Vaxelis (6-in-1 vaccine) cost without insurance
The median hospital cash price for DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) is $184.95 across 447 US hospitals; most list between $84.76 and $513.28. The lowest outpatient cash price in any of 268 markets is $19.12. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Oct 1, 2026 Each price links to its source file All Childhood vaccine costs
Compared with the vaccine's list price
$167.36 (Vaxelis) 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, $184.95 across 447 hospitals, is 1.1× 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 90697?
Vaxelis combines six vaccines in one shot: DTaP, polio, Hib and hepatitis B. It is given at 2, 4 and 6 months; the later DTaP and Hib boosters use other vaccines.
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
Pediatric offices and health departments give most childhood vaccines, and hospital prices for the same dose vary widely.
What to ask
Ask whether the self-pay price for CPT 90697 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.
- Alaska$156.75
- Arizona$198.12
- Arkansas$209.33
- California$174.72
- Colorado$389.06
- Connecticut$317.80
- Delaware$562.00
- District of Columbia$313.19
- Florida$552.06
- Georgia$97.65
- Hawaii$195.00
- Idaho$219.53
- Illinois$239.92
- Indiana$616.80
- Iowa$138.29
- Kansas$146.42
- Kentucky$157.21
- Louisiana$81.27
- Maine$186.93
- Maryland$290.83
- Massachusetts$336.66
- Michigan$438.85
- Minnesota$103.28
- Mississippi$100.50
- Missouri$143.40
- Montana$150.44
- Nebraska$235.00
- Nevada$350.00
- New Jersey$152.74
- New York$230.00
- North Carolina$158.40
- North Dakota$164.14
- Ohio$341.93
- Oklahoma$85.60
- Oregon$111.00
- Pennsylvania$176.40
- Rhode Island$212.00
- South Dakota$244.55
- Tennessee$161.54
- Texas$226.07
- Virginia$111.70
- Washington$166.33
- West Virginia$437.52
- Wisconsin$184.95
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Anaconda, MT single city | 1 | $163.88 | $163.88 | $163.88 | 1.0× |
| Armour, SD single city | 1 | $172.80 | $172.80 | $172.80 | 1.0× |
| Aberdeen, WA | 1 | $112.86 | $112.86 | $112.86 | 1.0× |
| Akron, OH | 2 | $228.00 | $284.97 | $341.93 | 1.5× |
| Albany-Schenectady-Troy, NY | 1 | $311.15 | $311.15 | $311.15 | 1.0× |
| Albemarle, NC | 1 | $158.50 | $158.50 | $158.50 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 1 | $152.59 | $152.59 | $152.59 | 1.0× |
| Altoona, PA | 1 | $23.14 | $23.14 | $23.14 | 1.0× |
| Ames, IA | 1 | $250.40 | $250.40 | $250.40 | 1.0× |
| Anchorage, AK | 2 | $21.40 | $73.20 | $125.00 | 5.8× |
| Asheville, NC | 2 | $1,161.67 | $1,161.67 | $1,161.67 | 1.0× |
| Astoria, OR | 2 | $111.00 | $115.50 | $120.00 | 1.1× |
| Atlanta-Sandy Springs-Roswell, GA | 1 | $160.00 | $160.00 | $160.00 | 1.0× |
| Atlantic City-Hammonton, NJ | 1 | $218.00 | $218.00 | $218.00 | 1.0× |
| Austin-Round Rock-San Marcos, TX | 1 | $276.19 | $276.19 | $276.19 | 1.0× |
| Bad Axe, MI single city | 1 | $421.95 | $421.95 | $421.95 | 1.0× |
| Bassett, NE single city | 1 | $233.00 | $233.00 | $233.00 | 1.0× |
| Baudette, MN single city | 1 | $91.48 | $91.48 | $91.48 | 1.0× |
| Bowman, ND single city | 1 | $216.90 | $216.90 | $216.90 | 1.0× |
| Brookville, PA single city | 1 | $23.14 | $23.14 | $23.14 | 1.0× |
| Baltimore-Columbia-Towson, MD | 4 | $182.70 | $429.56 | $527.25 | 2.9× |
| Bangor, ME | 1 | $55.13 | $55.13 | $55.13 | 1.0× |
| Batavia, NY | 1 | $211.02 | $211.02 | $211.02 | 1.0× |
| Bay City, MI | 1 | $438.85 | $438.85 | $438.85 | 1.0× |
| Beaver Dam, WI | 1 | $184.95 | $184.95 | $184.95 | 1.0× |
| Bemidji, MN | 1 | $175.00 | $175.00 | $175.00 | 1.0× |
| Bismarck, ND | 1 | $173.35 | $173.35 | $173.35 | 1.0× |
| Blackfoot, ID | 1 | $143.50 | $143.50 | $143.50 | 1.0× |
| Bloomington, IL | 1 | $239.92 | $239.92 | $239.92 | 1.0× |
| Boise City, ID | 2 | $219.53 | $219.53 | $219.53 | 1.0× |
| Boston-Cambridge-Newton, MA-NH | 5 | $156.80 | $336.66 | $336.66 | 2.1× |
| Brevard, NC | 1 | $1,161.67 | $1,161.67 | $1,161.67 | 1.0× |
| Buffalo-Cheektowaga, NY | 2 | $418.94 | $428.92 | $438.89 | 1.0× |
| Caro, MI single city | 1 | $421.95 | $421.95 | $421.95 | 1.0× |
| Carrollton, KY single city | 1 | $219.38 | $219.38 | $219.38 | 1.0× |
| Cedar Rapids, IA single city | 1 | $320.60 | $320.60 | $320.60 | 1.0× |
| Centerville, IA single city | 1 | $198.00 | $198.00 | $198.00 | 1.0× |
| Clarinda, IA single city | 1 | $133.16 | $133.16 | $133.16 | 1.0× |
| Columbia, KY single city | 1 | $543.27 | $543.27 | $543.27 | 1.0× |
| Concord, NC single city | 1 | $158.30 | $158.30 | $158.30 | 1.0× |
| Cut Bank, MT single city | 1 | $184.12 | $184.12 | $184.12 | 1.0× |
| Canton-Massillon, OH | 1 | $341.93 | $341.93 | $341.93 | 1.0× |
| Champaign-Urbana, IL | 2 | $199.00 | $219.46 | $239.92 | 1.2× |
| Charlotte-Concord-Gastonia, NC-SC | 11 | $158.30 | $158.30 | $158.30 | 1.0× |
| Chattanooga, TN-GA | 1 | $144.37 | $144.37 | $144.37 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 9 | $82.65 | $129.07 | $1,019.78 | 12.3× |
| Cincinnati, OH-KY-IN | 2 | $64.56 | $145.39 | $226.21 | 3.5× |
| Cleveland, OH | 14 | $62.65 | $341.93 | $762.18 | 12.2× |
| Clinton, IA | 2 | $135.20 | $202.97 | $270.73 | 2.0× |
| Columbia, MO | 1 | $481.46 | $481.46 | $481.46 | 1.0× |
| Columbus, OH | 1 | $348.96 | $348.96 | $348.96 | 1.0× |
| Corning, NY | 1 | $176.40 | $176.40 | $176.40 | 1.0× |
| Cortland, NY | 1 | $176.40 | $176.40 | $176.40 | 1.0× |
| Crossville, TN | 1 | $159.05 | $159.05 | $159.05 | 1.0× |
| Decorah, IA single city | 1 | $188.10 | $188.10 | $188.10 | 1.0× |
| DeKalb, MS single city | 1 | $103.50 | $103.50 | $103.50 | 1.0× |
| Devils Lake, ND single city | 1 | $164.14 | $164.14 | $164.14 | 1.0× |
| Danville, IL | 1 | $239.92 | $239.92 | $239.92 | 1.0× |
| Davenport-Moline-Rock Island, IA-IL | 4 | $270.73 | $270.73 | $270.73 | 1.0× |
| Dayton-Kettering-Beavercreek, OH | 1 | $390.40 | $390.40 | $390.40 | 1.0× |
| Defiance, OH | 1 | $138.00 | $138.00 | $138.00 | 1.0× |
| Des Moines-West Des Moines, IA | 4 | $128.70 | $171.60 | $320.31 | 2.5× |
| Detroit-Warren-Dearborn, MI | 8 | $438.85 | $457.55 | $535.50 | 1.2× |
| Dickinson, ND | 1 | $124.33 | $124.33 | $124.33 | 1.0× |
| Dodge City, KS | 1 | $189.00 | $189.00 | $189.00 | 1.0× |
| DuBois, PA | 1 | $417.25 | $417.25 | $417.25 | 1.0× |
| Dubuque, IA | 2 | $128.70 | $131.95 | $135.20 | 1.1× |
| Duluth, MN-WI | 1 | $85.00 | $85.00 | $85.00 | 1.0× |
| Elizabethtown, NY single city | 1 | $532.12 | $532.12 | $532.12 | 1.0× |
| Elkader, IA single city | 1 | $128.70 | $128.70 | $128.70 | 1.0× |
| Emmetsburg, IA single city | 1 | $154.50 | $154.50 | $154.50 | 1.0× |
| Emporia, VA single city | 1 | $109.42 | $109.42 | $109.42 | 1.0× |
| Eau Claire, WI | 1 | $184.95 | $184.95 | $184.95 | 1.0× |
| Evansville, IN | 1 | $95.70 | $95.70 | $95.70 | 1.0× |
| Farmington, CT single city | 1 | $299.85 | $299.85 | $299.85 | 1.0× |
| Faulkton, SD single city | 1 | $486.68 | $486.68 | $486.68 | 1.0× |
| Franklin, NC single city | 1 | $1,161.67 | $1,161.67 | $1,161.67 | 1.0× |
| Fairbanks-College, AK | 1 | $453.67 | $453.67 | $453.67 | 1.0× |
| Fairmont, WV | 1 | $439.06 | $439.06 | $439.06 | 1.0× |
| Fargo, ND-MN | 1 | $453.05 | $453.05 | $453.05 | 1.0× |
| Fayetteville-Springdale-Rogers, AR | 2 | $136.80 | $173.07 | $209.33 | 1.5× |
| Fergus Falls, MN | 1 | $163.80 | $163.80 | $163.80 | 1.0× |
| Flint, MI | 1 | $438.85 | $438.85 | $438.85 | 1.0× |
| Freeport, IL | 1 | $340.00 | $340.00 | $340.00 | 1.0× |
| Fresno, CA | 1 | $174.72 | $174.72 | $174.72 | 1.0× |
| Gaylord, MI single city | 1 | $196.35 | $196.35 | $196.35 | 1.0× |
| Greenfield, IA single city | 1 | $198.75 | $198.75 | $198.75 | 1.0× |
| Glasgow, KY | 1 | $543.27 | $543.27 | $543.27 | 1.0× |
| Grand Forks, ND-MN | 3 | $115.00 | $164.14 | $373.00 | 3.2× |
| Grand Rapids, MN | 1 | $85.00 | $85.00 | $85.00 | 1.0× |
| Grand Rapids-Wyoming-Kentwood, MI | 1 | $96.00 | $96.00 | $96.00 | 1.0× |
| Great Bend, KS | 1 | $159.24 | $159.24 | $159.24 | 1.0× |
| Green Bay, WI | 1 | $187.98 | $187.98 | $187.98 | 1.0× |
| Greenville, NC | 1 | $1,306.14 | $1,306.14 | $1,306.14 | 1.0× |
| Hampton, IA single city | 1 | $179.10 | $179.10 | $179.10 | 1.0× |
| Hartford, CT single city | 1 | $317.80 | $317.80 | $317.80 | 1.0× |
| Haxtun, CO single city | 1 | $251.00 | $251.00 | $251.00 | 1.0× |
| Hermann, MO single city | 1 | $143.40 | $143.40 | $143.40 | 1.0× |
| Highlands, NC single city | 1 | $512.35 | $512.35 | $512.35 | 1.0× |
| Houlton, ME single city | 1 | $318.72 | $318.72 | $318.72 | 1.0× |
| Hailey, ID | 1 | $219.53 | $219.53 | $219.53 | 1.0× |
| Hays, KS | 1 | $110.22 | $110.22 | $110.22 | 1.0× |
| Henderson, KY | 1 | $87.00 | $87.00 | $87.00 | 1.0× |
| Hood River, OR | 1 | $111.00 | $111.00 | $111.00 | 1.0× |
| Houma-Bayou Cane-Thibodaux, LA | 1 | $206.36 | $206.36 | $206.36 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 3 | $276.19 | $1,414.27 | $1,414.27 | 5.1× |
| Huntingdon, PA | 1 | $23.14 | $23.14 | $23.14 | 1.0× |
| Huntington-Ashland, WV-KY-OH | 1 | $132.62 | $132.62 | $132.62 | 1.0× |
| Imperial, NE single city | 1 | $298.00 | $298.00 | $298.00 | 1.0× |
| Jefferson, IA single city | 1 | $131.60 | $131.60 | $131.60 | 1.0× |
| Jena, LA single city | 1 | $220.20 | $220.20 | $220.20 | 1.0× |
| John Day, OR single city | 1 | $35.25 | $35.25 | $35.25 | 1.0× |
| Jacksonville, FL | 1 | $248.05 | $248.05 | $248.05 | 1.0× |
| Janesville-Beloit, WI | 1 | $542.38 | $542.38 | $542.38 | 1.0× |
| Johnstown, PA | 1 | $447.62 | $447.62 | $447.62 | 1.0× |
| Kimball, NE single city | 1 | $19.82 | $19.82 | $19.82 | 1.0× |
| Kotzebue, AK single city | 1 | $567.00 | $567.00 | $567.00 | 1.0× |
| Kalispell, MT | 2 | $130.65 | $133.82 | $136.99 | 1.0× |
| Kearney, NE | 1 | $237.00 | $237.00 | $237.00 | 1.0× |
| Kennewick-Richland, WA | 3 | $36.69 | $73.70 | $388.95 | 10.6× |
| Kiryas Joel-Poughkeepsie-Newburgh, NY | 1 | $565.00 | $565.00 | $565.00 | 1.0× |
| Klamath Falls, OR | 1 | $175.46 | $175.46 | $175.46 | 1.0× |
| Knoxville, TN | 5 | $149.11 | $164.02 | $164.02 | 1.1× |
| Ladysmith, WI single city | 1 | $184.95 | $184.95 | $184.95 | 1.0× |
| Larned, KS single city | 1 | $133.60 | $133.60 | $133.60 | 1.0× |
| Linton, ND single city | 1 | $404.00 | $404.00 | $404.00 | 1.0× |
| Louisville, KY single city | 1 | $157.21 | $157.21 | $157.21 | 1.0× |
| Lovelock, NV single city | 1 | $350.00 | $350.00 | $350.00 | 1.0× |
| La Crosse-Onalaska, WI-MN | 1 | $125.19 | $125.19 | $125.19 | 1.0× |
| Lafayette, LA | 2 | $165.96 | $185.72 | $205.48 | 1.2× |
| Lansing-East Lansing, MI | 4 | $93.13 | $96.00 | $438.85 | 4.7× |
| Lexington Park, MD | 1 | $192.49 | $192.49 | $192.49 | 1.0× |
| Lexington-Fayette, KY | 1 | $222.89 | $222.89 | $222.89 | 1.0× |
| Little Rock-North Little Rock-Conway, AR | 2 | $209.33 | $273.26 | $337.19 | 1.6× |
| Louisville/Jefferson County, KY-IN | 5 | $157.21 | $157.21 | $157.21 | 1.0× |
| Lubbock, TX | 1 | $155.82 | $155.82 | $155.82 | 1.0× |
| Madison, MN single city | 1 | $172.55 | $172.55 | $172.55 | 1.0× |
| McCall, ID single city | 1 | $219.53 | $219.53 | $219.53 | 1.0× |
| Memphis, MO single city | 1 | $720.65 | $720.65 | $720.65 | 1.0× |
| Minocqua, WI single city | 1 | $184.95 | $184.95 | $184.95 | 1.0× |
| Morehead, KY single city | 1 | $615.75 | $615.75 | $615.75 | 1.0× |
| Morris, MN single city | 1 | $244.78 | $244.78 | $244.78 | 1.0× |
| Marietta, OH | 2 | $30.00 | $30.00 | $30.00 | 1.0× |
| Marion, NC | 1 | $1,161.67 | $1,161.67 | $1,161.67 | 1.0× |
| Marshall, MN | 1 | $273.79 | $273.79 | $273.79 | 1.0× |
| Mason City, IA | 1 | $135.20 | $135.20 | $135.20 | 1.0× |
| Massena-Ogdensburg, NY | 3 | $205.71 | $205.71 | $205.71 | 1.0× |
| Meridian, MS | 2 | $52.50 | $76.50 | $100.50 | 1.9× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 1 | $341.93 | $341.93 | $341.93 | 1.0× |
| Milwaukee-Waukesha, WI | 1 | $140.45 | $140.45 | $140.45 | 1.0× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 7 | $97.45 | $97.45 | $103.28 | 1.1× |
| Modesto, CA | 1 | $174.72 | $174.72 | $174.72 | 1.0× |
| Monroe, LA | 1 | $121.18 | $121.18 | $121.18 | 1.0× |
| Morgantown, WV | 1 | $168.75 | $168.75 | $168.75 | 1.0× |
| Morristown, TN | 1 | $149.11 | $149.11 | $149.11 | 1.0× |
| Moultrie, GA | 1 | $35.29 | $35.29 | $35.29 | 1.0× |
| Mount Pleasant, MI | 1 | $438.85 | $438.85 | $438.85 | 1.0× |
| Mount Vernon-Anacortes, WA | 1 | $100.15 | $100.15 | $100.15 | 1.0× |
| Neillsville, WI single city | 1 | $184.95 | $184.95 | $184.95 | 1.0× |
| Nevada, MO single city | 1 | $126.33 | $126.33 | $126.33 | 1.0× |
| New Hampton, IA single city | 1 | $128.70 | $128.70 | $128.70 | 1.0× |
| Nome, AK single city | 1 | $188.50 | $188.50 | $188.50 | 1.0× |
| New Orleans-Metairie, LA | 9 | $39.20 | $45.08 | $173.86 | 4.4× |
| New Philadelphia-Dover, OH | 1 | $341.93 | $341.93 | $341.93 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 25 | $94.97 | $230.00 | $13,904.00 | 146.4× |
| Norwalk, OH | 1 | $63.84 | $63.84 | $63.84 | 1.0× |
| Oelwein, IA single city | 1 | $128.70 | $128.70 | $128.70 | 1.0× |
| Okeene, OK single city | 1 | $303.20 | $303.20 | $303.20 | 1.0× |
| Olney, IL single city | 1 | $239.92 | $239.92 | $239.92 | 1.0× |
| Ortonville, MN single city | 1 | $106.25 | $106.25 | $106.25 | 1.0× |
| Ocean Pines, MD | 1 | $228.00 | $228.00 | $228.00 | 1.0× |
| Oklahoma City, OK | 1 | $39.10 | $39.10 | $39.10 | 1.0× |
| Oneonta, NY | 1 | $105.57 | $105.57 | $105.57 | 1.0× |
| Owosso, MI | 1 | $155.20 | $155.20 | $155.20 | 1.0× |
| Pagosa Springs, CO single city | 1 | $527.12 | $527.12 | $527.12 | 1.0× |
| Park Falls, WI single city | 1 | $184.95 | $184.95 | $184.95 | 1.0× |
| Park Rapids, MN single city | 1 | $76.23 | $76.23 | $76.23 | 1.0× |
| Perryton, TX single city | 1 | $88.00 | $88.00 | $88.00 | 1.0× |
| Pinckneyville, IL single city | 1 | $226.00 | $226.00 | $226.00 | 1.0× |
| Plainville, KS single city | 1 | $165.00 | $165.00 | $165.00 | 1.0× |
| Polson, MT single city | 1 | $88.00 | $88.00 | $88.00 | 1.0× |
| Peoria, IL | 4 | $239.92 | $239.92 | $239.92 | 1.0× |
| Petoskey, MI | 1 | $438.85 | $438.85 | $438.85 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 1 | $562.00 | $562.00 | $562.00 | 1.0× |
| Phoenix-Mesa-Chandler, AZ | 1 | $514.67 | $514.67 | $514.67 | 1.0× |
| Plainview, TX | 1 | $155.99 | $155.99 | $155.99 | 1.0× |
| Port St. Lucie, FL | 1 | $762.18 | $762.18 | $762.18 | 1.0× |
| Port Townsend, WA | 1 | $124.24 | $124.24 | $124.24 | 1.0× |
| Portsmouth, OH | 1 | $132.62 | $132.62 | $132.62 | 1.0× |
| Pottsville, PA | 2 | $90.00 | $90.00 | $90.00 | 1.0× |
| Prescott Valley-Prescott, AZ | 1 | $198.12 | $198.12 | $198.12 | 1.0× |
| Providence-Warwick, RI-MA | 1 | $212.00 | $212.00 | $212.00 | 1.0× |
| Pullman, WA | 2 | $124.20 | $128.08 | $131.96 | 1.1× |
| Roseau, MN single city | 1 | $334.85 | $334.85 | $334.85 | 1.0× |
| Ruleville, MS single city | 1 | $65.00 | $65.00 | $65.00 | 1.0× |
| Rushville, IN single city | 1 | $616.80 | $616.80 | $616.80 | 1.0× |
| Raleigh-Cary, NC | 3 | $203.63 | $203.63 | $203.63 | 1.0× |
| Rice Lake, WI | 2 | $184.95 | $365.63 | $546.30 | 3.0× |
| Richmond, VA | 2 | $113.98 | $129.59 | $145.20 | 1.3× |
| Riverside-San Bernardino-Ontario, CA | 2 | $45.60 | $53.43 | $61.25 | 1.3× |
| Rochester, MN | 1 | $144.94 | $144.94 | $144.94 | 1.0× |
| Rochester, NY | 4 | $211.02 | $211.02 | $259.71 | 1.2× |
| Rolla, MO | 1 | $135.90 | $135.90 | $135.90 | 1.0× |
| Scobey, MT single city | 1 | $352.75 | $352.75 | $352.75 | 1.0× |
| Seneca, KS single city | 1 | $99.00 | $99.00 | $99.00 | 1.0× |
| Shattuck, OK single city | 1 | $527.82 | $527.82 | $527.82 | 1.0× |
| Shelby, MT single city | 1 | $84.40 | $84.40 | $84.40 | 1.0× |
| Sidney, MT single city | 1 | $207.44 | $207.44 | $207.44 | 1.0× |
| Sioux Center, IA single city | 1 | $91.90 | $91.90 | $91.90 | 1.0× |
| Smith Center, KS single city | 1 | $119.69 | $119.69 | $119.69 | 1.0× |
| Soldotna, AK single city | 1 | $79.00 | $79.00 | $79.00 | 1.0× |
| Spruce Pine, NC single city | 1 | $1,161.67 | $1,161.67 | $1,161.67 | 1.0× |
| Sweetwater, TN single city | 1 | $225.27 | $225.27 | $225.27 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 3 | $174.72 | $174.72 | $174.72 | 1.0× |
| San Antonio-New Braunfels, TX | 2 | $225.34 | $226.07 | $226.80 | 1.0× |
| San Diego-Chula Vista-Carlsbad, CA | 1 | $389.39 | $389.39 | $389.39 | 1.0× |
| San Francisco-Oakland-Fremont, CA | 10 | $174.72 | $174.72 | $174.72 | 1.0× |
| San Jose-Sunnyvale-Santa Clara, CA | 2 | $174.72 | $174.72 | $174.72 | 1.0× |
| Santa Rosa-Petaluma, CA | 1 | $174.72 | $174.72 | $174.72 | 1.0× |
| Sayre, PA | 3 | $176.40 | $176.40 | $176.40 | 1.0× |
| Seattle-Tacoma-Bellevue, WA | 8 | $64.11 | $273.32 | $335.75 | 5.2× |
| Sebastian-Vero Beach-West Vero Corridor, FL | 1 | $762.18 | $762.18 | $762.18 | 1.0× |
| Sevierville, TN | 1 | $144.14 | $144.14 | $144.14 | 1.0× |
| Shelby-Kings Mountain, NC | 1 | $158.30 | $158.30 | $158.30 | 1.0× |
| Shreveport-Bossier City, LA | 2 | $136.98 | $142.25 | $147.52 | 1.1× |
| Sioux City, IA-NE-SD | 1 | $320.60 | $320.60 | $320.60 | 1.0× |
| Sioux Falls, SD-MN | 2 | $194.00 | $298.74 | $403.48 | 2.1× |
| Slidell-Mandeville-Covington, LA | 1 | $45.08 | $45.08 | $45.08 | 1.0× |
| Spirit Lake, IA | 1 | $114.00 | $114.00 | $114.00 | 1.0× |
| Springfield, MA | 1 | $856.94 | $856.94 | $856.94 | 1.0× |
| St. Louis, MO-IL | 1 | $383.43 | $383.43 | $383.43 | 1.0× |
| St. Marys, PA | 1 | $23.14 | $23.14 | $23.14 | 1.0× |
| Stevens Point-Plover, WI | 1 | $184.95 | $184.95 | $184.95 | 1.0× |
| Stillwater, OK | 1 | $85.60 | $85.60 | $85.60 | 1.0× |
| Stockton-Lodi, CA | 1 | $174.72 | $174.72 | $174.72 | 1.0× |
| Tiffin, OH | 1 | $63.84 | $63.84 | $63.84 | 1.0× |
| Toledo, OH | 1 | $130.20 | $130.20 | $130.20 | 1.0× |
| Topeka, KS | 1 | $159.75 | $159.75 | $159.75 | 1.0× |
| Tucson, AZ | 2 | $119.13 | $119.13 | $119.13 | 1.0× |
| Twin Falls, ID | 1 | $219.53 | $219.53 | $219.53 | 1.0× |
| Tyler, TX | 1 | $50.49 | $50.49 | $50.49 | 1.0× |
| Urban Honolulu, HI | 3 | $195.00 | $195.00 | $468.24 | 2.4× |
| Utica-Rome, NY | 2 | $39.97 | $81.49 | $123.00 | 3.1× |
| Vallejo, CA | 3 | $174.72 | $174.72 | $1,904.80 | 10.9× |
| Vermillion, SD | 1 | $244.55 | $244.55 | $244.55 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 1 | $19.12 | $19.12 | $19.12 | 1.0× |
| Visalia, CA | 3 | $776.00 | $776.00 | $776.00 | 1.0× |
| Waterbury, CT single city | 1 | $445.59 | $445.59 | $445.59 | 1.0× |
| Watford City, ND single city | 1 | $151.45 | $151.45 | $151.45 | 1.0× |
| Waukon, IA single city | 1 | $220.27 | $220.27 | $220.27 | 1.0× |
| Waynesboro, MS single city | 1 | $264.00 | $264.00 | $264.00 | 1.0× |
| West Union, IA single city | 1 | $141.37 | $141.37 | $141.37 | 1.0× |
| Westbrook, MN single city | 1 | $247.92 | $247.92 | $247.92 | 1.0× |
| Weston, WV single city | 1 | $437.52 | $437.52 | $437.52 | 1.0× |
| Whitehall, WI single city | 1 | $150.89 | $150.89 | $150.89 | 1.0× |
| Wahpeton, ND-MN | 1 | $83.16 | $83.16 | $83.16 | 1.0× |
| Warren, PA | 1 | $551.00 | $551.00 | $551.00 | 1.0× |
| Washington, NC | 1 | $1,306.14 | $1,306.14 | $1,306.14 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 5 | $239.16 | $313.19 | $342.49 | 1.4× |
| Waterloo-Cedar Falls, IA | 2 | $135.20 | $135.20 | $135.20 | 1.0× |
| Wausau, WI | 1 | $184.95 | $184.95 | $184.95 | 1.0× |
| Weatherford, OK | 1 | $41.60 | $41.60 | $41.60 | 1.0× |
| Wenatchee-East Wenatchee, WA | 2 | $200.70 | $301.55 | $402.40 | 2.0× |
| Wisconsin Rapids-Marshfield, WI | 1 | $184.95 | $184.95 | $184.95 | 1.0× |
| Worthington, MN | 1 | $214.68 | $214.68 | $214.68 | 1.0× |
| York-Hanover, PA | 1 | $951.60 | $951.60 | $951.60 | 1.0× |
| Youngstown-Warren, OH | 1 | $390.24 | $390.24 | $390.24 | 1.0× |
| Yuma, AZ | 1 | $243.29 | $243.29 | $243.29 | 1.0× |
Common questions
What is CPT code 90697?
CPT 90697 is the billing code for DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis). Vaxelis combines six vaccines in one shot: DTaP, polio, Hib and hepatitis B. It is given at 2, 4 and 6 months; the later DTaP and Hib boosters use other vaccines.
Can my child get this vaccine free?
Yes, if your child is 18 or younger and uninsured, underinsured, eligible for Medicaid, or American Indian or Alaska Native: the Vaccines for Children program supplies the vaccine at no cost, and a provider may charge only an administration fee, which is waived if you cannot pay.
Does a combination vaccine cost more than separate shots?
The dose itself often costs less than four separate vaccines, and it means one administration fee instead of four; compare the full total.
What does a dose of the vaxelis (6-in-1 vaccine) cost a clinic or pharmacy?
$167.36 (Vaxelis) 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, $184.95 across 447 hospitals, is 1.1× that. Giving the shot is billed separately (CPT 90471).
Other childhood vaccine prices
Median hospital cash price, one per hospital.