Tetanus shot (Td) cost in Washington
In Washington, 44 hospitals publish a cash price for Td vaccine (tetanus and diphtheria booster), age 7 and older: from $11.95 to $162.62, with a median of $56.40. The lowest price is at Virginia Mason Medical Center (Seattle). The highest price is 13.6× the lowest.
- The median here, $56.40, is 22% below the US median of $72.46.
- Washington ranks 13th of 49 states by median, cheapest first.
- 3 of 44 hospitals list a cash price equal to their full list price, with no self-pay discount.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
Outpatient cash prices, one line per hospital — its lowest listed price for code 90714. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map
Lowest$11.95Virginia Mason Medical Center
Median$56.40half of hospitals charge less
Highest$162.62in Washington
Lowest saves$44.45vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Virginia Mason Medical Center lowest Seattle · Seattle-Tacoma-Bellevue, WA TD VACCINE NO PRSRV GT OR EQ 7 IM - DSHS | $11.95 | $23.44 | Jan 1, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC PR RX TD VACCINE PF 7 YRS OR OLDER IM 0.5 ML | $14.85 | $27.00 | Jan 1, 2025 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC PR RX TD VACCINE PF 7 YRS OR OLDER IM 0.5 ML | $15.40 | $22.00 | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC PR RX TD VACCINE PF 7 YRS OR OLDER IM 0.5 ML | $15.40 | $22.00 | Apr 1, 2026 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA 90714 VFC Tenivac - Tetanus and diphtheria toxoids (Td), over 7 | $17.96 | $23.95 | Mar 10, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC TD VACC NO PRESV 7 YEARS+ IM (WVA) | $20.54 | $25.68 | Mar 26, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Diphtheria and tetanus vaccine (7 years or older) | $21.84 | $25.69 | Jun 9, 2026 source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA Tenivac | $25.43 | $39.12 | Mar 20, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA Tenivac | $26.88 | $41.35 | Mar 20, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA DIPHTHERIA AND TETANUS VACCINE (7 YEARS OR OLDER) | $26.98 | $41.50 | Mar 21, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA DIPHTHERIA AND TETANUS VACCINE (7 YEARS OR OLDER) | $26.98 | $41.50 | Mar 21, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA HC PR Rx Td Vaccine Pf 7 Yrs or Older Im 0.5 Ml | $27.00 | $27.00 | Jan 4, 2026 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA TD VACC NO PRESV 7 YRS+ IM | $27.48 | $42.27 | Mar 21, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Diphtheria and tetanus vaccine (7 years or older) | $28.05 | $33.00 | Oct 7, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION | $37.48 | $74.96 | Apr 1, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE 0.500 ML SYRINGE | $47.88 | $166.00 | Sep 30, 2026 source file |
| Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA "tetanus, diptheria 5-2 Lf unit/0.5 mL Syrg 0.5 mL Syringe" | $49.10 | $61.37 | Apr 1, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE 0.500 ML SYRINGE | $50.49 | $166.00 | Sep 30, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE 0.500 ML SYRINGE | $50.54 | $166.00 | Sep 30, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE 0.500 ML SYRINGE | $51.05 | $166.00 | Sep 30, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Diphtheria and tetanus vaccine (7 years or older) | $54.56 | $88.00 | May 18, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $54.98 | $166.00 | Feb 28, 2026 source file |
| Klickitat Valley Hospital Goldendale · Goldendale, WA Tetanus/Diptheria (Tenivac) | $57.82 | $72.28 | Dec 2, 2024 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE 0.500 ML SYRINGE | $60.96 | $166.00 | Sep 30, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA TETANUS DIPHT TOXOID ADULT | $68.00 | $80.00 | Sep 14, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Diphtheria and tetanus vaccine (7 years or older) | $68.84 | $86.05 | Aug 6, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Td Vaccine Greater Than or Equal to 7yo Preservative Free Im | $72.90 | $81.00 | Aug 10, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $73.27 | $166.00 | Feb 28, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Diphtheria and tetanus vaccine (7 years or older) | $75.92 | $75.92 | Sep 1, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 5-2 LF/0.5ML | $78.32 | $111.88 | Apr 1, 2026 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 5-2 LF/0.5ML | $78.32 | $111.88 | Apr 1, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA 90714 Td vaccine | $80.37 | $141.00 | Apr 1, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA 90714 Td vaccine | $91.65 | $141.00 | Apr 1, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 2-2 LF/0.5ML | $95.00 | $182.69 | Apr 1, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP WRAPPER | $98.85 | $98.85 | Mar 31, 2026 source file |
| Whitman Hospital and Medical Center Colfax · Pullman, WA Diphtheria and tetanus vaccine (7 years or older) | $107.26 | $134.07 | Jun 29, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA TD NON HEALTH DEPT | $109.39 | $136.74 | May 15, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC PR RX TD VACCINE PF 7 YRS OR OLDER IM 0.5 ML | $121.50 | $162.00 | Oct 23, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA TETANUS-DIPHTHERIA TOXOIDS-TD 2-2 LF UNIT/0.5 ML IM SUSP [37504] | $132.00 | $165.00 | Mar 26, 2026 source file |
| Swedish Edmonds Edmonds · Seattle-Tacoma-Bellevue, WA TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 5-2 LF/0.5ML | $145.68 | $303.51 | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 5-2 LF/0.5ML | $145.68 | $303.51 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 5-2 LF/0.5ML | $145.68 | $303.51 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 5-2 LF/0.5ML | $145.68 | $303.51 | Apr 1, 2026 source file |
| Lincoln Hospital Davenport · Davenport, WA Diphtheria and tetanus vaccine (7 years or older) | $162.62 | $180.69 | Sep 14, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 16 | $11.95 | $57.97 |
| Spokane-Spokane Valley, WA | 4 | $15.40 | $46.86 |
| Wenatchee-East Wenatchee, WA | 3 | $72.90 | $75.92 |
| Kennewick-Richland, WA | 2 | $14.85 | $47.61 |
| Mount Vernon-Anacortes, WA | 2 | $20.54 | $24.01 |
| Pullman, WA | 2 | $21.84 | $64.55 |
| Bellingham, WA | 1 | $26.98 | $26.98 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $73.27 | $73.27 |
| Centralia, WA | 1 | $54.56 | $54.56 |
| Davenport, WA | 1 | $162.62 | $162.62 |
| Ellensburg, WA | 1 | $28.05 | $28.05 |
| Friday Harbor, WA | 1 | $25.43 | $25.43 |
| Goldendale, WA | 1 | $57.82 | $57.82 |
| Ilwaco, WA | 1 | $121.50 | $121.50 |
| Longview-Kelso, WA | 1 | $26.98 | $26.98 |
| Moses Lake, WA | 1 | $27.00 | $27.00 |
| Port Townsend, WA | 1 | $68.84 | $68.84 |
| Portland-Vancouver-Hillsboro, OR-WA | 1 | $26.88 | $26.88 |
| Republic, WA | 1 | $68.00 | $68.00 |
| Shelton, WA | 1 | $17.96 | $17.96 |
| Yakima, WA | 1 | $91.65 | $91.65 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What tetanus shot (Td) is, what the price covers and why prices differ: Tetanus shot (Td) explained.
Td vaccine (tetanus and diphtheria booster), age 7 and older in other states
- Alabama$55.68
- Alaska$139.44
- Arizona$105.92
- Arkansas$70.91
- California$81.39
- Colorado$289.00
- Connecticut$126.33
- Delaware$139.26
- District of Columbia$68.57, 2 hospitals
- Florida$146.51
- Georgia$139.05
- Hawaii$57.60
- Idaho$77.42
- Illinois$77.00
- Indiana$114.50
- Iowa$59.80
- Kansas$64.58
- Kentucky$75.81
- Louisiana$44.50
- Maine$37.01
- Maryland$78.66
- Massachusetts$86.27
- Michigan$54.00
- Minnesota$62.41
- Mississippi$65.76
- Missouri$73.44
- Montana$67.80
- Nebraska$60.40
- Nevada$105.92
- New Hampshire$74.48
- New Jersey$43.72
- New Mexico$59.47
- New York$53.00
- North Carolina$101.50
- North Dakota$50.00
- Ohio$89.76
- Oklahoma$84.34
- Oregon$41.10
- Pennsylvania$55.80
- Puerto Rico$280.00, 3 hospitals
- Rhode Island$68.00, 4 hospitals
- South Carolina$85.00
- South Dakota$64.98
- Tennessee$58.01
- Texas$98.91
- Utah$183.60
- Vermont$43.08
- Virginia$129.98
- West Virginia$51.30
- Wisconsin$41.44
- Wyoming$68.86
Median cash price across the state's hospitals.