Vaccines CPT 91320 255 markets

COVID-19 vaccine (Pfizer) cost without insurance

Across 255 US markets, hospitals list an outpatient cash price for COVID-19 vaccine (Pfizer-BioNTech), age 12 and older from $23.06 to $1,324.79. The median market price is $188.76. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.

Collected Sep 25, 2026 Each price links to its source file All Vaccine costs

Lowest$23.06any market
Median market$188.76middle of market medians
Highest$1,324.79any market
Listings526hospital prices

What it is

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

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.

MarketHospitalsLowest MedianHighest×
Ada, MN single city 1 $193.91 $193.91 $193.91 1.0×
Anaconda, MT single city 1 $175.13 $175.13 $175.13 1.0×
Anna, IL single city 1 $68.25 $68.25 $68.25 1.0×
Akron, OH 3 $234.00 $320.45 $331.50 1.4×
Albany, OR 1 $168.00 $168.00 $168.00 1.0×
Albany-Schenectady-Troy, NY 2 $173.00 $173.00 $173.00 1.0×
Albemarle, NC 1 $98.00 $98.00 $98.00 1.0×
Allentown-Bethlehem-Easton, PA-NJ 1 $62.72 $62.72 $62.72 1.0×
Anchorage, AK 3 $179.49 $204.52 $911.00 5.1×
Ann Arbor, MI 1 $78.00 $78.00 $78.00 1.0×
Ardmore, OK 1 $177.00 $177.00 $177.00 1.0×
Astoria, OR 1 $196.65 $196.65 $196.65 1.0×
Atlanta-Sandy Springs-Roswell, GA 1 $129.00 $129.00 $129.00 1.0×
Bad Axe, MI single city 1 $153.85 $153.85 $153.85 1.0×
Buckhannon, WV single city 1 $150.50 $150.50 $150.50 1.0×
Bakersfield-Delano, CA 1 $173.71 $173.71 $173.71 1.0×
Baltimore-Columbia-Towson, MD 2 $197.00 $287.30 $377.60 1.9×
Barre, VT 1 $255.36 $255.36 $255.36 1.0×
Batavia, NY 1 $196.27 $196.27 $196.27 1.0×
Bay City, MI 1 $131.28 $131.28 $131.28 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 $115.99 $176.69 3.2×
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×
Bozeman, MT 2 $138.24 $138.24 $138.24 1.0×
Brainerd, MN 1 $176.60 $176.60 $176.60 1.0×
Brattleboro, VT 1 $203.63 $203.63 $203.63 1.0×
Bremerton-Silverdale-Port Orchard, WA 1 $245.39 $245.39 $245.39 1.0×
Buffalo-Cheektowaga, NY 4 $169.05 $201.00 $201.00 1.2×
Burlington-South Burlington, VT 1 $464.80 $464.80 $464.80 1.0×
Canby, MN single city 1 $232.02 $232.02 $232.02 1.0×
Caro, MI single city 1 $153.85 $153.85 $153.85 1.0×
Cedar Rapids, IA single city 1 $255.20 $255.20 $255.20 1.0×
Centerville, IA single city 1 $151.00 $151.00 $151.00 1.0×
Chamberlain, SD single city 1 $229.80 $229.80 $229.80 1.0×
Charlevoix, MI single city 1 $233.75 $233.75 $233.75 1.0×
Clear Lake, SD single city 1 $232.02 $232.02 $232.02 1.0×
Corning, IA single city 1 $249.44 $249.44 $249.44 1.0×
Cadillac, MI 1 $233.75 $233.75 $233.75 1.0×
Canton-Massillon, OH 1 $346.26 $346.26 $346.26 1.0×
Cape Girardeau, MO-IL 1 $204.00 $204.00 $204.00 1.0×
Cedar Rapids, IA 1 $255.20 $255.20 $255.20 1.0×
Charleston, WV 1 $100.50 $100.50 $100.50 1.0×
Charleston-North Charleston, SC 1 $552.04 $552.04 $552.04 1.0×
Charlottesville, VA 1 $65.55 $65.55 $65.55 1.0×
Chicago-Naperville-Elgin, IL-IN 26 $38.54 $189.80 $817.82 21.2×
Cincinnati, OH-KY-IN 3 $83.69 $266.48 $266.48 3.2×
Clarksburg, WV 1 $100.50 $100.50 $100.50 1.0×
Cleveland, OH 19 $44.45 $346.26 $1,324.79 29.8×
Clinton, IA 2 $103.35 $188.68 $274.01 2.7×
Columbia, MO 1 $169.20 $169.20 $169.20 1.0×
Columbus, NE 1 $441.71 $441.71 $441.71 1.0×
Columbus, OH 1 $148.50 $148.50 $148.50 1.0×
Cookeville, TN 1 $247.16 $247.16 $247.16 1.0×
Coos Bay-North Bend, OR 1 $104.25 $104.25 $104.25 1.0×
Corbin, KY 1 $334.80 $334.80 $334.80 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×
Cumberland, MD-WV 1 $150.50 $150.50 $150.50 1.0×
Dallas-Fort Worth-Arlington, TX 1 $255.50 $255.50 $255.50 1.0×
Davenport-Moline-Rock Island, IA-IL 6 $216.11 $264.61 $274.01 1.3×
Defiance, OH 1 $181.80 $181.80 $181.80 1.0×
Denver-Aurora-Centennial, CO 1 $101.09 $101.09 $101.09 1.0×
Des Moines-West Des Moines, IA 4 $98.15 $131.18 $255.20 2.6×
Detroit Lakes, MN 1 $168.46 $168.46 $168.46 1.0×
Detroit-Warren-Dearborn, MI 8 $151.00 $158.24 $214.25 1.4×
Dickinson, ND 1 $116.20 $116.20 $116.20 1.0×
Dover, DE 1 $137.97 $137.97 $137.97 1.0×
Dubuque, IA 3 $98.15 $103.35 $255.20 2.6×
Duluth, MN-WI 8 $48.88 $173.18 $193.91 4.0×
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×
Elkader, IA single city 1 $98.15 $98.15 $98.15 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×
Eureka-Arcata, CA 2 $130.25 $131.99 $133.72 1.0×
Evansville, IN 1 $68.25 $68.25 $68.25 1.0×
Friendship, WI single city 1 $174.75 $174.75 $174.75 1.0×
Fargo, ND-MN 2 $196.80 $250.87 $304.94 1.5×
Flint, MI 1 $214.25 $214.25 $214.25 1.0×
Fort Dodge, IA 1 $255.20 $255.20 $255.20 1.0×
Fort Wayne, IN 4 $313.34 $463.01 $531.80 1.7×
Fresno, CA 1 $232.96 $232.96 $232.96 1.0×
Garrison, ND single city 1 $235.58 $235.58 $235.58 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×
Graceville, MN single city 1 $193.91 $193.91 $193.91 1.0×
Grayling, MI single city 1 $233.75 $233.75 $233.75 1.0×
Grinnell, IA single city 1 $255.20 $255.20 $255.20 1.0×
Grand Forks, ND-MN 1 $193.91 $193.91 $193.91 1.0×
Grand Island, NE 1 $204.40 $204.40 $204.40 1.0×
Grand Rapids, MN 2 $48.88 $121.40 $193.91 4.0×
Green Bay, WI 1 $169.00 $169.00 $169.00 1.0×
Greensburg, IN 1 $408.75 $408.75 $408.75 1.0×
Hartford, CT single city 2 $191.40 $286.28 $381.15 2.0×
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 1 $162.90 $162.90 $162.90 1.0×
Harrisonburg, VA 1 $65.55 $65.55 $65.55 1.0×
Henderson, KY 1 $62.70 $62.70 $62.70 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×
Houston-Pasadena-The Woodlands, TX 3 $89.61 $89.61 $98.99 1.1×
Huntington-Ashland, WV-KY-OH 1 $126.92 $126.92 $126.92 1.0×
Huntsville, AL 1 $842.70 $842.70 $842.70 1.0×
Hutchinson, MN 1 $132.02 $132.02 $132.02 1.0×
Indianapolis-Carmel-Greenwood, IN 5 $91.20 $313.80 $313.80 3.4×
Joe, FL single city 1 $173.64 $173.64 $173.64 1.0×
Jasper, IN 1 $68.25 $68.25 $68.25 1.0×
Kodiak, AK single city 1 $188.49 $188.49 $188.49 1.0×
Kearney, NE 1 $211.33 $211.33 $211.33 1.0×
Kennewick-Richland, WA 1 $183.40 $183.40 $183.40 1.0×
Key West-Key Largo, FL 2 $239.85 $239.85 $239.85 1.0×
Knoxville, TN 5 $151.00 $166.10 $166.10 1.1×
La Crosse-Onalaska, WI-MN 1 $180.94 $180.94 $180.94 1.0×
Lansing-East Lansing, MI 1 $214.25 $214.25 $214.25 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×
Lincoln, NE 2 $159.36 $166.29 $173.22 1.1×
Little Rock-North Little Rock-Conway, AR 2 $183.35 $249.21 $315.07 1.7×
Los Angeles-Long Beach-Anaheim, CA 13 $84.58 $188.76 $483.00 5.7×
Louisville/Jefferson County, KY-IN 4 $28.80 $334.80 $334.80 11.6×
Lubbock, TX 3 $101.50 $110.04 $110.12 1.1×
Magazine, AR single city 1 $189.75 $189.75 $189.75 1.0×
Manistee, MI single city 1 $233.75 $233.75 $233.75 1.0×
Mansfield, AR single city 1 $189.75 $189.75 $189.75 1.0×
McCall, ID single city 1 $242.00 $242.00 $242.00 1.0×
Middlebury, VT single city 1 $348.19 $348.19 $348.19 1.0×
Morganfield, KY single city 1 $68.25 $68.25 $68.25 1.0×
Madison, WI 1 $217.60 $217.60 $217.60 1.0×
Manchester-Nashua, NH 1 $117.00 $117.00 $117.00 1.0×
Marion-Herrin, IL 1 $68.25 $68.25 $68.25 1.0×
Marshall, MO 1 $107.42 $107.42 $107.42 1.0×
Marshalltown, IA 1 $255.20 $255.20 $255.20 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×
McMinnville, TN 1 $247.16 $247.16 $247.16 1.0×
Medford, OR 1 $196.65 $196.65 $196.65 1.0×
Miami-Fort Lauderdale-West Palm Beach, FL 11 $239.85 $239.85 $1,199.74 5.0×
Michigan City-La Porte, IN 1 $566.47 $566.47 $566.47 1.0×
Milwaukee-Waukesha, WI 1 $114.08 $114.08 $114.08 1.0×
Minneapolis-St. Paul-Bloomington, MN-WI 13 $23.06 $46.12 $150.96 6.5×
Missoula, MT 1 $209.60 $209.60 $209.60 1.0×
Modesto, CA 1 $232.96 $232.96 $232.96 1.0×
Morgantown, WV 1 $100.50 $100.50 $100.50 1.0×
Morristown, TN 1 $151.00 $151.00 $151.00 1.0×
Mount Pleasant, MI 1 $214.25 $214.25 $214.25 1.0×
Mount Vernon, IL 1 $68.25 $68.25 $68.25 1.0×
Muscatine, IA 1 $255.20 $255.20 $255.20 1.0×
Nebraska City, NE single city 1 $287.54 $287.54 $287.54 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×
Napa, CA 1 $130.25 $130.25 $130.25 1.0×
Nashville-Davidson--Murfreesboro--Franklin, TN 4 $79.75 $197.83 $247.16 3.1×
New Castle, IN 1 $192.85 $192.85 $192.85 1.0×
New Orleans-Metairie, LA 8 $45.92 $49.20 $95.31 2.1×
New Philadelphia-Dover, OH 1 $346.26 $346.26 $346.26 1.0×
New York-Newark-Jersey City, NY-NJ 22 $37.76 $281.80 $499.68 13.2×
Newport, OR 2 $168.00 $168.00 $168.00 1.0×
Norfolk, NE 1 $436.51 $436.51 $436.51 1.0×
Oelwein, IA single city 1 $98.15 $98.15 $98.15 1.0×
Olivia, MN single city 1 $175.07 $175.07 $175.07 1.0×
Ontario, CA single city 1 $188.76 $188.76 $188.76 1.0×
Ocean Pines, MD 1 $188.00 $188.00 $188.00 1.0×
Oklahoma City, OK 2 $39.60 $108.30 $177.00 4.5×
Omaha, NE-IA 8 $146.25 $218.26 $254.63 1.7×
Ontario, OR-ID 1 $152.75 $152.75 $152.75 1.0×
Paris, AR single city 1 $189.75 $189.75 $189.75 1.0×
Petersburg, WV single city 1 $240.80 $240.80 $240.80 1.0×
Polson, MT single city 1 $209.76 $209.76 $209.76 1.0×
Princeton, IN single city 1 $68.25 $68.25 $68.25 1.0×
Paducah, KY-IL 1 $334.80 $334.80 $334.80 1.0×
Panama City-Panama City Beach, FL 1 $173.64 $173.64 $173.64 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×
Peru, IN 1 $663.16 $663.16 $663.16 1.0×
Petoskey, MI 1 $214.25 $214.25 $214.25 1.0×
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 5 $213.90 $213.90 $509.55 2.4×
Pittsburgh, PA 1 $100.50 $100.50 $100.50 1.0×
Pittsfield, MA 3 $634.19 $634.19 $634.19 1.0×
Plainview, TX 1 $110.12 $110.12 $110.12 1.0×
Platteville, WI 1 $157.54 $157.54 $157.54 1.0×
Plattsburgh, NY 1 $464.80 $464.80 $464.80 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 13 $85.22 $196.65 $414.25 4.9×
Portsmouth, OH 1 $126.92 $126.92 $126.92 1.0×
Richmond, CA single city 1 $232.96 $232.96 $232.96 1.0×
Ripley, WV single city 1 $150.50 $150.50 $150.50 1.0×
Richmond, VA 1 $157.20 $157.20 $157.20 1.0×
Richmond-Berea, KY 1 $334.80 $334.80 $334.80 1.0×
Riverside-San Bernardino-Ontario, CA 3 $188.76 $188.76 $188.76 1.0×
Rochester, MN 1 $209.50 $209.50 $209.50 1.0×
Rochester, NY 6 $147.50 $196.27 $304.30 2.1×
Sandstone, MN single city 1 $193.91 $193.91 $193.91 1.0×
Seward, AK single city 1 $204.52 $204.52 $204.52 1.0×
Smithville, TN single city 1 $247.16 $247.16 $247.16 1.0×
South Boston, VA single city 1 $65.55 $65.55 $65.55 1.0×
St. Johnsbury, VT single city 1 $105.00 $105.00 $105.00 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×
Sacramento-Roseville-Folsom, CA 3 $232.96 $232.96 $232.96 1.0×
Salem, OR 4 $85.22 $99.30 $477.23 5.6×
Salisbury, MD 1 $308.25 $308.25 $308.25 1.0×
Salt Lake City-Murray, UT 1 $161.00 $161.00 $161.00 1.0×
San Antonio-New Braunfels, TX 1 $31.25 $31.25 $31.25 1.0×
San Diego-Chula Vista-Carlsbad, CA 4 $188.76 $188.76 $354.42 1.9×
San Francisco-Oakland-Fremont, CA 10 $232.96 $232.96 $626.00 2.7×
San Jose-Sunnyvale-Santa Clara, CA 4 $232.96 $259.98 $541.60 2.3×
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×
Seaford, DE 1 $137.97 $137.97 $137.97 1.0×
Seattle-Tacoma-Bellevue, WA 12 $53.55 $164.69 $201.00 3.8×
Sebastian-Vero Beach-West Vero Corridor, FL 1 $346.26 $346.26 $346.26 1.0×
Sevierville, TN 1 $145.97 $145.97 $145.97 1.0×
Shelbyville, TN 1 $79.75 $79.75 $79.75 1.0×
Sioux City, IA-NE-SD 1 $255.20 $255.20 $255.20 1.0×
Sioux Falls, SD-MN 3 $229.80 $236.64 $396.10 1.7×
Slidell-Mandeville-Covington, LA 1 $45.92 $45.92 $45.92 1.0×
South Bend-Mishawaka, IN-MI 1 $312.00 $312.00 $312.00 1.0×
Spokane-Spokane Valley, WA 3 $183.40 $183.40 $183.40 1.0×
St. Louis, MO-IL 2 $186.00 $186.00 $186.00 1.0×
Stockton-Lodi, CA 1 $232.96 $232.96 $232.96 1.0×
Syracuse, NY 1 $217.75 $217.75 $217.75 1.0×
Turtle Lake, ND single city 1 $245.97 $245.97 $245.97 1.0×
Tampa-St. Petersburg-Clearwater, FL 1 $384.00 $384.00 $384.00 1.0×
Terre Haute, IN 1 $318.71 $318.71 $318.71 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×
Tullahoma-Manchester, TN 1 $79.75 $79.75 $79.75 1.0×
Twin Falls, ID 1 $242.00 $242.00 $242.00 1.0×
Urban Honolulu, HI 2 $184.80 $184.80 $184.80 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×
Vineland, NJ 2 $213.90 $213.90 $213.90 1.0×
Virginia Beach-Chesapeake-Norfolk, VA-NC 6 $68.83 $68.83 $437.76 6.4×
Webster, SD single city 1 $229.80 $229.80 $229.80 1.0×
West Union, IA single city 1 $204.34 $204.34 $204.34 1.0×
Whitehall, WI single city 1 $193.94 $193.94 $193.94 1.0×
Walla Walla, WA 1 $183.40 $183.40 $183.40 1.0×
Washington-Arlington-Alexandria, DC-VA-MD-WV 2 $68.83 $109.67 $150.50 2.2×
Waterloo-Cedar Falls, IA 3 $103.35 $103.35 $255.20 2.5×
Weirton-Steubenville, WV-OH 1 $100.50 $100.50 $100.50 1.0×
Wenatchee-East Wenatchee, WA 1 $297.90 $297.90 $297.90 1.0×
Wheeling, WV-OH 3 $100.50 $150.50 $228.00 2.3×
Williston, ND 1 $106.98 $106.98 $106.98 1.0×
Worcester, MA 3 $409.33 $409.33 $409.33 1.0×

Common questions

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.

Other vaccine prices

Median hospital cash price, one per hospital.