Typhoid vaccine, oral (Vivotif) cost without insurance
The median hospital cash price for typhoid vaccine, oral capsules (Vivotif) is $62.05 across 238 US hospitals; most list between $26.89 and $238.49. The lowest outpatient cash price in any of 121 markets is $7.53. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Sep 29, 2026 Each price links to its source file All Vaccine costs
Lowest$7.53any market
Median market$62.05middle of market medians
Most below$238.499 in 10 hospitals
Listings238hospital prices
What is CPT 90690?
Vivotif is the oral typhoid vaccine: four capsules taken every other day, finished at least a week before travel. It protects for about five years.
What the price covers
The price is for the capsules. There is no injection, so no 90471 administration fee should apply; a travel visit may be billed separately.
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 90690 covers the whole pack of capsules, and compare with a pharmacy's price.
Prices by state
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$47.25
- Alaska$119.17
- Arizona$96.95
- Arkansas$70.00
- California$62.05
- Colorado$62.91
- Florida$45.75
- Georgia$44.10
- Hawaii$49.95
- Idaho$120.00
- Illinois$35.29
- Indiana$200.37
- Louisiana$63.10
- Massachusetts$163.50
- Michigan$21.17
- Minnesota$95.29
- Missouri$84.07
- Nebraska$51.35
- Nevada$138.92
- New Hampshire$78.25
- New Jersey$113.22
- New Mexico$91.76
- New York$123.11
- North Carolina$215.25
- North Dakota$68.45
- Ohio$49.59
- Oklahoma$101.30
- Oregon$72.60
- Pennsylvania$47.78
- Rhode Island$56.40
- South Carolina$30.18
- Texas$7.53
- Utah$61.47
- Washington$22.19
- Wisconsin$54.20
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Akron, OH | 2 | $45.75 | $205.71 | $365.66 | 8.0× |
| Albany, OR | 1 | $79.20 | $79.20 | $79.20 | 1.0× |
| Albany-Schenectady-Troy, NY | 1 | $8.37 | $8.37 | $8.37 | 1.0× |
| Albemarle, NC | 1 | $215.25 | $215.25 | $215.25 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 9 | $47.78 | $47.78 | $136.14 | 2.8× |
| Anchorage, AK | 1 | $119.17 | $119.17 | $119.17 | 1.0× |
| Ann Arbor, MI | 1 | $56.10 | $56.10 | $56.10 | 1.0× |
| Asheville, NC | 2 | $147.20 | $147.20 | $147.20 | 1.0× |
| Ashland, OH | 1 | $365.66 | $365.66 | $365.66 | 1.0× |
| Astoria, OR | 1 | $55.50 | $55.50 | $55.50 | 1.0× |
| Athens-Clarke County, GA | 1 | $44.10 | $44.10 | $44.10 | 1.0× |
| Augusta-Richmond County, GA-SC | 2 | $30.18 | $37.14 | $44.10 | 1.5× |
| Austin-Round Rock-San Marcos, TX | 1 | $260.99 | $260.99 | $260.99 | 1.0× |
| Bad Axe, MI single city | 1 | $21.17 | $21.17 | $21.17 | 1.0× |
| Bay City, MI | 1 | $11.64 | $11.64 | $11.64 | 1.0× |
| Birmingham, AL | 1 | $47.25 | $47.25 | $47.25 | 1.0× |
| Boise City, ID | 2 | $120.00 | $120.00 | $120.00 | 1.0× |
| Boston-Cambridge-Newton, MA-NH | 4 | $23.40 | $163.50 | $219.10 | 9.4× |
| Brevard, NC | 1 | $147.20 | $147.20 | $147.20 | 1.0× |
| Buffalo-Cheektowaga, NY | 1 | $286.00 | $286.00 | $286.00 | 1.0× |
| Cando, ND single city | 1 | $168.00 | $168.00 | $168.00 | 1.0× |
| Caro, MI single city | 1 | $16.19 | $16.19 | $16.19 | 1.0× |
| Concord, NC single city | 1 | $215.25 | $215.25 | $215.25 | 1.0× |
| Canton-Massillon, OH | 1 | $45.75 | $45.75 | $45.75 | 1.0× |
| Charlotte-Concord-Gastonia, NC-SC | 11 | $215.25 | $215.25 | $215.25 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 6 | $12.35 | $35.29 | $55.62 | 4.5× |
| Chillicothe, OH | 1 | $28.00 | $28.00 | $28.00 | 1.0× |
| Cincinnati, OH-KY-IN | 2 | $53.42 | $53.42 | $53.42 | 1.0× |
| Cleveland, OH | 22 | $45.75 | $77.63 | $365.66 | 8.0× |
| College Station-Bryan, TX | 3 | $7.53 | $7.53 | $7.53 | 1.0× |
| Columbia, MO | 1 | $33.00 | $33.00 | $33.00 | 1.0× |
| Columbus, GA-AL | 1 | $44.10 | $44.10 | $44.10 | 1.0× |
| Delhi, NY single city | 1 | $8.37 | $8.37 | $8.37 | 1.0× |
| Devils Lake, ND single city | 1 | $49.89 | $49.89 | $49.89 | 1.0× |
| Denver-Aurora-Centennial, CO | 2 | $62.91 | $62.91 | $62.91 | 1.0× |
| Detroit-Warren-Dearborn, MI | 3 | $7.58 | $7.69 | $13.91 | 1.8× |
| Durant, OK | 1 | $101.30 | $101.30 | $101.30 | 1.0× |
| East Stroudsburg, PA | 1 | $47.78 | $47.78 | $47.78 | 1.0× |
| Elko, NV | 1 | $138.92 | $138.92 | $138.92 | 1.0× |
| Evansville, IN | 1 | $48.88 | $48.88 | $48.88 | 1.0× |
| Franklin, NC single city | 1 | $147.20 | $147.20 | $147.20 | 1.0× |
| Flint, MI | 1 | $9.20 | $9.20 | $9.20 | 1.0× |
| Fort Wayne, IN | 5 | $114.02 | $220.10 | $382.29 | 3.4× |
| Fresno, CA | 1 | $62.05 | $62.05 | $62.05 | 1.0× |
| Greenfield, OH single city | 1 | $28.00 | $28.00 | $28.00 | 1.0× |
| Grand Forks, ND-MN | 2 | $49.89 | $68.45 | $87.00 | 1.7× |
| Greensburg, IN | 1 | $90.00 | $90.00 | $90.00 | 1.0× |
| Greenwood, SC | 2 | $30.18 | $32.70 | $35.21 | 1.2× |
| Highlands, NC single city | 1 | $147.20 | $147.20 | $147.20 | 1.0× |
| Hailey, ID | 1 | $120.00 | $120.00 | $120.00 | 1.0× |
| Hillsdale, MI | 1 | $49.13 | $49.13 | $49.13 | 1.0× |
| Hood River, OR | 1 | $66.00 | $66.00 | $66.00 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 1 | $260.99 | $260.99 | $260.99 | 1.0× |
| Idaho Falls, ID | 1 | $106.40 | $106.40 | $106.40 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 3 | $48.88 | $48.88 | $48.88 | 1.0× |
| Jena, LA single city | 1 | $46.20 | $46.20 | $46.20 | 1.0× |
| Knox, IN single city | 1 | $228.84 | $228.84 | $228.84 | 1.0× |
| Litchfield, MN single city | 1 | $43.52 | $43.52 | $43.52 | 1.0× |
| Lansing-East Lansing, MI | 1 | $28.85 | $28.85 | $28.85 | 1.0× |
| Lima, OH | 1 | $24.30 | $24.30 | $24.30 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 9 | $57.62 | $57.62 | $57.62 | 1.0× |
| Madison, MN single city | 1 | $147.05 | $147.05 | $147.05 | 1.0× |
| Madisonville, TX single city | 1 | $7.53 | $7.53 | $7.53 | 1.0× |
| Malone, NY single city | 1 | $99.01 | $99.01 | $99.01 | 1.0× |
| McCall, ID single city | 1 | $120.00 | $120.00 | $120.00 | 1.0× |
| Marion, NC | 1 | $147.20 | $147.20 | $147.20 | 1.0× |
| Marquette, MI | 1 | $85.13 | $85.13 | $85.13 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 1 | $45.75 | $45.75 | $45.75 | 1.0× |
| Michigan City-La Porte, IN | 1 | $279.69 | $279.69 | $279.69 | 1.0× |
| Milwaukee-Waukesha, WI | 1 | $19.94 | $19.94 | $19.94 | 1.0× |
| Modesto, CA | 1 | $62.05 | $62.05 | $62.05 | 1.0× |
| Mount Pleasant, MI | 1 | $31.07 | $31.07 | $31.07 | 1.0× |
| Navasota, TX single city | 1 | $7.53 | $7.53 | $7.53 | 1.0× |
| New Orleans-Metairie, LA | 1 | $80.00 | $80.00 | $80.00 | 1.0× |
| New Philadelphia-Dover, OH | 1 | $45.75 | $45.75 | $45.75 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 17 | $42.00 | $114.67 | $351.85 | 8.4× |
| Newport, OR | 2 | $79.20 | $79.20 | $79.20 | 1.0× |
| Omaha, NE-IA | 2 | $51.35 | $51.35 | $51.35 | 1.0× |
| Oneonta, NY | 1 | $8.37 | $8.37 | $8.37 | 1.0× |
| Pensacola-Ferry Pass-Brent, FL | 1 | $48.26 | $48.26 | $48.26 | 1.0× |
| Peru, IN | 1 | $1,351.30 | $1,351.30 | $1,351.30 | 1.0× |
| Petoskey, MI | 1 | $32.96 | $32.96 | $32.96 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 2 | $47.78 | $47.78 | $47.78 | 1.0× |
| Phoenix-Mesa-Chandler, AZ | 1 | $96.95 | $96.95 | $96.95 | 1.0× |
| Pine Bluff, AR | 1 | $70.00 | $70.00 | $70.00 | 1.0× |
| Poplar Bluff, MO | 1 | $135.14 | $135.14 | $135.14 | 1.0× |
| Port St. Lucie, FL | 1 | $45.75 | $45.75 | $45.75 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $32.30 | $32.30 | $32.30 | 1.0× |
| Pottsville, PA | 2 | $47.78 | $47.78 | $47.78 | 1.0× |
| Providence-Warwick, RI-MA | 1 | $56.40 | $56.40 | $56.40 | 1.0× |
| Redding, CA | 1 | $44.62 | $44.62 | $44.62 | 1.0× |
| Rice Lake, WI | 1 | $88.45 | $88.45 | $88.45 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 4 | $57.62 | $57.62 | $57.62 | 1.0× |
| Rochester, NY | 1 | $225.25 | $225.25 | $225.25 | 1.0× |
| Roswell, NM | 1 | $91.76 | $91.76 | $91.76 | 1.0× |
| Soldotna, AK single city | 1 | $202.00 | $202.00 | $202.00 | 1.0× |
| Sparta, NC single city | 1 | $844.93 | $844.93 | $844.93 | 1.0× |
| Spruce Pine, NC single city | 1 | $147.20 | $147.20 | $147.20 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 3 | $62.05 | $62.05 | $62.05 | 1.0× |
| Salem, OR | 1 | $80.56 | $80.56 | $80.56 | 1.0× |
| Salt Lake City-Murray, UT | 1 | $37.80 | $37.80 | $37.80 | 1.0× |
| San Diego-Chula Vista-Carlsbad, CA | 3 | $57.62 | $57.62 | $57.62 | 1.0× |
| San Francisco-Oakland-Fremont, CA | 12 | $62.05 | $62.05 | $155.00 | 2.5× |
| San Jose-Sunnyvale-Santa Clara, CA | 2 | $62.05 | $62.05 | $62.05 | 1.0× |
| Santa Rosa-Petaluma, CA | 2 | $62.05 | $66.03 | $70.00 | 1.1× |
| Seattle-Tacoma-Bellevue, WA | 2 | $9.57 | $22.19 | $34.80 | 3.6× |
| Sebastian-Vero Beach-West Vero Corridor, FL | 1 | $45.75 | $45.75 | $45.75 | 1.0× |
| Shelby-Kings Mountain, NC | 1 | $215.25 | $215.25 | $215.25 | 1.0× |
| Stockton-Lodi, CA | 1 | $62.05 | $62.05 | $62.05 | 1.0× |
| Texarkana, TX-AR | 1 | $1,351.30 | $1,351.30 | $1,351.30 | 1.0× |
| Twin Falls, ID | 1 | $120.00 | $120.00 | $120.00 | 1.0× |
| Urban Honolulu, HI | 2 | $16.80 | $49.95 | $83.10 | 4.9× |
| Utica-Rome, NY | 1 | $8.37 | $8.37 | $8.37 | 1.0× |
| Valdez, AK single city | 1 | $49.97 | $49.97 | $49.97 | 1.0× |
| Vallejo, CA | 2 | $62.05 | $62.05 | $62.05 | 1.0× |
| Vernal, UT | 1 | $85.13 | $85.13 | $85.13 | 1.0× |
| Waverly, OH single city | 1 | $28.00 | $28.00 | $28.00 | 1.0× |
| Wolfeboro, NH single city | 1 | $78.25 | $78.25 | $78.25 | 1.0× |
| Warsaw, IN | 1 | $430.87 | $430.87 | $430.87 | 1.0× |
| Washington Court House, OH | 1 | $56.00 | $56.00 | $56.00 | 1.0× |
| Winston-Salem, NC | 1 | $398.38 | $398.38 | $398.38 | 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 90690?
CPT 90690 is the billing code for typhoid vaccine, oral capsules (Vivotif). Vivotif is the oral typhoid vaccine: four capsules taken every other day, finished at least a week before travel. It protects for about five years.
Oral or injected typhoid vaccine?
Both work. The oral one lasts about five years and is taken at home; the shot (code 90691) is one visit and lasts about two years.
Does insurance cover travel vaccines?
Often not, because travel vaccines are not part of the routine schedule; check your plan before the visit.
Other vaccine prices
Median hospital cash price, one per hospital.