Vaccines CPT 91320 431 markets

COVID-19 vaccine (Pfizer) cost without insurance

The median hospital cash price for COVID-19 vaccine (Pfizer-BioNTech), age 12 and older is $196.27 across 825 US hospitals; most list between $77.01 and $495.58. The lowest outpatient cash price in any of 431 markets is $20.91. 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 COVID-19 vaccine costs

Lowest$20.91any market
Median market$196.50middle of market medians
Most below$495.589 in 10 hospitals
Listings820hospital prices

Compared with the vaccine's list price

$202.11 (Comirnaty) 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, $196.27 across 825 hospitals, is 1.0× 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 COVID-19 vaccine (Pfizer), the highest negotiated rate in a hospital's file has a median of $346.28 and the lowest a median of $97.52. At 557 of 639 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.

What is CPT 91320?

This code is the Pfizer-BioNTech COVID-19 vaccine for people 12 and older, updated each season to match circulating variants. Who is advised to get it changed in 2025, so check current guidance with a doctor or pharmacist.

What the price covers

The price is for the vaccine dose. Giving the shot is billed separately, for COVID-19 vaccines with code 90480 rather than 90471.

Why prices differ

Most people get COVID-19 shots at pharmacies; hospital prices for the same dose vary widely.

What to ask

Ask whether the self-pay price for CPT 91320 includes giving the shot (90480).

Prices by state

Among 38 states with at least 5 hospitals listing a cash price, the median is lowest in Virginia ($68.83), New Jersey ($76.30) and Louisiana ($95.31), and highest in Alabama ($842.70), Massachusetts ($409.33) and Colorado ($401.65).

Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.

Prices by market

Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.

MarketHospitalsLowestMedianHighest×
Ada, MN single city 1 $193.91 $193.91 $193.91 1.0×
Aitkin, MN single city 1 $147.28 $147.28 $147.28 1.0×
Akron, OH 3 $292.50 $320.45 $331.50 1.1×
Albany, KY single city 1 $170.52 $170.52 $170.52 1.0×
Albany, MO single city 1 $272.85 $272.85 $272.85 1.0×
Albany, OR 1 $168.00 $168.00 $168.00 1.0×
Albany-Schenectady-Troy, NY 2 $267.15 $267.15 $267.15 1.0×
Albemarle, NC 1 $98.00 $98.00 $98.00 1.0×
Albertville, AL 2 $842.70 $842.70 $842.70 1.0×
Albuquerque, NM 1 $81.51 $81.51 $81.51 1.0×
Allentown-Bethlehem-Easton, PA-NJ 1 $62.72 $62.72 $62.72 1.0×
Ames, IA 1 $128.00 $128.00 $128.00 1.0×
Anaconda, MT single city 1 $175.13 $175.13 $175.13 1.0×
Anchorage, AK 3 $179.49 $204.52 $911.00 5.1×
Anderson Creek, NC 1 $489.75 $489.75 $489.75 1.0×
Andrews, TX 1 $115.00 $115.00 $115.00 1.0×
Ann Arbor, MI 1 $78.00 $78.00 $78.00 1.0×
Appleton, MN single city 1 $177.65 $177.65 $177.65 1.0×
Armour, SD single city 1 $132.30 $132.30 $132.30 1.0×
Asheville, NC 1 $1,128.08 $1,128.08 $1,128.08 1.0×
Ashley, ND single city 1 $385.00 $385.00 $385.00 1.0×
Astoria, OR 1 $196.65 $196.65 $196.65 1.0×
Atchison, KS 1 $457.00 $457.00 $457.00 1.0×
Atlanta-Sandy Springs-Roswell, GA 1 $129.00 $129.00 $129.00 1.0×
Augusta-Richmond County, GA-SC 1 $95.48 $95.48 $95.48 1.0×
Bad Axe, MI single city 1 $153.85 $153.85 $153.85 1.0×
Bakersfield-Delano, CA 1 $243.80 $243.80 $243.80 1.0×
Baltimore-Columbia-Towson, MD 1 $377.60 $377.60 $377.60 1.0×
Bangor, ME 1 $154.53 $154.53 $154.53 1.0×
Batavia, NY 1 $196.27 $196.27 $196.27 1.0×
Baudette, MN single city 1 $220.08 $220.08 $220.08 1.0×
Bay City, MI 1 $131.28 $131.28 $131.28 1.0×
Beatrice, NE 1 $180.00 $180.00 $180.00 1.0×
Beckley, WV 1 $589.50 $589.50 $589.50 1.0×
Belmond, IA single city 1 $265.84 $265.84 $265.84 1.0×
Bemidji, MN 1 $92.20 $92.20 $92.20 1.0×
Bend, OR 1 $171.20 $171.20 $171.20 1.0×
Bismarck, ND 2 $55.28 $142.22 $229.15 4.1×
Blackfoot, ID 1 $308.56 $308.56 $308.56 1.0×
Bloomington, IL 1 $244.58 $244.58 $244.58 1.0×
Bluefield, WV-VA 1 $100.50 $100.50 $100.50 1.0×
Boise City, ID 4 $152.75 $197.38 $242.00 1.6×
Boston-Cambridge-Newton, MA-NH 4 $132.30 $312.38 $315.00 2.4×
Boulder, CO 1 $199.00 $199.00 $199.00 1.0×
Bowling Green, KY 2 $147.53 $159.03 $170.52 1.2×
Bowman, ND single city 1 $108.00 $108.00 $108.00 1.0×
Bozeman, MT 2 $138.40 $138.40 $138.40 1.0×
Brainerd, MN 1 $176.60 $176.60 $176.60 1.0×
Branson, MO 1 $1,211.17 $1,211.17 $1,211.17 1.0×
Brattleboro, VT 2 $124.00 $253.45 $382.90 3.1×
Bremerton-Silverdale-Port Orchard, WA 1 $245.39 $245.39 $245.39 1.0×
Brevard, NC 1 $1,128.08 $1,128.08 $1,128.08 1.0×
Buckhannon, WV single city 1 $150.50 $150.50 $150.50 1.0×
Bucyrus, OH 1 $1,294.55 $1,294.55 $1,294.55 1.0×
Buffalo, WY single city 1 $171.00 $171.00 $171.00 1.0×
Buffalo-Cheektowaga, NY 6 $169.05 $201.00 $366.00 2.2×
Cadillac, MI 1 $233.75 $233.75 $233.75 1.0×
Cadiz, OH single city 1 $150.50 $150.50 $150.50 1.0×
Canby, MN single city 1 $232.02 $232.02 $232.02 1.0×
Canton-Massillon, OH 1 $346.26 $346.26 $346.26 1.0×
Caro, MI single city 1 $153.85 $153.85 $153.85 1.0×
Carroll, IA 1 $141.78 $141.78 $141.78 1.0×
Carrollton, KY single city 1 $204.00 $204.00 $204.00 1.0×
Cedartown, GA 1 $98.00 $98.00 $98.00 1.0×
Centerville, IA single city 1 $151.00 $151.00 $151.00 1.0×
Centre, AL single city 1 $98.00 $98.00 $98.00 1.0×
Chamberlain, SD single city 1 $229.80 $229.80 $229.80 1.0×
Champaign-Urbana, IL 1 $244.58 $244.58 $244.58 1.0×
Chanute, KS single city 1 $179.54 $179.54 $179.54 1.0×
Charles City, IA single city 1 $132.00 $132.00 $132.00 1.0×
Charleston, WV 2 $100.50 $150.77 $201.03 2.0×
Charleston-North Charleston, SC 1 $552.04 $552.04 $552.04 1.0×
Charlevoix, MI single city 1 $233.75 $233.75 $233.75 1.0×
Charlotte-Concord-Gastonia, NC-SC 9 $98.00 $98.00 $117.58 1.2×
Charlottesville, VA 1 $65.55 $65.55 $65.55 1.0×
Cheraw, SC single city 1 $495.58 $495.58 $495.58 1.0×
Chicago-Naperville-Elgin, IL-IN 25 $38.54 $189.80 $1,447.36 37.6×
Cincinnati, OH-KY-IN 3 $83.69 $266.48 $266.48 3.2×
Clarion, IA single city 1 $265.84 $265.84 $265.84 1.0×
Clarksburg, WV 1 $100.50 $100.50 $100.50 1.0×
Clear Lake, SD single city 1 $232.02 $232.02 $232.02 1.0×
Cleveland, OH 21 $44.45 $331.50 $1,324.79 29.8×
Clinton, IA 2 $103.35 $188.68 $274.01 2.7×
Cody, WY 1 $272.75 $272.75 $272.75 1.0×
Columbia, MO 1 $169.20 $169.20 $169.20 1.0×
Columbia, SC 1 $140.00 $140.00 $140.00 1.0×
Columbus, NE 1 $375.81 $375.81 $375.81 1.0×
Columbus, OH 2 $148.50 $721.53 $1,294.55 8.7×
Cookeville, TN 1 $247.16 $247.16 $247.16 1.0×
Coos Bay-North Bend, OR 2 $128.25 $128.64 $129.02 1.0×
Corbin, KY 2 $334.80 $462.15 $589.50 1.8×
Cordova, AK single city 1 $268.75 $268.75 $268.75 1.0×
Corning, IA single city 1 $206.24 $206.24 $206.24 1.0×
Corning, NY 1 $162.96 $162.96 $162.96 1.0×
Cortland, NY 1 $162.96 $162.96 $162.96 1.0×
Crestview-Fort Walton Beach-Destin, FL 1 $224.08 $224.08 $224.08 1.0×
Crossville, TN 1 $161.07 $161.07 $161.07 1.0×
Culver City, CA single city 1 $687.58 $687.58 $687.58 1.0×
Cumberland, MD-WV 1 $150.50 $150.50 $150.50 1.0×
Dallas-Fort Worth-Arlington, TX 4 $255.50 $554.04 $764.30 3.0×
Danville, IL 1 $244.58 $244.58 $244.58 1.0×
Davenport, WA single city 1 $157.50 $157.50 $157.50 1.0×
Davenport-Moline-Rock Island, IA-IL 4 $216.11 $274.01 $274.01 1.3×
Dawson, MN single city 1 $171.89 $171.89 $171.89 1.0×
Defiance, OH 1 $181.80 $181.80 $181.80 1.0×
DeKalb, MS single city 1 $113.85 $113.85 $113.85 1.0×
Deltona-Daytona Beach-Ormond Beach, FL 2 $248.80 $248.80 $248.80 1.0×
Denver-Aurora-Centennial, CO 1 $101.09 $101.09 $101.09 1.0×
Des Moines-West Des Moines, IA 3 $98.15 $103.35 $159.00 1.6×
Detroit Lakes, MN 1 $168.46 $168.46 $168.46 1.0×
Detroit-Warren-Dearborn, MI 6 $151.00 $176.41 $214.25 1.4×
Dickinson, ND 1 $108.82 $108.82 $108.82 1.0×
Dillon, SC single city 1 $495.58 $495.58 $495.58 1.0×
Dover, DE 1 $137.97 $137.97 $137.97 1.0×
Dubuque, IA 2 $98.15 $100.75 $103.35 1.1×
Duluth, MN-WI 9 $48.88 $173.18 $464.13 9.5×
Durant, OK 1 $246.70 $246.70 $246.70 1.0×
East Amery, WI single city 1 $149.64 $149.64 $149.64 1.0×
Elizabeth City, NC 1 $65.55 $65.55 $65.55 1.0×
Elizabethtown, KY 1 $334.80 $334.80 $334.80 1.0×
Elizabethtown, NC single city 1 $489.75 $489.75 $489.75 1.0×
Elkader, IA single city 1 $98.15 $98.15 $98.15 1.0×
Ellensburg, WA 1 $205.91 $205.91 $205.91 1.0×
Erie, PA 1 $234.00 $234.00 $234.00 1.0×
Eureka-Arcata, CA 2 $130.25 $131.99 $133.72 1.0×
Evansville, IN 1 $68.97 $68.97 $68.97 1.0×
Fairfield, IA single city 1 $209.81 $209.81 $209.81 1.0×
Fairfield, IL single city 1 $152.00 $152.00 $152.00 1.0×
Fairmont, WV 1 $193.76 $193.76 $193.76 1.0×
Fargo, ND-MN 2 $196.80 $250.87 $304.94 1.5×
Fayette, AL single city 1 $376.07 $376.07 $376.07 1.0×
Fayetteville, NC 3 $489.75 $489.75 $489.75 1.0×
Fergus Falls, MN 1 $126.75 $126.75 $126.75 1.0×
Flint, MI 1 $214.25 $214.25 $214.25 1.0×
Florence, SC 1 $495.58 $495.58 $495.58 1.0×
Florence-Muscle Shoals, AL 1 $842.70 $842.70 $842.70 1.0×
Fort Wayne, IN 5 $313.34 $443.81 $531.80 1.7×
Franklin, NC single city 1 $1,128.08 $1,128.08 $1,128.08 1.0×
Fresno, CA 1 $232.96 $232.96 $232.96 1.0×
Friendship, WI single city 1 $174.75 $174.75 $174.75 1.0×
Gaffney, SC 1 $170.40 $170.40 $170.40 1.0×
Gallup, NM 1 $174.00 $174.00 $174.00 1.0×
Garrison, ND single city 1 $307.07 $307.07 $307.07 1.0×
Gassaway, WV single city 1 $150.50 $150.50 $150.50 1.0×
Gaylord, MI single city 1 $233.75 $233.75 $233.75 1.0×
Glendale, CA single city 1 $574.35 $574.35 $574.35 1.0×
Glenwood, MN single city 1 $391.78 $391.78 $391.78 1.0×
Graceville, MN single city 1 $193.91 $193.91 $193.91 1.0×
Grand Forks, ND-MN 3 $169.00 $175.00 $193.91 1.1×
Grand Island, NE 2 $208.60 $232.63 $256.65 1.2×
Grand Junction, CO 1 $594.46 $594.46 $594.46 1.0×
Grand Rapids, MN 2 $48.88 $121.40 $193.91 4.0×
Grand Rapids-Wyoming-Kentwood, MI 4 $39.75 $223.33 $600.00 15.1×
Grants, NM single city 1 $332.74 $332.74 $332.74 1.0×
Grantsburg, WI single city 1 $96.00 $96.00 $96.00 1.0×
Grayling, MI single city 1 $233.75 $233.75 $233.75 1.0×
Green Bay, WI 1 $169.00 $169.00 $169.00 1.0×
Greensboro-High Point, NC 1 $98.00 $98.00 $98.00 1.0×
Greensburg, IN 1 $408.75 $408.75 $408.75 1.0×
Greenville-Anderson-Greer, SC 1 $170.40 $170.40 $170.40 1.0×
Greenwood, SC 2 $95.48 $103.44 $111.40 1.2×
Gulfport-Biloxi, MS 3 $109.40 $164.10 $164.10 1.5×
Hagerstown-Martinsburg, MD-WV 1 $104.00 $104.00 $104.00 1.0×
Hailey, ID 1 $242.00 $242.00 $242.00 1.0×
Hammond, LA 2 $131.10 $147.00 $162.90 1.2×
Hampton, IA single city 1 $451.85 $451.85 $451.85 1.0×
Harlan, KY single city 1 $589.50 $589.50 $589.50 1.0×
Harrisonburg, VA 1 $65.55 $65.55 $65.55 1.0×
Hartford, CT single city 2 $191.40 $286.28 $381.15 2.0×
Hartford, KY single city 1 $247.00 $247.00 $247.00 1.0×
Hattiesburg, MS 1 $137.69 $137.69 $137.69 1.0×
Haxtun, CO single city 1 $329.00 $329.00 $329.00 1.0×
Hayden, KY single city 1 $589.50 $589.50 $589.50 1.0×
Hazard, KY single city 1 $589.50 $589.50 $589.50 1.0×
Henderson, KY 1 $62.70 $62.70 $62.70 1.0×
Hermann, MO single city 1 $121.80 $121.80 $121.80 1.0×
Highlands, NC single city 1 $1,128.08 $1,128.08 $1,128.08 1.0×
Hilo-Kailua, HI 1 $201.60 $201.60 $201.60 1.0×
Hinton, WV single city 1 $589.50 $589.50 $589.50 1.0×
Hobbs, NM 1 $110.12 $110.12 $110.12 1.0×
Holland, MI 1 $99.00 $99.00 $99.00 1.0×
Hood River, OR 1 $196.65 $196.65 $196.65 1.0×
Horse Cave, KY single city 1 $170.52 $170.52 $170.52 1.0×
Houma-Bayou Cane-Thibodaux, LA 2 $77.55 $453.70 $829.85 10.7×
Houston-Pasadena-The Woodlands, TX 4 $89.61 $94.30 $276.00 3.1×
Huntington-Ashland, WV-KY-OH 1 $126.92 $126.92 $126.92 1.0×
Huntsville, AL 2 $842.70 $842.70 $842.70 1.0×
Hutchinson, MN 1 $132.02 $132.02 $132.02 1.0×
Indianapolis-Carmel-Greenwood, IN 4 $155.09 $313.80 $313.80 2.0×
Jackson, MS 3 $131.20 $131.20 $710.00 5.4×
Jackson, WY-ID 1 $315.07 $315.07 $315.07 1.0×
Joe, FL single city 1 $173.64 $173.64 $173.64 1.0×
Johnstown, PA 1 $407.80 $407.80 $407.80 1.0×
Jonesboro, LA single city 1 $312.00 $312.00 $312.00 1.0×
Juneau, AK 1 $160.87 $160.87 $160.87 1.0×
Kahului-Wailuku, HI 1 $201.60 $201.60 $201.60 1.0×
Kalispell, MT 2 $112.45 $112.45 $112.45 1.0×
Kansas City, MO-KS 1 $52.00 $52.00 $52.00 1.0×
Kearney, NE 2 $166.00 $215.91 $265.82 1.6×
Kennewick-Richland, WA 2 $66.55 $124.98 $183.40 2.8×
Kenosha, WI 1 $147.18 $147.18 $147.18 1.0×
Key West-Key Largo, FL 2 $239.85 $239.85 $239.85 1.0×
Kimball, NE single city 1 $459.48 $459.48 $459.48 1.0×
Knox, IN single city 1 $463.47 $463.47 $463.47 1.0×
Knoxville, TN 5 $151.00 $166.10 $166.10 1.1×
Kodiak, AK single city 1 $188.49 $188.49 $188.49 1.0×
Kotzebue, AK single city 1 $890.00 $890.00 $890.00 1.0×
La Crosse-Onalaska, WI-MN 1 $180.94 $180.94 $180.94 1.0×
Lamar, MO single city 1 $1,702.04 $1,702.04 $1,702.04 1.0×
Lancaster, NH single city 1 $86.80 $86.80 $86.80 1.0×
Lanse, MI single city 1 $230.00 $230.00 $230.00 1.0×
Lansing-East Lansing, MI 4 $39.75 $40.88 $214.25 5.4×
Laredo, TX 1 $166.99 $166.99 $166.99 1.0×
Lebanon-Claremont, NH-VT 3 $67.87 $87.00 $118.11 1.7×
Lewisburg, TN 1 $185.32 $185.32 $185.32 1.0×
Lewiston-Auburn, ME 1 $115.14 $115.14 $115.14 1.0×
Lexington-Fayette, KY 1 $334.80 $334.80 $334.80 1.0×
Liberal, KS 1 $128.00 $128.00 $128.00 1.0×
Lincoln, NE 2 $210.82 $215.41 $219.99 1.0×
Little Falls, MN single city 1 $114.26 $114.26 $114.26 1.0×
Little Rock-North Little Rock-Conway, AR 3 $183.35 $315.07 $315.07 1.7×
Los Angeles-Long Beach-Anaheim, CA 24 $84.58 $356.30 $2,760.00 32.6×
Louisville, KY single city 1 $28.80 $28.80 $28.80 1.0×
Louisville/Jefferson County, KY-IN 8 $28.80 $28.80 $334.80 11.6×
Lousiana, MO single city 1 $252.00 $252.00 $252.00 1.0×
Lubbock, TX 3 $101.50 $110.04 $110.12 1.1×
Lyons, KS single city 1 $196.50 $196.50 $196.50 1.0×
Macon-Bibb County, GA 1 $98.00 $98.00 $98.00 1.0×
Madison, WI 1 $177.66 $177.66 $177.66 1.0×
Manchester-Nashua, NH 2 $103.60 $110.30 $117.00 1.1×
Manistee, MI single city 1 $233.75 $233.75 $233.75 1.0×
Manning, SC single city 1 $495.58 $495.58 $495.58 1.0×
Mansfield, OH 1 $1,294.55 $1,294.55 $1,294.55 1.0×
Maquoketa, IA single city 1 $413.56 $413.56 $413.56 1.0×
Marietta, OH 2 $219.56 $219.56 $219.56 1.0×
Marion, NC 1 $1,128.08 $1,128.08 $1,128.08 1.0×
Marquette, MI 1 $220.08 $220.08 $220.08 1.0×
Marshall, MO 1 $107.42 $107.42 $107.42 1.0×
Maryville, MO 1 $272.85 $272.85 $272.85 1.0×
Mason City, IA 1 $103.35 $103.35 $103.35 1.0×
Massena-Ogdensburg, NY 3 $191.10 $191.10 $191.10 1.0×
McCall, ID single city 1 $242.00 $242.00 $242.00 1.0×
McMinnville, TN 1 $247.16 $247.16 $247.16 1.0×
McPherson, KS 1 $148.00 $148.00 $148.00 1.0×
Medford, OR 1 $196.65 $196.65 $196.65 1.0×
Memphis, TN-MS-AR 1 $344.78 $344.78 $344.78 1.0×
Meridian, MS 2 $51.15 $80.85 $110.55 2.2×
Miami-Fort Lauderdale-West Palm Beach, FL 15 $45.69 $239.85 $1,199.74 26.3×
Michigan City-La Porte, IN 1 $566.47 $566.47 $566.47 1.0×
Middlesborough, KY 1 $589.50 $589.50 $589.50 1.0×
Milledgeville, GA 1 $98.00 $98.00 $98.00 1.0×
Milwaukee-Waukesha, WI 1 $114.08 $114.08 $114.08 1.0×
Minneapolis-St. Paul-Bloomington, MN-WI 14 $23.06 $46.12 $447.30 19.4×
Missoula, MT 1 $209.60 $209.60 $209.60 1.0×
Modesto, CA 1 $232.96 $232.96 $232.96 1.0×
Monett, MO single city 1 $1,627.35 $1,627.35 $1,627.35 1.0×
Monroe, LA 2 $177.67 $225.24 $272.80 1.5×
Morgantown, WV 2 $100.50 $130.13 $159.75 1.6×
Morris, MN single city 1 $582.40 $582.40 $582.40 1.0×
Morristown, TN 1 $151.00 $151.00 $151.00 1.0×
Moses Lake, WA 2 $155.89 $181.45 $207.00 1.3×
Mount Airy, NC 2 $34.00 $66.00 $98.00 2.9×
Mount Pleasant, MI 1 $214.25 $214.25 $214.25 1.0×
Muskegon-Norton Shores, MI 1 $406.90 $406.90 $406.90 1.0×
Myrtle Beach-Conway-North Myrtle Beach, SC 3 $495.58 $495.58 $495.58 1.0×
Napa, CA 1 $130.25 $130.25 $130.25 1.0×
Naples-Marco Island, FL 1 $236.30 $236.30 $236.30 1.0×
Napoleon, OH single city 1 $346.50 $346.50 $346.50 1.0×
Nashville-Davidson--Murfreesboro--Franklin, TN 5 $65.25 $247.16 $247.16 3.8×
Nebraska City, NE single city 1 $375.81 $375.81 $375.81 1.0×
New Castle, IN 1 $192.85 $192.85 $192.85 1.0×
New Hampton, IA single city 1 $98.15 $98.15 $98.15 1.0×
New Martinsville, WV single city 1 $100.50 $100.50 $100.50 1.0×
New Orleans-Metairie, LA 10 $45.92 $53.28 $2,461.50 53.6×
New Philadelphia-Dover, OH 1 $346.26 $346.26 $346.26 1.0×
New York-Newark-Jersey City, NY-NJ 44 $28.98 $195.94 $499.68 17.2×
Newport, OR 2 $168.00 $168.00 $168.00 1.0×
Norfolk, NE 1 $394.14 $394.14 $394.14 1.0×
Ocean Pines, MD 1 $188.00 $188.00 $188.00 1.0×
Oelwein, IA single city 1 $98.15 $98.15 $98.15 1.0×
Oklahoma City, OK 1 $39.60 $39.60 $39.60 1.0×
Olivia, MN single city 1 $175.07 $175.07 $175.07 1.0×
Olney, IL single city 1 $244.58 $244.58 $244.58 1.0×
Omaha, NE-IA 8 $146.25 $197.07 $229.15 1.6×
Ontario, OR-ID 1 $152.75 $152.75 $152.75 1.0×
Osage Beach, MO single city 1 $97.50 $97.50 $97.50 1.0×
Owosso, MI 1 $140.00 $140.00 $140.00 1.0×
Paducah, KY-IL 1 $334.80 $334.80 $334.80 1.0×
Paintsville, KY single city 1 $589.50 $589.50 $589.50 1.0×
Panama City-Panama City Beach, FL 1 $173.64 $173.64 $173.64 1.0×
Park Rapids, MN single city 1 $220.08 $220.08 $220.08 1.0×
Parkersburg-Vienna, WV 1 $100.50 $100.50 $100.50 1.0×
Pensacola-Ferry Pass-Brent, FL 1 $117.39 $117.39 $117.39 1.0×
Peoria, IL 4 $244.58 $244.58 $244.58 1.0×
Peru, IN 1 $663.16 $663.16 $663.16 1.0×
Petersburg, WV single city 1 $240.80 $240.80 $240.80 1.0×
Petoskey, MI 1 $214.25 $214.25 $214.25 1.0×
Philadelphia, MS single city 1 $194.40 $194.40 $194.40 1.0×
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 5 $213.90 $213.90 $509.55 2.4×
Pikeville, KY 4 $589.50 $589.50 $589.50 1.0×
Pine Bluff, AR 1 $217.00 $217.00 $217.00 1.0×
Pittsburgh, PA 2 $100.50 $182.10 $263.70 2.6×
Pittsfield, MA 3 $634.19 $634.19 $634.19 1.0×
Plainview, TX 1 $110.12 $110.12 $110.12 1.0×
Plainville, KS single city 1 $146.25 $146.25 $146.25 1.0×
Platteville, WI 1 $157.54 $157.54 $157.54 1.0×
Polson, MT single city 1 $209.76 $209.76 $209.76 1.0×
Poplar Bluff, MO 1 $260.46 $260.46 $260.46 1.0×
Port St. Lucie, FL 1 $346.26 $346.26 $346.26 1.0×
Port Townsend, WA 1 $157.32 $157.32 $157.32 1.0×
Portland-South Portland, ME 1 $233.40 $233.40 $233.40 1.0×
Portland-Vancouver-Hillsboro, OR-WA 9 $144.86 $196.65 $414.25 2.9×
Portsmouth, OH 1 $126.92 $126.92 $126.92 1.0×
Prescott Valley-Prescott, AZ 1 $187.61 $187.61 $187.61 1.0×
Pullman, WA 1 $119.85 $119.85 $119.85 1.0×
Redding, CA 1 $44.22 $44.22 $44.22 1.0×
Republic, WA single city 1 $20.91 $20.91 $20.91 1.0×
Rice Lake, WI 1 $449.50 $449.50 $449.50 1.0×
Richmond, VA 1 $157.20 $157.20 $157.20 1.0×
Richmond-Berea, KY 2 $155.80 $245.30 $334.80 2.1×
Rifle, CO 1 $574.35 $574.35 $574.35 1.0×
Ripley, WV single city 1 $150.50 $150.50 $150.50 1.0×
Riverside-San Bernardino-Ontario, CA 6 $157.55 $188.76 $188.76 1.2×
Rochelle, IL 1 $738.45 $738.45 $738.45 1.0×
Rochester, MN 1 $209.50 $209.50 $209.50 1.0×
Rochester, NY 6 $196.27 $218.92 $304.30 1.6×
Rolla, MO 1 $389.52 $389.52 $389.52 1.0×
Rome, GA 1 $98.00 $98.00 $98.00 1.0×
Roseau, MN single city 1 $244.16 $244.16 $244.16 1.0×
Roseburg, OR 1 $271.76 $271.76 $271.76 1.0×
Roswell, NM 1 $208.42 $208.42 $208.42 1.0×
Rushville, IN single city 1 $279.44 $279.44 $279.44 1.0×
Russellville, AL 1 $842.70 $842.70 $842.70 1.0×
Russellville, KY single city 1 $170.52 $170.52 $170.52 1.0×
Sacramento-Roseville-Folsom, CA 5 $183.80 $232.96 $232.96 1.3×
Saint Croix Falls, WI single city 1 $165.55 $165.55 $165.55 1.0×
Salem, OR 3 $99.30 $99.30 $477.23 4.8×
Salida, CO single city 1 $474.30 $474.30 $474.30 1.0×
Salisbury, MD 1 $308.25 $308.25 $308.25 1.0×
Salmon, ID single city 1 $116.25 $116.25 $116.25 1.0×
Salt Lake City-Murray, UT 1 $283.50 $283.50 $283.50 1.0×
San Antonio-New Braunfels, TX 2 $31.25 $819.68 $1,608.11 51.5×
San Diego-Chula Vista-Carlsbad, CA 4 $188.76 $188.76 $354.42 1.9×
San Francisco-Oakland-Fremont, CA 13 $232.96 $232.96 $626.00 2.7×
San Jose-Sunnyvale-Santa Clara, CA 4 $232.96 $259.98 $541.60 2.3×
Sandstone, MN single city 1 $193.91 $193.91 $193.91 1.0×
Santa Cruz-Watsonville, CA 1 $721.15 $721.15 $721.15 1.0×
Santa Fe, NM 1 $172.31 $172.31 $172.31 1.0×
Santa Rosa-Petaluma, CA 4 $98.50 $133.72 $232.96 2.4×
Sayre, PA 3 $162.96 $162.96 $162.96 1.0×
Scranton--Wilkes-Barre, PA 1 $120.00 $120.00 $120.00 1.0×
Seaford, DE 1 $137.97 $137.97 $137.97 1.0×
Seattle-Tacoma-Bellevue, WA 10 $53.55 $95.71 $201.00 3.8×
Sebastian-Vero Beach-West Vero Corridor, FL 1 $346.26 $346.26 $346.26 1.0×
Sedalia, MO 1 $147.75 $147.75 $147.75 1.0×
Seneca, KS single city 1 $112.50 $112.50 $112.50 1.0×
Sevierville, TN 1 $145.97 $145.97 $145.97 1.0×
Seward, AK single city 1 $204.52 $204.52 $204.52 1.0×
Shelby-Kings Mountain, NC 1 $98.00 $98.00 $98.00 1.0×
Shelbyville, TN 1 $225.00 $225.00 $225.00 1.0×
Shelton, WA 1 $103.50 $103.50 $103.50 1.0×
Shreveport-Bossier City, LA 1 $128.00 $128.00 $128.00 1.0×
Sidney, MT single city 1 $113.32 $113.32 $113.32 1.0×
Sierra Vista-Douglas, AZ 1 $134.69 $134.69 $134.69 1.0×
Sioux Falls, SD-MN 4 $209.00 $233.22 $396.10 1.9×
Slidell-Mandeville-Covington, LA 1 $45.92 $45.92 $45.92 1.0×
Smith Center, KS single city 1 $255.20 $255.20 $255.20 1.0×
Smithville, TN single city 1 $247.16 $247.16 $247.16 1.0×
Snyder, TX 1 $328.00 $328.00 $328.00 1.0×
Soldotna, AK single city 1 $218.00 $218.00 $218.00 1.0×
South Boston, VA single city 1 $65.55 $65.55 $65.55 1.0×
Spartanburg, SC 3 $170.40 $170.40 $170.40 1.0×
Spokane-Spokane Valley, WA 4 $183.40 $183.40 $183.40 1.0×
Springfield, MO 1 $1,344.56 $1,344.56 $1,344.56 1.0×
Spruce Pine, NC single city 1 $1,128.08 $1,128.08 $1,128.08 1.0×
St. Johnsbury, VT single city 1 $105.00 $105.00 $105.00 1.0×
St. Joseph, MO-KS 2 $272.85 $272.85 $272.85 1.0×
Staples, MN single city 1 $225.99 $225.99 $225.99 1.0×
Starkville, MS 1 $491.51 $491.51 $491.51 1.0×
Ste. Genevieve, MO single city 1 $104.50 $104.50 $104.50 1.0×
Stockton-Lodi, CA 1 $232.96 $232.96 $232.96 1.0×
Suffolk, VA single city 1 $68.83 $68.83 $68.83 1.0×
Summersville, WV single city 1 $150.50 $150.50 $150.50 1.0×
Syracuse, KS single city 1 $135.00 $135.00 $135.00 1.0×
Syracuse, NY 1 $217.75 $217.75 $217.75 1.0×
Tampa-St. Petersburg-Clearwater, FL 1 $384.00 $384.00 $384.00 1.0×
Taylorville, IL 1 $176.40 $176.40 $176.40 1.0×
Terre Haute, IN 3 $318.71 $486.85 $486.85 1.5×
Texarkana, TX-AR 1 $663.16 $663.16 $663.16 1.0×
Toledo, OH 1 $99.00 $99.00 $99.00 1.0×
Traverse City, MI 3 $233.75 $233.75 $233.75 1.0×
Trenton-Princeton, NJ 1 $74.00 $74.00 $74.00 1.0×
Tullahoma-Manchester, TN 1 $65.25 $65.25 $65.25 1.0×
Tulsa, OK 1 $107.64 $107.64 $107.64 1.0×
Turtle Lake, ND single city 1 $311.65 $311.65 $311.65 1.0×
Tuscaloosa, AL 1 $376.07 $376.07 $376.07 1.0×
Twin Falls, ID 1 $242.00 $242.00 $242.00 1.0×
Urban Honolulu, HI 6 $184.80 $201.60 $270.00 1.5×
Utah Hiawatha, KS single city 1 $457.00 $457.00 $457.00 1.0×
Utica-Rome, NY 1 $358.80 $358.80 $358.80 1.0×
Valdez, AK single city 1 $204.52 $204.52 $204.52 1.0×
Vallejo, CA 2 $232.96 $232.96 $232.96 1.0×
Vernal, UT 1 $220.08 $220.08 $220.08 1.0×
Vineland, NJ 2 $213.90 $213.90 $213.90 1.0×
Virginia Beach-Chesapeake-Norfolk, VA-NC 8 $68.83 $68.83 $437.76 6.4×
Visalia, CA 1 $824.00 $824.00 $824.00 1.0×
Wadena, MN single city 1 $165.87 $165.87 $165.87 1.0×
Wahpeton, ND-MN 1 $239.73 $239.73 $239.73 1.0×
Walla Walla, WA 1 $183.40 $183.40 $183.40 1.0×
Warner Robins, GA 1 $98.00 $98.00 $98.00 1.0×
Warsaw, IN 1 $326.73 $326.73 $326.73 1.0×
Washington-Arlington-Alexandria, DC-VA-MD-WV 2 $68.83 $109.67 $150.50 2.2×
Waterloo-Cedar Falls, IA 2 $103.35 $103.35 $103.35 1.0×
Watford City, ND single city 1 $224.25 $224.25 $224.25 1.0×
Waynesboro, TN single city 1 $185.32 $185.32 $185.32 1.0×
Webster, SD single city 1 $229.80 $229.80 $229.80 1.0×
Weirton-Steubenville, WV-OH 1 $100.50 $100.50 $100.50 1.0×
Weiser, ID single city 1 $184.67 $184.67 $184.67 1.0×
Wenatchee-East Wenatchee, WA 2 $132.00 $214.95 $297.90 2.3×
West Liberty, KY single city 1 $589.50 $589.50 $589.50 1.0×
West Union, IA single city 1 $204.34 $204.34 $204.34 1.0×
Wheeling, WV-OH 3 $100.50 $150.50 $228.00 2.3×
Whitehall, WI single city 1 $193.94 $193.94 $193.94 1.0×
Wichita Falls, TX 1 $262.50 $262.50 $262.50 1.0×
Williston, ND 1 $101.45 $101.45 $101.45 1.0×
Winner, SD single city 1 $155.00 $155.00 $155.00 1.0×
Winston-Salem, NC 2 $98.00 $98.00 $98.00 1.0×
Wolfeboro, NH single city 1 $142.50 $142.50 $142.50 1.0×
Worcester, MA 3 $409.33 $409.33 $409.33 1.0×
York-Hanover, PA 1 $110.40 $110.40 $110.40 1.0×
Ypsilanti, MI single city 1 $94.25 $94.25 $94.25 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 91320?

CPT 91320 is the billing code for COVID-19 vaccine (Pfizer-BioNTech), age 12 and older. This code is the Pfizer-BioNTech COVID-19 vaccine for people 12 and older, updated each season to match circulating variants. Who is advised to get it changed in 2025, so check current guidance with a doctor or pharmacist.

Is the COVID-19 vaccine still free?

Not for everyone. The federal free-vaccine program has ended, so the cost depends on your coverage; Medicare Part B covers it, and some health departments still offer free doses.

Do I need a new dose every year?

Recommendations change each season. Ask a doctor or pharmacist whether an updated dose is advised for you.

What does a dose of the COVID-19 vaccine (Pfizer) cost a clinic or pharmacy?

$202.11 (Comirnaty) 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, $196.27 across 825 hospitals, is 1.0× that. Giving the shot is billed separately (CPT 90471).

Is it cheaper to pay cash or use insurance for COVID-19 vaccine (Pfizer)?

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 COVID-19 vaccine (Pfizer) has a median of $346.28 and the lowest a median of $97.52; at 557 of 639 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 COVID-19 vaccine (Pfizer)?

Among 38 states with at least 5 hospitals listing a cash price, the median is lowest in Virginia ($68.83), New Jersey ($76.30) and Louisiana ($95.31), and highest in Alabama ($842.70), Massachusetts ($409.33) and Colorado ($401.65). Prices vary as much between hospitals in the same state, so compare hospitals near you.

Other COVID-19 vaccine prices

Median hospital cash price, one per hospital.