Japanese encephalitis vaccine cost without insurance
The median hospital cash price for japanese encephalitis vaccine (Ixiaro), 2-dose schedule is $412.00 across 333 US hospitals; most list between $223.36 and $1,619.89. The lowest outpatient cash price in any of 179 markets is $61.75. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Oct 2, 2026 Each price links to its source file All Vaccine costs
Lowest$61.75any market
Median market$382.58middle of market medians
Most below$1,619.899 in 10 hospitals
Listings333hospital prices
What is CPT 90738?
Ixiaro protects against Japanese encephalitis, a mosquito-borne brain infection in rural Asia. It is two doses 28 days apart, finished at least a week before travel.
What the price covers
The price is for the vaccine dose. Giving the shot is usually a separate line (code 90471 for the first vaccine of the visit, 90472 for each additional one).
Why prices differ
Pharmacies, health departments and pediatric offices also give this vaccine, and hospital prices for the same dose vary widely.
What to ask
Ask whether the self-pay price for CPT 90738 includes giving the shot (90471) and how many doses the full series needs.
Prices by state
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$224.95
- Alaska$570.00
- Arizona$647.45
- Arkansas$560.90
- California$274.48
- Colorado$428.67
- Connecticut$647.45
- Florida$1,380.97
- Hawaii$495.92
- Idaho$323.55
- Illinois$424.92
- Indiana$928.81
- Iowa$350.71
- Kentucky$1,141.50
- Louisiana$154.98
- Maine$474.05
- Massachusetts$693.12
- Michigan$441.10
- Minnesota$223.36
- Mississippi$112.40
- Missouri$172.20
- Montana$477.60
- Nebraska$250.25
- Nevada$822.64
- New Hampshire$110.81
- New Jersey$183.01
- New York$227.79
- North Carolina$360.73
- North Dakota$350.33
- Ohio$1,380.97
- Oregon$394.40
- Pennsylvania$1,958.60
- South Carolina$596.52
- South Dakota$371.20
- Tennessee$112.81
- Texas$610.03
- Utah$413.70
- Virginia$856.43
- Washington$389.78
- West Virginia$354.50
- Wisconsin$279.16
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Antigo, WI single city | 1 | $235.30 | $235.30 | $235.30 | 1.0× |
| Akron, OH | 3 | $328.50 | $1,380.97 | $2,069.33 | 6.3× |
| Albany, OR | 1 | $345.60 | $345.60 | $345.60 | 1.0× |
| Albany-Schenectady-Troy, NY | 1 | $226.26 | $226.26 | $226.26 | 1.0× |
| Albemarle, NC | 1 | $361.00 | $361.00 | $361.00 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 9 | $182.78 | $1,958.60 | $5,580.46 | 30.5× |
| Ann Arbor, MI | 1 | $210.80 | $210.80 | $210.80 | 1.0× |
| Appleton, WI | 3 | $279.16 | $279.16 | $422.94 | 1.5× |
| Asheville, NC | 2 | $2,500.50 | $2,500.50 | $2,500.50 | 1.0× |
| Ashland, OH | 1 | $2,069.33 | $2,069.33 | $2,069.33 | 1.0× |
| Astoria, OR | 1 | $251.25 | $251.25 | $251.25 | 1.0× |
| Auburn-Opelika, AL | 1 | $224.95 | $224.95 | $224.95 | 1.0× |
| Augusta-Richmond County, GA-SC | 1 | $596.52 | $596.52 | $596.52 | 1.0× |
| Austin-Round Rock-San Marcos, TX | 1 | $610.03 | $610.03 | $610.03 | 1.0× |
| Bad Axe, MI single city | 1 | $424.15 | $424.15 | $424.15 | 1.0× |
| Belmond, IA single city | 1 | $531.14 | $531.14 | $531.14 | 1.0× |
| Berlin, WI single city | 1 | $279.16 | $279.16 | $279.16 | 1.0× |
| Buckhannon, WV single city | 1 | $531.50 | $531.50 | $531.50 | 1.0× |
| Baker City, OR | 1 | $204.75 | $204.75 | $204.75 | 1.0× |
| Bay City, MI | 1 | $441.10 | $441.10 | $441.10 | 1.0× |
| Beaver Dam, WI | 1 | $665.88 | $665.88 | $665.88 | 1.0× |
| Bend, OR | 1 | $443.20 | $443.20 | $443.20 | 1.0× |
| Bloomington, IL | 1 | $424.92 | $424.92 | $424.92 | 1.0× |
| Bluefield, WV-VA | 2 | $354.50 | $589.17 | $823.84 | 2.3× |
| Boise City, ID | 4 | $204.75 | $264.15 | $323.55 | 1.6× |
| Boston-Cambridge-Newton, MA-NH | 6 | $338.85 | $718.80 | $1,407.39 | 4.2× |
| Bozeman, MT | 2 | $477.60 | $477.60 | $477.60 | 1.0× |
| Brevard, NC | 1 | $2,500.50 | $2,500.50 | $2,500.50 | 1.0× |
| Cadiz, OH single city | 1 | $531.50 | $531.50 | $531.50 | 1.0× |
| Caro, MI single city | 1 | $424.15 | $424.15 | $424.15 | 1.0× |
| Clarion, IA single city | 1 | $255.60 | $255.60 | $255.60 | 1.0× |
| Concord, NC single city | 1 | $360.73 | $360.73 | $360.73 | 1.0× |
| Cadillac, MI | 1 | $804.95 | $804.95 | $804.95 | 1.0× |
| Canton-Massillon, OH | 1 | $1,380.97 | $1,380.97 | $1,380.97 | 1.0× |
| Champaign-Urbana, IL | 2 | $424.92 | $576.96 | $729.00 | 1.7× |
| Charleston, WV | 1 | $354.50 | $354.50 | $354.50 | 1.0× |
| Charlotte-Concord-Gastonia, NC-SC | 11 | $360.73 | $360.73 | $360.73 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 7 | $61.75 | $313.00 | $826.57 | 13.4× |
| Chillicothe, OH | 1 | $215.50 | $215.50 | $215.50 | 1.0× |
| Cincinnati, OH-KY-IN | 2 | $399.62 | $598.17 | $796.72 | 2.0× |
| Clarksburg, WV | 1 | $354.50 | $354.50 | $354.50 | 1.0× |
| Cleveland, OH | 22 | $235.55 | $1,380.97 | $2,069.33 | 8.8× |
| Columbia, MO | 1 | $172.20 | $172.20 | $172.20 | 1.0× |
| Columbus, OH | 1 | $990.59 | $990.59 | $990.59 | 1.0× |
| Cumberland, MD-WV | 1 | $531.50 | $531.50 | $531.50 | 1.0× |
| Decorah, IA single city | 1 | $350.71 | $350.71 | $350.71 | 1.0× |
| Delhi, NY single city | 1 | $226.26 | $226.26 | $226.26 | 1.0× |
| Devils Lake, ND single city | 1 | $350.33 | $350.33 | $350.33 | 1.0× |
| Danville, IL | 1 | $424.92 | $424.92 | $424.92 | 1.0× |
| Detroit-Warren-Dearborn, MI | 8 | $313.00 | $377.05 | $441.10 | 1.4× |
| Duluth, MN-WI | 2 | $196.93 | $216.83 | $236.73 | 1.2× |
| Eagle River, WI single city | 1 | $235.30 | $235.30 | $235.30 | 1.0× |
| East Stroudsburg, PA | 1 | $1,958.60 | $1,958.60 | $1,958.60 | 1.0× |
| Eau Claire, WI | 2 | $235.30 | $450.59 | $665.88 | 2.8× |
| Edwards, CO | 1 | $474.75 | $474.75 | $474.75 | 1.0× |
| Elko, NV | 1 | $822.64 | $822.64 | $822.64 | 1.0× |
| Farmington, CT single city | 1 | $195.00 | $195.00 | $195.00 | 1.0× |
| Franklin, NC single city | 1 | $2,500.50 | $2,500.50 | $2,500.50 | 1.0× |
| Fergus Falls, MN | 1 | $292.50 | $292.50 | $292.50 | 1.0× |
| Flint, MI | 1 | $441.10 | $441.10 | $441.10 | 1.0× |
| Fond du Lac, WI | 1 | $279.16 | $279.16 | $279.16 | 1.0× |
| Fort Wayne, IN | 5 | $705.65 | $999.46 | $1,197.62 | 1.7× |
| Fresno, CA | 1 | $232.96 | $232.96 | $232.96 | 1.0× |
| Gassaway, WV single city | 1 | $531.50 | $531.50 | $531.50 | 1.0× |
| Grayling, MI single city | 1 | $804.95 | $804.95 | $804.95 | 1.0× |
| Greenfield, OH single city | 1 | $215.50 | $215.50 | $215.50 | 1.0× |
| Grand Forks, ND-MN | 1 | $350.33 | $350.33 | $350.33 | 1.0× |
| Grand Rapids, MN | 1 | $236.73 | $236.73 | $236.73 | 1.0× |
| Green Bay, WI | 1 | $249.09 | $249.09 | $249.09 | 1.0× |
| Greensburg, IN | 1 | $355.50 | $355.50 | $355.50 | 1.0× |
| Greenwood, SC | 2 | $596.52 | $646.23 | $695.94 | 1.2× |
| Hartford, CT single city | 2 | $647.45 | $679.72 | $711.99 | 1.1× |
| Highlands, NC single city | 1 | $2,500.50 | $2,500.50 | $2,500.50 | 1.0× |
| Hagerstown-Martinsburg, MD-WV | 1 | $354.50 | $354.50 | $354.50 | 1.0× |
| Hailey, ID | 1 | $323.55 | $323.55 | $323.55 | 1.0× |
| Harrisburg-Carlisle, PA | 1 | $146.64 | $146.64 | $146.64 | 1.0× |
| Hood River, OR | 1 | $514.50 | $514.50 | $514.50 | 1.0× |
| Houghton, MI | 1 | $235.30 | $235.30 | $235.30 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 1 | $610.03 | $610.03 | $610.03 | 1.0× |
| Iron River, MI single city | 1 | $235.30 | $235.30 | $235.30 | 1.0× |
| Ironwood, MI single city | 1 | $235.30 | $235.30 | $235.30 | 1.0× |
| John Day, OR single city | 1 | $1,651.50 | $1,651.50 | $1,651.50 | 1.0× |
| Jackson, MS | 2 | $112.40 | $112.40 | $112.40 | 1.0× |
| Ladysmith, WI single city | 1 | $665.88 | $665.88 | $665.88 | 1.0× |
| Lansing-East Lansing, MI | 1 | $441.10 | $441.10 | $441.10 | 1.0× |
| Lebanon-Claremont, NH-VT | 1 | $71.61 | $71.61 | $71.61 | 1.0× |
| Little Rock-North Little Rock-Conway, AR | 1 | $560.90 | $560.90 | $560.90 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 9 | $481.34 | $481.34 | $481.34 | 1.0× |
| McCall, ID single city | 1 | $323.55 | $323.55 | $323.55 | 1.0× |
| Medford, WI single city | 1 | $235.30 | $235.30 | $235.30 | 1.0× |
| Meriden, CT single city | 1 | $647.45 | $647.45 | $647.45 | 1.0× |
| Merrill, WI single city | 1 | $235.30 | $235.30 | $235.30 | 1.0× |
| Minocqua, WI single city | 1 | $665.88 | $665.88 | $665.88 | 1.0× |
| Morehead, KY single city | 1 | $1,141.50 | $1,141.50 | $1,141.50 | 1.0× |
| Madison, WI | 1 | $235.30 | $235.30 | $235.30 | 1.0× |
| Marion, NC | 1 | $2,500.50 | $2,500.50 | $2,500.50 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 2 | $202.80 | $791.89 | $1,380.97 | 6.8× |
| Milwaukee-Waukesha, WI | 2 | $232.14 | $232.14 | $232.14 | 1.0× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 10 | $223.36 | $223.36 | $471.06 | 2.1× |
| Modesto, CA | 1 | $232.96 | $232.96 | $232.96 | 1.0× |
| Morgantown, WV | 1 | $354.50 | $354.50 | $354.50 | 1.0× |
| Mount Pleasant, MI | 1 | $441.10 | $441.10 | $441.10 | 1.0× |
| Neillsville, WI single city | 1 | $665.88 | $665.88 | $665.88 | 1.0× |
| New Britain, CT single city | 1 | $647.45 | $647.45 | $647.45 | 1.0× |
| New London, WI single city | 1 | $279.16 | $279.16 | $279.16 | 1.0× |
| New Martinsville, WV single city | 1 | $354.50 | $354.50 | $354.50 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 2 | $112.81 | $161.44 | $210.06 | 1.9× |
| New Orleans-Metairie, LA | 1 | $154.98 | $154.98 | $154.98 | 1.0× |
| New Philadelphia-Dover, OH | 1 | $1,380.97 | $1,380.97 | $1,380.97 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 11 | $94.97 | $229.32 | $1,023.00 | 10.8× |
| Newport, OR | 2 | $345.60 | $345.60 | $345.60 | 1.0× |
| Olney, IL single city | 1 | $424.92 | $424.92 | $424.92 | 1.0× |
| Omaha, NE-IA | 2 | $250.25 | $250.25 | $250.25 | 1.0× |
| Oneonta, NY | 2 | $225.99 | $226.13 | $226.26 | 1.0× |
| Ontario, OR-ID | 1 | $204.75 | $204.75 | $204.75 | 1.0× |
| Oshkosh-Neenah, WI | 2 | $279.16 | $279.16 | $279.16 | 1.0× |
| Park Falls, WI single city | 1 | $665.88 | $665.88 | $665.88 | 1.0× |
| Petersburg, WV single city | 1 | $850.40 | $850.40 | $850.40 | 1.0× |
| Parkersburg-Vienna, WV | 1 | $354.50 | $354.50 | $354.50 | 1.0× |
| Peoria, IL | 4 | $424.92 | $424.92 | $424.92 | 1.0× |
| Peru, IN | 1 | $1,493.44 | $1,493.44 | $1,493.44 | 1.0× |
| Petoskey, MI | 1 | $441.10 | $441.10 | $441.10 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 2 | $1,958.60 | $1,958.60 | $1,958.60 | 1.0× |
| Phoenix-Mesa-Chandler, AZ | 1 | $647.45 | $647.45 | $647.45 | 1.0× |
| Pittsburgh, PA | 1 | $354.50 | $354.50 | $354.50 | 1.0× |
| Port St. Lucie, FL | 1 | $1,380.97 | $1,380.97 | $1,380.97 | 1.0× |
| Portland-South Portland, ME | 1 | $474.05 | $474.05 | $474.05 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 3 | $689.59 | $786.81 | $786.81 | 1.1× |
| Pottsville, PA | 2 | $1,958.60 | $1,958.60 | $1,958.60 | 1.0× |
| Rhinelander, WI single city | 1 | $235.30 | $235.30 | $235.30 | 1.0× |
| Ripley, WV single city | 1 | $531.50 | $531.50 | $531.50 | 1.0× |
| Rapid City, SD | 3 | $371.20 | $371.20 | $371.20 | 1.0× |
| Rice Lake, WI | 1 | $665.88 | $665.88 | $665.88 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 4 | $481.34 | $481.34 | $481.34 | 1.0× |
| Soldotna, AK single city | 1 | $570.00 | $570.00 | $570.00 | 1.0× |
| Sparta, NC single city | 1 | $1,985.53 | $1,985.53 | $1,985.53 | 1.0× |
| Spruce Pine, NC single city | 1 | $2,500.50 | $2,500.50 | $2,500.50 | 1.0× |
| Summersville, WV single city | 1 | $531.50 | $531.50 | $531.50 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 3 | $232.96 | $232.96 | $232.96 | 1.0× |
| Salt Lake City-Murray, UT | 1 | $413.70 | $413.70 | $413.70 | 1.0× |
| San Diego-Chula Vista-Carlsbad, CA | 4 | $481.34 | $481.34 | $876.39 | 1.8× |
| San Francisco-Oakland-Fremont, CA | 12 | $232.96 | $232.96 | $316.00 | 1.4× |
| San Jose-Sunnyvale-Santa Clara, CA | 4 | $232.96 | $366.48 | $984.40 | 4.2× |
| Santa Cruz-Watsonville, CA | 1 | $316.00 | $316.00 | $316.00 | 1.0× |
| Santa Rosa-Petaluma, CA | 2 | $213.50 | $223.23 | $232.96 | 1.1× |
| Seattle-Tacoma-Bellevue, WA | 2 | $305.10 | $347.44 | $389.78 | 1.3× |
| Sebastian-Vero Beach-West Vero Corridor, FL | 1 | $1,380.97 | $1,380.97 | $1,380.97 | 1.0× |
| Shawano, WI | 1 | $279.16 | $279.16 | $279.16 | 1.0× |
| Shelby-Kings Mountain, NC | 1 | $360.73 | $360.73 | $360.73 | 1.0× |
| Shelbyville, TN | 1 | $112.81 | $112.81 | $112.81 | 1.0× |
| Spearfish, SD | 2 | $371.20 | $371.20 | $371.20 | 1.0× |
| Stevens Point-Plover, WI | 3 | $235.30 | $235.30 | $665.88 | 2.8× |
| Stockton-Lodi, CA | 1 | $232.96 | $232.96 | $232.96 | 1.0× |
| Tomahawk, WI single city | 1 | $235.30 | $235.30 | $235.30 | 1.0× |
| Two Harbors, MN single city | 1 | $297.93 | $297.93 | $297.93 | 1.0× |
| Texarkana, TX-AR | 1 | $1,493.44 | $1,493.44 | $1,493.44 | 1.0× |
| Toledo, OH | 1 | $660.39 | $660.39 | $660.39 | 1.0× |
| Traverse City, MI | 1 | $797.30 | $797.30 | $797.30 | 1.0× |
| Tullahoma-Manchester, TN | 1 | $112.81 | $112.81 | $112.81 | 1.0× |
| Twin Falls, ID | 1 | $323.55 | $323.55 | $323.55 | 1.0× |
| Urban Honolulu, HI | 2 | $297.60 | $495.92 | $694.24 | 2.3× |
| Utica-Rome, NY | 1 | $226.26 | $226.26 | $226.26 | 1.0× |
| Vallejo, CA | 2 | $232.96 | $232.96 | $232.96 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 1 | $889.02 | $889.02 | $889.02 | 1.0× |
| Waupaca, WI single city | 1 | $279.16 | $279.16 | $279.16 | 1.0× |
| Waverly, OH single city | 1 | $215.50 | $215.50 | $215.50 | 1.0× |
| Wild Rose, WI single city | 1 | $279.16 | $279.16 | $279.16 | 1.0× |
| Wolfeboro, NH single city | 1 | $150.00 | $150.00 | $150.00 | 1.0× |
| Woodruff, WI single city | 1 | $235.30 | $235.30 | $235.30 | 1.0× |
| Wray, CO single city | 1 | $382.58 | $382.58 | $382.58 | 1.0× |
| Warsaw, IN | 1 | $735.81 | $735.81 | $735.81 | 1.0× |
| Washington Court House, OH | 1 | $431.00 | $431.00 | $431.00 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 1 | $531.50 | $531.50 | $531.50 | 1.0× |
| Wausau, WI | 2 | $235.30 | $450.59 | $665.88 | 2.8× |
| Weirton-Steubenville, WV-OH | 1 | $354.50 | $354.50 | $354.50 | 1.0× |
| Wenatchee-East Wenatchee, WA | 1 | $611.10 | $611.10 | $611.10 | 1.0× |
| Wheeling, WV-OH | 3 | $354.50 | $354.50 | $531.50 | 1.5× |
| Wisconsin Rapids-Marshfield, WI | 2 | $235.30 | $450.59 | $665.88 | 2.8× |
| Worcester, MA | 1 | $693.12 | $693.12 | $693.12 | 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 90738?
CPT 90738 is the billing code for japanese encephalitis vaccine (Ixiaro), 2-dose schedule. Ixiaro protects against Japanese encephalitis, a mosquito-borne brain infection in rural Asia. It is two doses 28 days apart, finished at least a week before travel.
Who needs the Japanese encephalitis vaccine?
Travelers staying a month or longer in affected areas, or shorter trips with much time outdoors in rural areas during the transmission season.
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.