0× |
| Marshall, MO | 1 | $133.66 | $133.66 | $133.66 | 1.0× |
| Maryville, MO | 1 | $328.95 | $328.95 | $328.95 | 1.0× |
| Mason City, IA | 1 | $257.40 | $257.40 | $257.40 | 1.0× |
| Massena-Ogdensburg, NY | 4 | $396.44 | $463.37 | $855.31 | 2.2× |
| McAllen-Edinburg-Mission, TX | 1 | $356.90 | $356.90 | $356.90 | 1.0× |
| McCall, ID single city | 1 | $459.68 | $459.68 | $459.68 | 1.0× |
| McCook, NE single city | 1 | $370.13 | $370.13 | $370.13 | 1.0× |
| McLeansboror, IL single city | 1 | $710.57 | $710.57 | $710.57 | 1.0× |
| McPherson, KS | 1 | $260.68 | $260.68 | $260.68 | 1.0× |
| Meadville, MS single city | 1 | $1,056.12 | $1,056.12 | $1,056.12 | 1.0× |
| Meadville, PA | 1 | $210.00 | $210.00 | $210.00 | 1.0× |
| Medford, WI single city | 1 | $141.70 | $141.70 | $141.70 | 1.0× |
| Memphis, MO single city | 1 | $1,420.65 | $1,420.65 | $1,420.65 | 1.0× |
| Memphis, TN-MS-AR | 6 | $169.62 | $169.62 | $494.15 | 2.9× |
| Merced, CA | 2 | $73.80 | $797.12 | $1,520.43 | 20.6× |
| Merrill, WI single city | 1 | $141.70 | $141.70 | $141.70 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 9 | $202.80 | $439.40 | $1,001.30 | 4.9× |
| Michigan City-La Porte, IN | 1 | $1,142.45 | $1,142.45 | $1,142.45 | 1.0× |
| Milledgeville, GA | 1 | $1,194.83 | $1,194.83 | $1,194.83 | 1.0× |
| Milwaukee-Waukesha, WI | 4 | $202.42 | $205.52 | $1,085.47 | 5.4× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 17 | $157.80 | $256.24 | $1,280.30 | 8.1× |
| Minocqua, WI single city | 1 | $485.16 | $485.16 | $485.16 | 1.0× |
| Missoula, MT | 1 | $152.80 | $152.80 | $152.80 | 1.0× |
| Moab, UT single city | 1 | $266.88 | $266.88 | $266.88 | 1.0× |
| Mobridge, SD single city | 1 | $395.00 | $395.00 | $395.00 | 1.0× |
| Modesto, CA | 2 | $218.44 | $274.98 | $331.52 | 1.5× |
| Monroe, LA | 2 | $254.08 | $270.54 | $287.00 | 1.1× |
| Monticello, KY single city | 1 | $672.52 | $672.52 | $672.52 | 1.0× |
| Montpelier, OH single city | 1 | $371.88 | $371.88 | $371.88 | 1.0× |
| Morehead, KY single city | 1 | $159.75 | $159.75 | $159.75 | 1.0× |
| Morgan City, LA | 1 | $690.90 | $690.90 | $690.90 | 1.0× |
| Morgantown, WV | 3 | $274.50 | $285.88 | $1,384.25 | 5.0× |
| Morris, MN single city | 1 | $493.49 | $493.49 | $493.49 | 1.0× |
| Moscow, ID | 1 | $322.00 | $322.00 | $322.00 | 1.0× |
| Moses Lake, WA | 1 | $391.00 | $391.00 | $391.00 | 1.0× |
| Moultrie, GA | 1 | $289.00 | $289.00 | $289.00 | 1.0× |
| Mount Airy, NC | 1 | $217.60 | $217.60 | $217.60 | 1.0× |
| Mount Pleasant, MI | 1 | $403.00 | $403.00 | $403.00 | 1.0× |
| Mount Pleasant, TX | 1 | $239.35 | $239.35 | $239.35 | 1.0× |
| Mount Vernon, IL | 1 | $521.13 | $521.13 | $521.13 | 1.0× |
| Mount Vernon-Anacortes, WA | 1 | $172.02 | $172.02 | $172.02 | 1.0× |
| Muscatine, IA | 1 | $596.56 | $596.56 | $596.56 | 1.0× |
| Muskegon-Norton Shores, MI | 1 | $182.00 | $182.00 | $182.00 | 1.0× |
| Muskogee, OK | 1 | $118.00 | $118.00 | $118.00 | 1.0× |
| Myrtle Beach-Conway-North Myrtle Beach, SC | 3 | $342.93 | $342.93 | $342.93 | 1.0× |
| Nacogdoches, TX | 1 | $155.00 | $155.00 | $155.00 | 1.0× |
| Nashville, IL single city | 1 | $602.40 | $602.40 | $602.40 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 2 | $146.74 | $209.99 | $273.24 | 1.9× |
| Neillsville, WI single city | 1 | $485.16 | $485.16 | $485.16 | 1.0× |
| Neodesha, KS single city | 1 | $401.25 | $401.25 | $401.25 | 1.0× |
| Nevada, MO single city | 1 | $225.00 | $225.00 | $225.00 | 1.0× |
| New Britain, CT single city | 1 | $612.81 | $612.81 | $612.81 | 1.0× |
| New Castle, IN | 1 | $2,645.37 | $2,645.37 | $2,645.37 | 1.0× |
| New Hampton, IA single city | 1 | $245.05 | $245.05 | $245.05 | 1.0× |
| New London, WI single city | 1 | $318.64 | $318.64 | $318.64 | 1.0× |
| New Martinsville, WV single city | 1 | $274.50 | $274.50 | $274.50 | 1.0× |
| New Orleans-Metairie, LA | 8 | $86.10 | $123.34 | $364.55 | 4.2× |
| New Philadelphia-Dover, OH | 2 | $128.96 | $423.93 | $718.90 | 5.6× |
| New York-Newark-Jersey City, NY-NJ | 47 | $107.90 | $510.84 | $1,467.97 | 13.6× |
| Newport, OR | 2 | $344.00 | $344.00 | $344.00 | 1.0× |
| Niles, MI | 2 | $361.00 | $361.00 | $361.00 | 1.0× |
| Nome, AK single city | 1 | $195.50 | $195.50 | $195.50 | 1.0× |
| Norfolk, NE | 1 | $485.29 | $485.29 | $485.29 | 1.0× |
| North Vernon, IN single city | 1 | $433.16 | $433.16 | $433.16 | 1.0× |
| Northridge, CA single city | 1 | $765.80 | $765.80 | $765.80 | 1.0× |
| Ocala, FL | 1 | $4,756.24 | $4,756.24 | $4,756.24 | 1.0× |
| Ocean Pines, MD | 1 | $371.00 | $371.00 | $371.00 | 1.0× |
| Odessa, TX | 1 | $231.00 | $231.00 | $231.00 | 1.0× |
| Oelwein, IA single city | 1 | $245.05 | $245.05 | $245.05 | 1.0× |
| Oil City, PA | 1 | $284.40 | $284.40 | $284.40 | 1.0× |
| Okeene, OK single city | 1 | $217.60 | $217.60 | $217.60 | 1.0× |
| Oklahoma City, OK | 2 | $82.40 | $759.36 | $1,436.32 | 17.4× |
| Olivia, MN single city | 1 | $199.47 | $199.47 | $199.47 | 1.0× |
| Olney, IL single city | 1 | $413.87 | $413.87 | $413.87 | 1.0× |
| Omaha, NE-IA | 2 | $937.12 | $937.12 | $937.12 | 1.0× |
| Oneonta, NY | 2 | $94.69 | $125.65 | $156.60 | 1.7× |
| Ontario, OR-ID | 1 | $156.65 | $156.65 | $156.65 | 1.0× |
| Orange City, IA single city | 1 | $316.00 | $316.00 | $316.00 | 1.0× |
| Ord, NE single city | 1 | $298.80 | $298.80 | $298.80 | 1.0× |
| Orlando-Kissimmee-Sanford, FL | 8 | $699.42 | $1,359.48 | $2,056.88 | 2.9× |
| Ortonville, MN single city | 1 | $208.25 | $208.25 | $208.25 | 1.0× |
| Oshkosh, NE single city | 1 | $542.00 | $542.00 | $542.00 | 1.0× |
| Oshkosh-Neenah, WI | 2 | $318.64 | $318.64 | $318.64 | 1.0× |
| Ottawa, KS | 1 | $2,785.44 | $2,785.44 | $2,785.44 | 1.0× |
| Owatonna, MN | 1 | $442.57 | $442.57 | $442.57 | 1.0× |
| Owosso, MI | 1 | $298.40 | $298.40 | $298.40 | 1.0× |
| Oxnard-Thousand Oaks-Ventura, CA | 1 | $12,645.61 | $12,645.61 | $12,645.61 | 1.0× |
| Paducah, KY-IL | 1 | $3,162.56 | $3,162.56 | $3,162.56 | 1.0× |
| Pagosa Springs, CO single city | 1 | $402.24 | $402.24 | $402.24 | 1.0× |
| Park Falls, WI single city | 1 | $485.16 | $485.16 | $485.16 | 1.0× |
| Park Rapids, MN single city | 1 | $222.37 | $222.37 | $222.37 | 1.0× |
| Parkersburg-Vienna, WV | 1 | $274.50 | $274.50 | $274.50 | 1.0× |
| Parsons, KS single city | 1 | $460.39 | $460.39 | $460.39 | 1.0× |
| Pawnee City, NE single city | 1 | $346.00 | $346.00 | $346.00 | 1.0× |
| Pella, IA | 1 | $343.80 | $343.80 | $343.80 | 1.0× |
| Pensacola-Ferry Pass-Brent, FL | 1 | $241.45 | $241.45 | $241.45 | 1.0× |
| Peoria, IL | 4 | $413.87 | $413.87 | $413.87 | 1.0× |
| Perryton, TX single city | 1 | $187.00 | $187.00 | $187.00 | 1.0× |
| Peru, IN | 1 | $1,337.47 | $1,337.47 | $1,337.47 | 1.0× |
| Petersburg, WV single city | 1 | $696.80 | $696.80 | $696.80 | 1.0× |
| Petoskey, MI | 1 | $403.00 | $403.00 | $403.00 | 1.0× |
| Philadelphia, MS single city | 1 | $299.60 | $299.60 | $299.60 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 8 | $90.00 | $668.40 | $1,996.77 | 22.2× |
| Phillipsburg, KS single city | 1 | $263.50 | $263.50 | $263.50 | 1.0× |
| Phoenix-Mesa-Chandler, AZ | 1 | $2,099.99 | $2,099.99 | $2,099.99 | 1.0× |
| Pine Bluff, AR | 1 | $342.00 | $342.00 | $342.00 | 1.0× |
| Pittsburg, KS | 1 | $1,387.24 | $1,387.24 | $1,387.24 | 1.0× |
| Pittsburgh, PA | 6 | $186.00 | $238.25 | $663.57 | 3.6× |
| Pittsfield, MA | 1 | $386.65 | $386.65 | $386.65 | 1.0× |
| Pittsfield, ME single city | 1 | $172.64 | $172.64 | $172.64 | 1.0× |
| Plainview, TX | 1 | $66.36 | $66.36 | $66.36 | 1.0× |
| Plainville, KS single city | 1 | $300.00 | $300.00 | $300.00 | 1.0× |
| Platteville, WI | 2 | $102.95 | $135.68 | $168.41 | 1.6× |
| Polson, MT single city | 1 | $218.40 | $218.40 | $218.40 | 1.0× |
| Poplar Bluff, MO | 1 | $535.70 | $535.70 | $535.70 | 1.0× |
| Port St. Lucie, FL | 1 | $718.90 | $718.90 | $718.90 | 1.0× |
| Port Townsend, WA | 2 | $241.17 | $859.53 | $1,477.88 | 6.1× |
| Portland-South Portland, ME | 2 | $125.73 | $185.27 | $244.80 | 1.9× |
| Portland-Vancouver-Hillsboro, OR-WA | 6 | $247.26 | $862.92 | $1,251.77 | 5.1× |
| Portsmouth, OH | 1 | $173.42 | $173.42 | $173.42 | 1.0× |
| Pottsville, PA | 2 | $90.00 | $90.00 | $90.00 | 1.0× |
| Prairie Du Chien, WI single city | 1 | $589.00 | $589.00 | $589.00 | 1.0× |
| Prescott Valley-Prescott, AZ | 1 | $538.97 | $538.97 | $538.97 | 1.0× |
| Presque Isle, ME single city | 1 | $101.55 | $101.55 | $101.55 | 1.0× |
| Princeton, IN single city | 1 | $836.90 | $836.90 | $836.90 | 1.0× |
| Providence-Warwick, RI-MA | 4 | $404.00 | $512.08 | $620.15 | 1.5× |
| Pullman, WA | 2 | $256.24 | $325.90 | $395.56 | 1.5× |
| Punta Gorda, FL | 1 | $5,298.75 | $5,298.75 | $5,298.75 | 1.0× |
| Quincy, CA single city | 1 | $928.80 | $928.80 | $928.80 | 1.0× |
| Quitman, TX single city | 1 | $239.69 | $239.69 | $239.69 | 1.0× |
| Raleigh-Cary, NC | 3 | $346.57 | $381.43 | $381.43 | 1.1× |
| Rangely, CO single city | 1 | $271.64 | $271.64 | $271.64 | 1.0× |
| Rapid City, SD | 3 | $304.80 | $304.80 | $459.06 | 1.5× |
| Rawlins, WY single city | 1 | $967.13 | $967.13 | $967.13 | 1.0× |
| Reading, PA | 1 | $93.07 | $93.07 | $93.07 | 1.0× |
| Redding, CA | 1 | $835.09 | $835.09 | $835.09 | 1.0× |
| Rhinelander, WI single city | 1 | $141.70 | $141.70 | $141.70 | 1.0× |
| Rice Lake, WI | 2 | $485.16 | $796.06 | $1,106.95 | 2.3× |
| Richmond-Berea, KY | 2 | $334.40 | $1,748.48 | $3,162.56 | 9.5× |
| Ripley, WV single city | 1 | $411.50 | $411.50 | $411.50 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 11 | $54.00 | $535.30 | $2,534.81 | 46.9× |
| Roanoke, VA | 1 | $2,660.00 | $2,660.00 | $2,660.00 | 1.0× |
| Rochelle, IL | 1 | $1,831.00 | $1,831.00 | $1,831.00 | 1.0× |
| Rochester, MN | 1 | $262.48 | $262.48 | $262.48 | 1.0× |
| Rochester, NY | 7 | $206.24 | $641.57 | $789.62 | 3.8× |
| Rolla, MO | 1 | $163.38 | $163.38 | $163.38 | 1.0× |
| Rome, GA | 2 | $508.00 | $1,902.18 | $3,296.36 | 6.5× |
| Roseau, MN single city | 1 | $675.09 | $675.09 | $675.09 | 1.0× |
| Roseburg, OR | 1 | $164.45 | $164.45 | $164.45 | 1.0× |
| Rosiclare, IL single city | 1 | $738.09 | $738.09 | $738.09 | 1.0× |
| Roswell, NM | 1 | $428.66 | $428.66 | $428.66 | 1.0× |
| Rotan, TX single city | 1 | $388.00 | $388.00 | $388.00 | 1.0× |
| Roundup, MT single city | 1 | $441.00 | $441.00 | $441.00 | 1.0× |
| Ruleville, MS single city | 1 | $92.50 | $92.50 | $92.50 | 1.0× |
| Rushville, IL single city | 1 | $1,260.90 | $1,260.90 | $1,260.90 | 1.0× |
| Rushville, IN single city | 1 | $652.79 | $652.79 | $652.79 | 1.0× |
| Russellville, AL | 1 | $1,610.26 | $1,610.26 | $1,610.26 | 1.0× |
| Russellville, AR | 1 | $69.00 | $69.00 | $69.00 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 3 | $331.52 | $331.52 | $331.52 | 1.0× |
| Safford, AZ | 1 | $79.20 | $79.20 | $79.20 | 1.0× |
| Salem, OH | 1 | $511.00 | $511.00 | $511.00 | 1.0× |
| Salem, OR | 2 | $216.76 | $216.76 | $216.76 | 1.0× |
| Salida, CO single city | 1 | $731.85 | $731.85 | $731.85 | 1.0× |
| Salinas, CA | 2 | $117.75 | $220.46 | $323.16 | 2.7× |
| Salt Lake City-Murray, UT | 1 | $255.01 | $255.01 | $255.01 | 1.0× |
| San Antonio-New Braunfels, TX | 9 | $135.15 | $3,176.30 | $3,176.30 | 23.5× |
| San Diego-Chula Vista-Carlsbad, CA | 5 | $535.30 | $535.30 | $1,158.90 | 2.2× |
| San Francisco-Oakland-Fremont, CA | 16 | $331.52 | $331.52 | $1,844.91 | 5.6× |
| San Jose-Sunnyvale-Santa Clara, CA | 4 | $331.52 | $359.51 | $1,218.00 | 3.7× |
| Sandstone, MN single city | 1 | $545.75 | $545.75 | $545.75 | 1.0× |
| Sandusky, MI single city | 1 | $277.60 | $277.60 | $277.60 | 1.0× |
| Santa Rosa-Petaluma, CA | 2 | $331.52 | $357.52 | $383.52 | 1.2× |
| Savannah, GA | 1 | $241.50 | $241.50 | $241.50 | 1.0× |
| Sayre, PA | 3 | $335.16 | $335.16 | $335.16 | 1.0× |
| Scobey, MT single city | 1 | $352.75 | $352.75 | $352.75 | 1.0× |
| Scottsburg, IN single city | 1 | $631.62 | $631.62 | $631.62 | 1.0× |
| Scranton--Wilkes-Barre, PA | 1 | $260.00 | $260.00 | $260.00 | 1.0× |
| Seaford, DE | 1 | $822.15 | $822.15 | $822.15 | 1.0× |
| Seattle-Tacoma-Bellevue, WA | 7 | $153.74 | $732.79 | $732.79 | 4.8× |
| Sebastian-Vero Beach-West Vero Corridor, FL | 1 | $718.90 | $718.90 | $718.90 | 1.0× |
| Sebring, FL | 1 | $2,173.27 | $2,173.27 | $2,173.27 | 1.0× |
| Seneca, KS single city | 1 | $438.30 | $438.30 | $438.30 | 1.0× |
| Shattuck, OK single city | 1 | $1,042.17 | $1,042.17 | $1,042.17 | 1.0× |
| Shawano, WI | 1 | $318.64 | $318.64 | $318.64 | 1.0× |
| Shelby, MT single city | 1 | $252.52 | $252.52 | $252.52 | 1.0× |
| Shelby-Kings Mountain, NC | 1 | $201.50 | $201.50 | $201.50 | 1.0× |
| Shelbyville, TN | 1 | $207.06 | $207.06 | $207.06 | 1.0× |
| Shell Lake, WI single city | 1 | $288.00 | $288.00 | $288.00 | 1.0× |
| Shreveport-Bossier City, LA | 2 | $287.22 | $298.27 | $309.32 | 1.1× |
| Sidney, MT single city | 1 | $255.12 | $255.12 | $255.12 | 1.0× |
| Sierra Vista-Douglas, AZ | 1 | $308.00 | $308.00 | $308.00 | 1.0× |
| Sioux Center, IA single city | 1 | $284.21 | $284.21 | $284.21 | 1.0× |
| Sioux Falls, SD-MN | 3 | $423.04 | $451.55 | $542.00 | 1.3× |
| Slidell-Mandeville-Covington, LA | 1 | $123.34 | $123.34 | $123.34 | 1.0× |
| Smith Center, KS single city | 1 | $249.11 | $249.11 | $249.11 | 1.0× |
| Snyder, TX | 1 | $215.00 | $215.00 | $215.00 | 1.0× |
| Soda Springs, ID single city | 1 | $256.45 | $256.45 | $256.45 | 1.0× |
| Soldotna, AK single city | 1 | $425.00 | $425.00 | $425.00 | 1.0× |
| South Bend-Mishawaka, IN-MI | 1 | $1,006.07 | $1,006.07 | $1,006.07 | 1.0× |
| Sparta, NC single city | 1 | $2,007.78 | $2,007.78 | $2,007.78 | 1.0× |
| Spartanburg, SC | 3 | $458.40 | $458.40 | $458.40 | 1.0× |
| Spearfish, SD | 2 | $304.80 | $304.80 | $304.80 | 1.0× |
| Spencer, IA | 1 | $388.50 | $388.50 | $388.50 | 1.0× |
| Spirit Lake, IA | 1 | $323.00 | $323.00 | $323.00 | 1.0× |
| Spokane-Spokane Valley, WA | 2 | $753.04 | $753.04 | $753.04 | 1.0× |
| Springerville, AZ single city | 1 | $413.05 | $413.05 | $413.05 | 1.0× |
| Springfield, MA | 1 | $1,343.00 | $1,343.00 | $1,343.00 | 1.0× |
| Springfield, MO | 1 | $314.40 | $314.40 | $314.40 | 1.0× |
| Spruce Pine, NC single city | 1 | $2,408.21 | $2,408.21 | $2,408.21 | 1.0× |
| St. Johnsbury, VT single city | 1 | $296.25 | $296.25 | $296.25 | 1.0× |
| St. Joseph, MO-KS | 2 | $328.95 | $328.95 | $328.95 | 1.0× |
| St. Louis, MO-IL | 3 | $527.00 | $567.70 | $907.04 | 1.7× |
| St. Marys, PA | 1 | $922.85 | $922.85 | $922.85 | 1.0× |
| Staples, MN single city | 1 | $386.88 | $386.88 | $386.88 | 1.0× |
| State College, PA | 1 | $1,060.31 | $1,060.31 | $1,060.31 | 1.0× |
| Ste. Genevieve, MO single city | 1 | $157.50 | $157.50 | $157.50 | 1.0× |
| Sterling, IL | 1 | $333.35 | $333.35 | $333.35 | 1.0× |
| Stevens Point-Plover, WI | 3 | $141.70 | $141.70 | $485.16 | 3.4× |
| Stockton-Lodi, CA | 1 | $331.52 | $331.52 | $331.52 | 1.0× |
| Summersville, WV single city | 1 | $435.50 | $435.50 | $435.50 | 1.0× |
| Sweetwater, TN single city | 1 | $105.84 | $105.84 | $105.84 | 1.0× |
| Sweetwater, TX | 1 | $572.00 | $572.00 | $572.00 | 1.0× |
| Syracuse, KS single city | 1 | $416.00 | $416.00 | $416.00 | 1.0× |
| Syracuse, NY | 1 | $343.20 | $343.20 | $343.20 | 1.0× |
| Tallahassee, FL | 1 | $102.90 | $102.90 | $102.90 | 1.0× |
| Tampa-St. Petersburg-Clearwater, FL | 20 | $677.00 | $1,151.66 | $3,885.56 | 5.7× |
| Taylorville, IL | 1 | $286.65 | $286.65 | $286.65 | 1.0× |
| Tell City, IN single city | 1 | $235.90 | $235.90 | $235.90 | 1.0× |
| Texarkana, TX-AR | 1 | $1,337.47 | $1,337.47 | $1,337.47 | 1.0× |
| Thermopolis, WY single city | 1 | $366.27 | $366.27 | $366.27 | 1.0× |
| Toledo, OH | 2 | $112.20 | $433.94 | $755.68 | 6.7× |
| Tomahawk, WI single city | 1 | $141.70 | $141.70 | $141.70 | 1.0× |
| Topeka, KS | 1 | $423.50 | $423.50 | $423.50 | 1.0× |
| Torrington, CT single city | 1 | $571.65 | $571.65 | $571.65 | 1.0× |
| Traverse City, MI | 3 | $225.25 | $595.85 | $868.48 | 3.9× |
| Trenton-Princeton, NJ | 2 | $1,389.00 | $1,389.00 | $1,389.00 | 1.0× |
| Truth Or Consequences, NM single city | 1 | $114.75 | $114.75 | $114.75 | 1.0× |
| Tulia, TX single city | 1 | $339.50 | $339.50 | $339.50 | 1.0× |
| Tullahoma-Manchester, TN | 1 | $146.74 | $146.74 | $146.74 | 1.0× |
| Tulsa, OK | 4 | $118.00 | $179.00 | $269.02 | 2.3× |
| Turtle Lake, ND single city | 1 | $187.00 | $187.00 | $187.00 | 1.0× |
| Twin Falls, ID | 1 | $459.68 | $459.68 | $459.68 | 1.0× |
| Two Harbors, MN single city | 1 | $179.41 | $179.41 | $179.41 | 1.0× |
| Tyler, TX | 1 | $95.13 | $95.13 | $95.13 | 1.0× |
| Upper Sandusky, OH single city | 1 | $432.85 | $432.85 | $432.85 | 1.0× |
| Urban Honolulu, HI | 6 | $221.40 | $424.90 | $821.89 | 3.7× |
| Utah Hiawatha, KS single city | 1 | $316.00 | $316.00 | $316.00 | 1.0× |
| Utica-Rome, NY | 3 | $142.83 | $147.75 | $204.60 | 1.4× |
| Valdez, AK single city | 1 | $503.61 | $503.61 | $503.61 | 1.0× |
| Vallejo, CA | 3 | $292.07 | $331.52 | $331.52 | 1.1× |
| Vernal, UT | 1 | $483.05 | $483.05 | $483.05 | 1.0× |
| Vincennes, IN | 1 | $556.80 | $556.80 | $556.80 | 1.0× |
| Vinita, OK single city | 1 | $118.00 | $118.00 | $118.00 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 3 | $155.40 | $384.51 | $998.28 | 6.4× |
| Visalia, CA | 2 | $313.96 | $645.98 | $978.00 | 3.1× |
| Wabash, IN | 1 | $630.84 | $630.84 | $630.84 | 1.0× |
| Wahpeton, ND-MN | 1 | $242.22 | $242.22 | $242.22 | 1.0× |
| Warner Robins, GA | 1 | $1,194.83 | $1,194.83 | $1,194.83 | 1.0× |
| Warren, PA | 1 | $615.00 | $615.00 | $615.00 | 1.0× |
| Warsaw, IN | 1 | $658.96 | $658.96 | $658.96 | 1.0× |
| Washington Court House, OH | 1 | $400.00 | $400.00 | $400.00 | 1.0× |
| Washington, NC | 1 | $2,468.26 | $2,468.26 | $2,468.26 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 5 | $430.02 | $615.83 | $748.88 | 1.7× |
| Waterloo-Cedar Falls, IA | 2 | $257.40 | $257.40 | $257.40 | 1.0× |
| Watertown-Fort Drum, NY | 1 | $636.62 | $636.62 | $636.62 | 1.0× |
| Watford City, ND single city | 1 | $403.00 | $403.00 | $403.00 | 1.0× |
| Wauchula, FL single city | 1 | $2,173.27 | $2,173.27 | $2,173.27 | 1.0× |
| Waukon, IA single city | 1 | $432.50 | $432.50 | $432.50 | 1.0× |
| Waupaca, WI single city | 1 | $318.64 | $318.64 | $318.64 | 1.0× |
| Wausau, WI | 2 | $141.70 | $313.43 | $485.16 | 3.4× |
| Waverly, OH single city | 1 | $200.00 | $200.00 | $200.00 | 1.0× |
| Waynesboro, MS single city | 1 | $400.00 | $400.00 | $400.00 | 1.0× |
| Weatherford, OK | 1 | $710.40 | $710.40 | $710.40 | 1.0× |
| Weaverville, CA single city | 1 | $161.00 | $161.00 | $161.00 | 1.0× |
| Webster City, IA single city | 1 | $483.62 | $483.62 | $483.62 | 1.0× |
| Wedowee, AL single city | 1 | $740.04 | $740.04 | $740.04 | 1.0× |
| Weirton-Steubenville, WV-OH | 2 | $250.95 | $270.73 | $290.50 | 1.2× |
| Wellsboro, PA single city | 1 | $157.80 | $157.80 | $157.80 | 1.0× |
| Wellsville, NY single city | 1 | $255.00 | $255.00 | $255.00 | 1.0× |
| Wenatchee-East Wenatchee, WA | 3 | $168.40 | $202.50 | $792.02 | 4.7× |
| West Union, IA single city | 1 | $203.74 | $203.74 | $203.74 | 1.0× |
| Weston, WV single city | 1 | $805.95 | $805.95 | $805.95 | 1.0× |
| Wheeling, WV-OH | 3 | $274.50 | $274.50 | $435.50 | 1.6× |
| Whitehall, WI single city | 1 | $173.72 | $173.72 | $173.72 | 1.0× |
| Whiteville, NC single city | 1 | $947.46 | $947.46 | $947.46 | 1.0× |
| Wichita Falls, TX | 1 | $270.20 | $270.20 | $270.20 | 1.0× |
| Wild Rose, WI single city | 1 | $318.64 | $318.64 | $318.64 | 1.0× |
| Williamsport, PA | 1 | $186.00 | $186.00 | $186.00 | 1.0× |
| Williston, ND | 2 | $348.00 | $352.75 | $357.50 | 1.0× |
| Winamac, IN single city | 1 | $954.17 | $954.17 | $954.17 | 1.0× |
| Winner, SD single city | 1 | $83.00 | $83.00 | $83.00 | 1.0× |
| Winnsboro, LA single city | 1 | $193.20 | $193.20 | $193.20 | 1.0× |
| Winston-Salem, NC | 3 | $386.50 | $386.50 | $659.00 | 1.7× |
| Wisconsin Rapids-Marshfield, WI | 2 | $141.70 | $313.43 | $485.16 | 3.4× |
| Wolfeboro, NH single city | 1 | $225.00 | $225.00 | $225.00 | 1.0× |
| Woodruff, WI single city | 1 | $141.70 | $141.70 | $141.70 | 1.0× |
| Worcester, MA | 1 | $791.30 | $791.30 | $791.30 | 1.0× |
| Worthington, MN | 1 | $385.31 | $385.31 | $385.31 | 1.0× |
| Wray, CO single city | 1 | $394.31 | $394.31 | $394.31 | 1.0× |
| Yakima, WA | 1 | $257.40 | $257.40 | $257.40 | 1.0× |
| Youngstown-Warren, OH | 3 | $819.48 | $829.32 | $839.22 | 1.0× |
| Ypsilanti, MI single city | 1 | $100.75 | $100.75 | $100.75 | 1.0× |
| Yreka, CA single city | 1 | $296.00 | $296.00 | $296.00 | 1.0× |
| Yuma, AZ | 1 | $479.67 | $479.67 | $479.67 | 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 90651?
CPT 90651 is the billing code for HPV vaccine, 9-valent (Gardasil 9). Gardasil 9 protects against nine types of HPV, the virus behind most cervical cancers and several other cancers. It is routine at ages 11 to 12 and recommended through age 26; adults 27 to 45 may get it after talking with a doctor.
How many doses do I need?
Two doses, 6 to 12 months apart, if you start before your 15th birthday; three doses over six months if you start at 15 or older.
Is there help paying for it without insurance?
Children can get it free through the Vaccines for Children program, and the manufacturer runs a patient assistance program for uninsured adults.
What does a dose of the HPV vaccine (Gardasil 9) cost a clinic or pharmacy?
$329.09 (Gardasil 9) 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, $423.00 across 1,298 hospitals, is 1.3× that. Giving the shot is billed separately (CPT 90471).
Is it cheaper to pay cash or use insurance for HPV vaccine (Gardasil 9)?
It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for HPV vaccine (Gardasil 9) has a median of $713.93 and the lowest a median of $186.80; at 810 of 979 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.
Which states have the cheapest HPV vaccine (Gardasil 9)?
Among 45 states with at least 5 hospitals listing a cash price, the median is lowest in Maine ($160.57), Mississippi ($169.62) and Tennessee ($169.62), and highest in Alabama ($1,288.15), Georgia ($1,109.31) and Florida ($943.84). Prices vary as much between hospitals in the same state, so compare hospitals near you.
Other vaccine prices
Median hospital cash price, one per hospital.