Vaccines CPT 91322 446 markets

COVID-19 vaccine (Moderna) cost without insurance

The median hospital cash price for COVID-19 vaccine (Moderna), age 12 and older is $204.19 across 822 US hospitals; most list between $85.18 and $448.13. The lowest outpatient cash price in any of 446 markets is $20.00. 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$20.00any market
Median market$193.20middle of market medians
Most below$448.139 in 10 hospitals
Listings818hospital prices

Compared with the vaccine's list price

$151.73 (Spikevax) 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, $204.19 across 822 hospitals, is 1.3× 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 (Moderna), the highest negotiated rate in a hospital's file has a median of $360.50 and the lowest a median of $87.02. At 513 of 610 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 91322?

This code is the Moderna 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 91322 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 New Jersey ($67.17), Virginia ($76.61) and Georgia ($98.00), and highest in Michigan ($277.95), Kentucky ($276.53) and Iowa ($263.57).

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×
Aberdeen, WA 1 $76.14 $76.14 $76.14 1.0×
Abilene, KS single city 1 $150.00 $150.00 $150.00 1.0×
Akron, OH 3 $292.50 $368.25 $628.00 2.1×
Albany, OR 2 $184.00 $449.34 $714.67 3.9×
Albany-Schenectady-Troy, NY 1 $52.92 $52.92 $52.92 1.0×
Albemarle, NC 1 $98.00 $98.00 $98.00 1.0×
Alexandria, MN 1 $248.74 $248.74 $248.74 1.0×
Altoona, PA 1 $199.20 $199.20 $199.20 1.0×
Alturas, CA single city 1 $425.40 $425.40 $425.40 1.0×
Ames, IA 1 $145.60 $145.60 $145.60 1.0×
Anaconda, MT single city 1 $134.55 $134.55 $134.55 1.0×
Anchorage, AK 2 $159.40 $582.00 $1,004.60 6.3×
Anderson Creek, NC 1 $470.66 $470.66 $470.66 1.0×
Antigo, WI single city 1 $167.05 $167.05 $167.05 1.0×
Appleton, WI 2 $139.64 $139.64 $139.64 1.0×
Armour, SD single city 1 $117.90 $117.90 $117.90 1.0×
Asheville, NC 1 $1,121.26 $1,121.26 $1,121.26 1.0×
Ashley, ND single city 1 $328.47 $328.47 $328.47 1.0×
Astoria, OR 1 $140.00 $140.00 $140.00 1.0×
Atkinson, NE single city 1 $162.00 $162.00 $162.00 1.0×
Atlanta-Sandy Springs-Roswell, GA 2 $275.00 $275.00 $275.00 1.0×
Atlantic City-Hammonton, NJ 1 $289.19 $289.19 $289.19 1.0×
Atlantic, IA single city 1 $88.56 $88.56 $88.56 1.0×
Austin-Round Rock-San Marcos, TX 1 $301.94 $301.94 $301.94 1.0×
Bad Axe, MI single city 1 $277.95 $277.95 $277.95 1.0×
Bakersfield-Delano, CA 2 $75.54 $134.44 $193.34 2.6×
Baltimore-Columbia-Towson, MD 4 $132.33 $308.21 $378.31 2.9×
Bangor, ME 2 $53.60 $112.99 $172.38 3.2×
Bar Harbor, ME single city 1 $139.48 $139.48 $139.48 1.0×
Barre, VT 1 $205.78 $205.78 $205.78 1.0×
Bassett, NE single city 1 $246.00 $246.00 $246.00 1.0×
Batavia, NY 1 $239.41 $239.41 $239.41 1.0×
Bay City, MI 1 $289.05 $289.05 $289.05 1.0×
Beaver Dam, WI 1 $304.07 $304.07 $304.07 1.0×
Belfast, ME single city 1 $160.00 $160.00 $160.00 1.0×
Bend, OR 4 $273.76 $273.76 $273.76 1.0×
Bennington, VT 1 $165.00 $165.00 $165.00 1.0×
Berlin, WI single city 1 $139.64 $139.64 $139.64 1.0×
Big Rapids, MI 1 $292.00 $292.00 $292.00 1.0×
Birmingham, AL 2 $104.56 $128.41 $152.25 1.5×
Bishop, CA 1 $172.00 $172.00 $172.00 1.0×
Black River Falls, WI single city 1 $382.86 $382.86 $382.86 1.0×
Bloomington, IL 1 $204.19 $204.19 $204.19 1.0×
Blue Hill, ME single city 1 $99.16 $99.16 $99.16 1.0×
Bluefield, WV-VA 1 $124.00 $124.00 $124.00 1.0×
Boston-Cambridge-Newton, MA-NH 8 $162.90 $225.31 $578.60 3.6×
Boulder, CO 1 $221.00 $221.00 $221.00 1.0×
Bozeman, MT 2 $163.20 $163.20 $163.20 1.0×
Brainerd, MN 1 $190.06 $190.06 $190.06 1.0×
Brattleboro, VT 2 $238.23 $239.12 $240.00 1.0×
Brevard, NC 1 $1,121.26 $1,121.26 $1,121.26 1.0×
Buckhannon, WV single city 1 $186.00 $186.00 $186.00 1.0×
Buffalo-Cheektowaga, NY 2 $231.00 $299.00 $367.00 1.6×
Burlington-South Burlington, VT 1 $357.61 $357.61 $357.61 1.0×
Cadillac, MI 1 $385.05 $385.05 $385.05 1.0×
Cadiz, OH single city 1 $147.50 $147.50 $147.50 1.0×
Cape Coral-Fort Myers, FL 4 $99.26 $99.26 $99.26 1.0×
Carlsbad-Artesia, NM 1 $383.40 $383.40 $383.40 1.0×
Caro, MI single city 1 $277.95 $277.95 $277.95 1.0×
Cavalier, ND single city 1 $175.00 $175.00 $175.00 1.0×
Cedartown, GA 1 $98.00 $98.00 $98.00 1.0×
Centerville, IA single city 1 $420.00 $420.00 $420.00 1.0×
Centralia, WA 1 $109.74 $109.74 $109.74 1.0×
Centre, AL single city 1 $98.00 $98.00 $98.00 1.0×
Champaign-Urbana, IL 1 $204.19 $204.19 $204.19 1.0×
Chanute, KS single city 1 $193.74 $193.74 $193.74 1.0×
Charles City, IA single city 1 $117.60 $117.60 $117.60 1.0×
Charleston, WV 2 $124.00 $189.62 $255.24 2.1×
Charleston-Mattoon, IL 1 $425.40 $425.40 $425.40 1.0×
Charlotte-Concord-Gastonia, NC-SC 8 $98.00 $98.00 $98.00 1.0×
Charlottesville, VA 1 $72.96 $72.96 $72.96 1.0×
Cherokee, IA single city 1 $127.80 $127.80 $127.80 1.0×
Chester, CA single city 1 $1,422.22 $1,422.22 $1,422.22 1.0×
Chicago-Naperville-Elgin, IL-IN 10 $85.08 $225.95 $833.78 9.8×
Chillicothe, OH 1 $85.00 $85.00 $85.00 1.0×
Cincinnati, OH-KY-IN 4 $86.78 $207.41 $382.86 4.4×
Clarinda, IA single city 1 $112.50 $112.50 $112.50 1.0×
Clarksburg, WV 1 $124.00 $124.00 $124.00 1.0×
Cleveland, OH 9 $46.90 $368.25 $368.25 7.9×
Clinton, IA 2 $263.57 $275.11 $286.65 1.1×
Coeur d'Alene, ID 1 $78.48 $78.48 $78.48 1.0×
Columbia, KY single city 1 $553.02 $553.02 $553.02 1.0×
Columbia, MO 1 $171.60 $171.60 $171.60 1.0×
Cookeville, TN 1 $275.10 $275.10 $275.10 1.0×
Coos Bay-North Bend, OR 2 $125.02 $134.14 $143.25 1.1×
Corbin, KY 1 $276.53 $276.53 $276.53 1.0×
Cordova, AK single city 1 $282.53 $282.53 $282.53 1.0×
Corning, NY 1 $180.60 $180.60 $180.60 1.0×
Cortland, NY 1 $180.60 $180.60 $180.60 1.0×
Corvallis, OR 1 $714.67 $714.67 $714.67 1.0×
Cottonwood, ID single city 1 $120.00 $120.00 $120.00 1.0×
Crestview-Fort Walton Beach-Destin, FL 1 $241.80 $241.80 $241.80 1.0×
Cumberland, MD-WV 2 $115.80 $150.90 $186.00 1.6×
Dallas-Fort Worth-Arlington, TX 4 $287.40 $488.87 $638.10 2.2×
Damariscotta, ME single city 1 $160.00 $160.00 $160.00 1.0×
Danville, IL 1 $204.19 $204.19 $204.19 1.0×
Davenport, WA single city 1 $157.50 $157.50 $157.50 1.0×
Davenport-Moline-Rock Island, IA-IL 4 $263.57 $263.57 $484.20 1.8×
Dayton-Kettering-Beavercreek, OH 1 $364.91 $364.91 $364.91 1.0×
Defiance, OH 1 $193.20 $193.20 $193.20 1.0×
DeKalb, MS single city 1 $123.51 $123.51 $123.51 1.0×
Delhi, NY single city 1 $52.92 $52.92 $52.92 1.0×
Denison, IA single city 1 $517.29 $517.29 $517.29 1.0×
Denver-Aurora-Centennial, CO 2 $105.98 $277.45 $448.92 4.2×
Des Moines-West Des Moines, IA 4 $273.00 $302.13 $441.00 1.6×
Detroit-Warren-Dearborn, MI 15 $223.08 $270.00 $289.05 1.3×
Devils Lake, ND single city 1 $142.95 $142.95 $142.95 1.0×
Dubuque, IA 2 $273.00 $279.83 $286.65 1.0×
Duluth, MN-WI 2 $139.81 $196.74 $253.67 1.8×
Durham, NC single city 1 $171.53 $171.53 $171.53 1.0×
Eagle River, WI single city 1 $167.05 $167.05 $167.05 1.0×
East Amery, WI single city 1 $96.98 $96.98 $96.98 1.0×
Eau Claire, WI 2 $167.05 $235.56 $304.07 1.8×
El Paso, TX 3 $28.36 $28.36 $93.24 3.3×
Elizabeth City, NC 1 $72.96 $72.96 $72.96 1.0×
Elizabethtown, KY 1 $276.53 $276.53 $276.53 1.0×
Elizabethtown, NC single city 1 $470.66 $470.66 $470.66 1.0×
Elizabethtown, NY single city 1 $357.61 $357.61 $357.61 1.0×
Elkader, IA single city 1 $273.00 $273.00 $273.00 1.0×
Ellensburg, WA 1 $204.43 $204.43 $204.43 1.0×
Emmetsburg, IA single city 1 $107.25 $107.25 $107.25 1.0×
Erie, PA 2 $162.00 $180.60 $199.20 1.2×
Estherville, IA single city 1 $157.14 $157.14 $157.14 1.0×
Eureka-Arcata, CA 2 $148.84 $148.84 $148.84 1.0×
Everett, PA single city 1 $199.20 $199.20 $199.20 1.0×
Fairfield, IL single city 1 $173.60 $173.60 $173.60 1.0×
Faribault-Northfield, MN 1 $214.00 $214.00 $214.00 1.0×
Farmington, CT single city 1 $273.54 $273.54 $273.54 1.0×
Farmington, ME single city 1 $160.00 $160.00 $160.00 1.0×
Faulkton, SD single city 1 $300.35 $300.35 $300.35 1.0×
Fayetteville, NC 3 $470.66 $470.66 $470.66 1.0×
Fayetteville-Springdale-Rogers, AR 2 $189.90 $315.13 $440.35 2.3×
Flint, MI 1 $289.05 $289.05 $289.05 1.0×
Fond du Lac, WI 1 $139.64 $139.64 $139.64 1.0×
Franklin, NC single city 1 $1,121.26 $1,121.26 $1,121.26 1.0×
Fremont, MI single city 1 $292.00 $292.00 $292.00 1.0×
Fresno, CA 1 $241.92 $241.92 $241.92 1.0×
Friendship, WI single city 1 $175.77 $175.77 $175.77 1.0×
Gaffney, SC 1 $152.40 $152.40 $152.40 1.0×
Gardnerville Ranchos, NV-CA 1 $210.00 $210.00 $210.00 1.0×
Gassaway, WV single city 1 $186.00 $186.00 $186.00 1.0×
Glasgow, KY 1 $553.02 $553.02 $553.02 1.0×
Gloversville, NY 1 $78.48 $78.48 $78.48 1.0×
Gordon, NE single city 1 $20.00 $20.00 $20.00 1.0×
Graften, ND single city 1 $145.00 $145.00 $145.00 1.0×
Grand Forks, ND-MN 3 $142.95 $153.00 $162.00 1.1×
Grand Junction, CO 1 $145.04 $145.04 $145.04 1.0×
Grand Rapids-Wyoming-Kentwood, MI 9 $43.00 $292.00 $292.00 6.8×
Grayling, MI single city 1 $385.05 $385.05 $385.05 1.0×
Green Bay, WI 1 $160.20 $160.20 $160.20 1.0×
Greenfield, IA single city 1 $176.25 $176.25 $176.25 1.0×
Greenfield, OH single city 1 $85.00 $85.00 $85.00 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, ME single city 1 $134.00 $134.00 $134.00 1.0×
Greenville-Anderson-Greer, SC 1 $152.40 $152.40 $152.40 1.0×
Gulfport-Biloxi, MS 3 $68.06 $102.10 $102.10 1.5×
Guttenberg, IA single city 1 $339.20 $339.20 $339.20 1.0×
Hagerstown-Martinsburg, MD-WV 1 $124.00 $124.00 $124.00 1.0×
Hammond, LA 1 $145.92 $145.92 $145.92 1.0×
Hampton, IA single city 1 $166.50 $166.50 $166.50 1.0×
Harbor Beach, MI single city 1 $112.50 $112.50 $112.50 1.0×
Hardinsburg, KY single city 1 $212.70 $212.70 $212.70 1.0×
Harrisburg-Carlisle, PA 3 $193.20 $193.20 $223.15 1.2×
Harrisonburg, VA 1 $72.96 $72.96 $72.96 1.0×
Hartford, CT single city 1 $291.20 $291.20 $291.20 1.0×
Hartford, KY single city 1 $255.00 $255.00 $255.00 1.0×
Harwarden, IA single city 1 $130.56 $130.56 $130.56 1.0×
Haxtun, CO single city 1 $129.00 $129.00 $129.00 1.0×
Hayward, WI single city 1 $323.29 $323.29 $323.29 1.0×
Helena, MT 1 $89.25 $89.25 $89.25 1.0×
Hermann, MO single city 1 $106.20 $106.20 $106.20 1.0×
Highlands, NC single city 1 $1,121.26 $1,121.26 $1,121.26 1.0×
Hillsdale, MI 1 $154.58 $154.58 $154.58 1.0×
Hilo-Kailua, HI 1 $217.70 $217.70 $217.70 1.0×
Hobbs, NM 1 $122.57 $122.57 $122.57 1.0×
Holdrege, NE single city 1 $202.50 $202.50 $202.50 1.0×
Homer, AK single city 1 $106.37 $106.37 $106.37 1.0×
Hood River, OR 1 $218.88 $218.88 $218.88 1.0×
Houghton, MI 1 $167.05 $167.05 $167.05 1.0×
Houlton, ME single city 1 $277.50 $277.50 $277.50 1.0×
Houma-Bayou Cane-Thibodaux, LA 1 $199.94 $199.94 $199.94 1.0×
Houston-Pasadena-The Woodlands, TX 5 $58.86 $106.43 $307.00 5.2×
Huntington-Ashland, WV-KY-OH 3 $125.44 $639.95 $808.05 6.4×
Hutchinson, MN 1 $136.62 $136.62 $136.62 1.0×
Imperial, NE single city 1 $295.00 $295.00 $295.00 1.0×
International Falls, MN single city 1 $241.34 $241.34 $241.34 1.0×
Iron River, MI single city 1 $167.05 $167.05 $167.05 1.0×
Ironwood, MI single city 1 $167.05 $167.05 $167.05 1.0×
Jackson, MS 2 $146.00 $146.00 $146.00 1.0×
Jamestown-Dunkirk, NY 1 $199.20 $199.20 $199.20 1.0×
Janesville-Beloit, WI 2 $52.50 $160.53 $268.55 5.1×
Jasper, IN 1 $186.45 $186.45 $186.45 1.0×
Jefferson, IA single city 1 $371.10 $371.10 $371.10 1.0×
Joe, FL single city 1 $179.92 $179.92 $179.92 1.0×
John Day, OR single city 1 $150.00 $150.00 $150.00 1.0×
Kahului-Wailuku, HI 1 $217.70 $217.70 $217.70 1.0×
Kalispell, MT 2 $121.55 $124.48 $127.40 1.0×
Kearney, NE 1 $166.00 $166.00 $166.00 1.0×
Kennewick-Richland, WA 2 $66.55 $135.48 $204.40 3.1×
Key West-Key Largo, FL 2 $224.25 $224.25 $224.25 1.0×
Kimball, NE single city 1 $404.74 $404.74 $404.74 1.0×
Kiryas Joel-Poughkeepsie-Newburgh, NY 1 $511.00 $511.00 $511.00 1.0×
Klamath Falls, OR 1 $156.50 $156.50 $156.50 1.0×
Kodiak, AK single city 1 $330.72 $330.72 $330.72 1.0×
Kotzebue, AK single city 1 $669.00 $669.00 $669.00 1.0×
La Crosse-Onalaska, WI-MN 2 $20.83 $101.42 $182.00 8.7×
La Grande, OR 1 $415.02 $415.02 $415.02 1.0×
Ladysmith, WI single city 1 $304.07 $304.07 $304.07 1.0×
Lakeland-Winter Haven, FL 1 $743.20 $743.20 $743.20 1.0×
Lakeview, OR single city 1 $592.45 $592.45 $592.45 1.0×
Lancaster, NH single city 1 $71.68 $71.68 $71.68 1.0×
Lancaster, PA 1 $193.20 $193.20 $193.20 1.0×
Lansing-East Lansing, MI 5 $42.75 $43.00 $289.05 6.8×
Laurinburg, NC 1 $98.00 $98.00 $98.00 1.0×
Lawrence, KS 1 $255.25 $255.25 $255.25 1.0×
Lebanon-Claremont, NH-VT 4 $34.00 $161.49 $270.42 8.0×
Lewisburg, TN 1 $191.88 $191.88 $191.88 1.0×
Lewiston-Auburn, ME 1 $128.44 $128.44 $128.44 1.0×
Lexington Park, MD 1 $147.49 $147.49 $147.49 1.0×
Lexington-Fayette, KY 2 $167.04 $221.79 $276.53 1.7×
Litchfield, MN single city 1 $59.56 $59.56 $59.56 1.0×
Little Falls, MN single city 1 $127.02 $127.02 $127.02 1.0×
Little Rock-North Little Rock-Conway, AR 1 $189.90 $189.90 $189.90 1.0×
Littlefield, TX single city 1 $58.00 $58.00 $58.00 1.0×
Livingston, MT single city 1 $213.75 $213.75 $213.75 1.0×
Los Angeles-Long Beach-Anaheim, CA 16 $232.66 $232.66 $3,403.00 14.6×
Louisville/Jefferson County, KY-IN 3 $276.53 $276.53 $276.53 1.0×
Lousiana, MO single city 1 $198.40 $198.40 $198.40 1.0×
Lovelock, NV single city 1 $311.00 $311.00 $311.00 1.0×
Lubbock, TX 3 $122.57 $122.57 $122.64 1.0×
Ludington, MI 1 $292.00 $292.00 $292.00 1.0×
Luther Eads, CO single city 1 $209.40 $209.40 $209.40 1.0×
Lyons, KS single city 1 $189.83 $189.83 $189.83 1.0×
Macon-Bibb County, GA 1 $98.00 $98.00 $98.00 1.0×
Madison, MN single city 1 $141.54 $141.54 $141.54 1.0×
Madison, SD single city 1 $389.25 $389.25 $389.25 1.0×
Madison, WI 2 $167.05 $231.97 $296.88 1.8×
Malone, NY single city 1 $357.61 $357.61 $357.61 1.0×
Manchester, IA single city 1 $116.80 $116.80 $116.80 1.0×
Manchester-Nashua, NH 2 $130.65 $184.73 $238.80 1.8×
Marietta, OH 2 $154.54 $154.54 $154.54 1.0×
Marion, NC 1 $1,121.26 $1,121.26 $1,121.26 1.0×
Marshall, MO 1 $119.66 $119.66 $119.66 1.0×
Mason City, IA 1 $286.65 $286.65 $286.65 1.0×
Massena-Ogdensburg, NY 3 $184.16 $184.16 $184.16 1.0×
McComb, MS 1 $425.40 $425.40 $425.40 1.0×
McMinnville, TN 1 $275.10 $275.10 $275.10 1.0×
McPherson, KS 1 $105.00 $105.00 $105.00 1.0×
Medford, OR 1 $218.88 $218.88 $218.88 1.0×
Medford, WI single city 1 $167.05 $167.05 $167.05 1.0×
Meridian, MS 2 $55.49 $87.71 $119.93 2.2×
Merrill, WI single city 1 $167.05 $167.05 $167.05 1.0×
Miami-Fort Lauderdale-West Palm Beach, FL 14 $27.17 $224.25 $746.44 27.5×
Middlebury, VT single city 1 $371.49 $371.49 $371.49 1.0×
Milledgeville, GA 1 $98.00 $98.00 $98.00 1.0×
Minneapolis-St. Paul-Bloomington, MN-WI 12 $77.22 $183.43 $554.40 7.2×
Minocqua, WI single city 1 $304.07 $304.07 $304.07 1.0×
Missoula, MT 1 $233.60 $233.60 $233.60 1.0×
Moab, UT single city 1 $391.71 $391.71 $391.71 1.0×
Mobile, AL 1 $383.35 $383.35 $383.35 1.0×
Mobridge, SD single city 1 $273.00 $273.00 $273.00 1.0×
Modesto, CA 1 $241.92 $241.92 $241.92 1.0×
Monroe, LA 2 $141.86 $207.33 $272.80 1.9×
Montour Falls, NY single city 1 $234.47 $234.47 $234.47 1.0×
Morehead, KY single city 1 $164.25 $164.25 $164.25 1.0×
Morgantown, WV 1 $98.50 $98.50 $98.50 1.0×
Moses Lake, WA 1 $113.00 $113.00 $113.00 1.0×
Mount Airy, NC 1 $98.00 $98.00 $98.00 1.0×
Mount Pleasant, MI 1 $289.05 $289.05 $289.05 1.0×
Mount Vernon-Anacortes, WA 1 $232.00 $232.00 $232.00 1.0×
Muskegon-Norton Shores, MI 1 $274.95 $274.95 $274.95 1.0×
Napa, CA 1 $148.84 $148.84 $148.84 1.0×
Naples-Marco Island, FL 1 $255.24 $255.24 $255.24 1.0×
Nashville, IL single city 1 $272.00 $272.00 $272.00 1.0×
Nashville-Davidson--Murfreesboro--Franklin, TN 5 $65.25 $275.10 $275.10 4.2×
Neillsville, WI single city 1 $304.07 $304.07 $304.07 1.0×
New Hampton, IA single city 1 $273.00 $273.00 $273.00 1.0×
New London, WI single city 1 $139.64 $139.64 $139.64 1.0×
New Martinsville, WV single city 1 $124.00 $124.00 $124.00 1.0×
New Orleans-Metairie, LA 3 $53.76 $53.76 $53.76 1.0×
New Ulm, MN 2 $144.87 $175.21 $205.54 1.4×
New York-Newark-Jersey City, NY-NJ 36 $28.98 $205.30 $932.40 32.2×
Newport, OR 2 $184.00 $184.00 $184.00 1.0×
Nome, AK single city 1 $670.60 $670.60 $670.60 1.0×
North Conway, NH single city 1 $160.00 $160.00 $160.00 1.0×
Norway, ME single city 1 $160.00 $160.00 $160.00 1.0×
Oelwein, IA single city 1 $273.00 $273.00 $273.00 1.0×
Oil City, PA 1 $199.20 $199.20 $199.20 1.0×
Oklahoma City, OK 1 $20.00 $20.00 $20.00 1.0×
Olivia, MN single city 1 $181.17 $181.17 $181.17 1.0×
Olney, IL single city 1 $204.19 $204.19 $204.19 1.0×
Omaha, NE-IA 3 $146.25 $146.25 $544.52 3.7×
Oneonta, NY 2 $52.92 $52.92 $52.92 1.0×
Orange City, IA single city 1 $151.20 $151.20 $151.20 1.0×
Ord, NE single city 1 $383.40 $383.40 $383.40 1.0×
Orlando-Kissimmee-Sanford, FL 4 $743.20 $743.20 $743.20 1.0×
Orofino, ID single city 1 $120.00 $120.00 $120.00 1.0×
Ortonville, MN single city 1 $137.70 $137.70 $137.70 1.0×
Oshkosh, NE single city 1 $179.00 $179.00 $179.00 1.0×
Oshkosh-Neenah, WI 2 $139.64 $139.64 $139.64 1.0×
Owatonna, MN 1 $214.00 $214.00 $214.00 1.0×
Paducah, KY-IL 1 $276.53 $276.53 $276.53 1.0×
Pagosa Springs, CO single city 1 $303.52 $303.52 $303.52 1.0×
Panama City-Panama City Beach, FL 2 $179.92 $200.76 $221.60 1.2×
Park Falls, WI single city 1 $304.07 $304.07 $304.07 1.0×
Parkersburg-Vienna, WV 1 $124.00 $124.00 $124.00 1.0×
Parsons, KS single city 1 $138.04 $138.04 $138.04 1.0×
Pawnee City, NE single city 1 $176.00 $176.00 $176.00 1.0×
Pella, IA 1 $218.18 $218.18 $218.18 1.0×
Penn Yan, NY single city 1 $131.84 $131.84 $131.84 1.0×
Peoria, IL 4 $204.19 $204.19 $204.19 1.0×
Petersburg, WV single city 1 $297.60 $297.60 $297.60 1.0×
Petoskey, MI 1 $289.05 $289.05 $289.05 1.0×
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 5 $358.40 $358.40 $534.00 1.5×
Pittsburgh, PA 13 $131.50 $199.20 $606.06 4.6×
Pittsfield, MA 3 $708.38 $708.38 $708.38 1.0×
Pittsfield, ME single city 1 $91.12 $91.12 $91.12 1.0×
Plainview, TX 1 $122.57 $122.57 $122.57 1.0×
Platteville, WI 2 $178.19 $184.35 $190.50 1.1×
Plattsburgh, NY 1 $357.61 $357.61 $357.61 1.0×
Polson, MT single city 1 $233.47 $233.47 $233.47 1.0×
Portland-South Portland, ME 4 $66.36 $160.00 $258.00 3.9×
Portland-Vancouver-Hillsboro, OR-WA 9 $153.14 $218.88 $398.16 2.6×
Portsmouth, OH 1 $125.44 $125.44 $125.44 1.0×
Prairie Du Chien, WI single city 1 $231.00 $231.00 $231.00 1.0×
Presque Isle, ME single city 1 $53.60 $53.60 $53.60 1.0×
Providence-Warwick, RI-MA 2 $211.38 $211.38 $211.38 1.0×
Pullman, WA 1 $119.85 $119.85 $119.85 1.0×
Quincy, CA single city 1 $1,305.60 $1,305.60 $1,305.60 1.0×
Raleigh-Cary, NC 3 $171.53 $192.61 $192.61 1.1×
Rapid City, SD 3 $176.00 $206.40 $206.40 1.2×
Reading, PA 1 $193.63 $193.63 $193.63 1.0×
Redding, CA 1 $44.22 $44.22 $44.22 1.0×
Reed City, MI single city 1 $292.00 $292.00 $292.00 1.0×
Rhinelander, WI single city 1 $167.05 $167.05 $167.05 1.0×
Rice Lake, WI 1 $304.07 $304.07 $304.07 1.0×
Richmond, VA 1 $175.20 $175.20 $175.20 1.0×
Richmond-Berea, KY 2 $188.48 $232.51 $276.53 1.5×
Ripley, WV single city 1 $186.00 $186.00 $186.00 1.0×
Riverside-San Bernardino-Ontario, CA 7 $170.16 $232.66 $307.11 1.8×
Rochester, MN 1 $210.71 $210.71 $210.71 1.0×
Rochester, NY 10 $93.59 $141.92 $294.66 3.1×
Rockford, IL 1 $256.35 $256.35 $256.35 1.0×
Rockport, ME single city 1 $160.00 $160.00 $160.00 1.0×
Rolla, MO 1 $403.43 $403.43 $403.43 1.0×
Rome, GA 1 $98.00 $98.00 $98.00 1.0×
Roosevelt, UT single city 1 $698.36 $698.36 $698.36 1.0×
Roseburg, OR 1 $95.26 $95.26 $95.26 1.0×
Rotan, TX single city 1 $217.00 $217.00 $217.00 1.0×
Roundup, MT single city 1 $300.00 $300.00 $300.00 1.0×
Ruleville, MS single city 1 $61.50 $61.50 $61.50 1.0×
Rushville, IN single city 1 $188.36 $188.36 $188.36 1.0×
Sacramento-Roseville-Folsom, CA 4 $241.92 $241.92 $975.00 4.0×
Salem, OR 1 $160.79 $160.79 $160.79 1.0×
Salinas, CA 1 $1,531.42 $1,531.42 $1,531.42 1.0×
San Diego-Chula Vista-Carlsbad, CA 13 $102.60 $232.66 $971.25 9.5×
San Francisco-Oakland-Fremont, CA 15 $241.92 $241.92 $975.00 4.0×
San Jose-Sunnyvale-Santa Clara, CA 4 $241.92 $264.46 $561.60 2.3×
Santa Cruz-Watsonville, CA 1 $975.00 $975.00 $975.00 1.0×
Santa Rosa-Petaluma, CA 4 $114.96 $116.30 $241.92 2.1×
Sayre, PA 3 $180.60 $180.60 $180.60 1.0×
Scobey, MT single city 1 $352.75 $352.75 $352.75 1.0×
Seattle-Tacoma-Bellevue, WA 8 $53.55 $140.08 $293.60 5.5×
Seneca, KS single city 1 $112.50 $112.50 $112.50 1.0×
Seward, AK single city 1 $227.64 $227.64 $227.64 1.0×
Shattuck, OK single city 1 $449.22 $449.22 $449.22 1.0×
Shawano, WI 1 $139.64 $139.64 $139.64 1.0×
Shelby-Kings Mountain, NC 1 $98.00 $98.00 $98.00 1.0×
Shelbyville, TN 1 $65.25 $65.25 $65.25 1.0×
Shenandoah, IA single city 1 $467.55 $467.55 $467.55 1.0×
Shreveport-Bossier City, LA 1 $142.93 $142.93 $142.93 1.0×
Sidney, MT single city 1 $107.13 $107.13 $107.13 1.0×
Sierra Vista-Douglas, AZ 1 $227.20 $227.20 $227.20 1.0×
Sioux Center, IA single city 1 $195.94 $195.94 $195.94 1.0×
Sioux Falls, SD-MN 1 $209.00 $209.00 $209.00 1.0×
Slidell-Mandeville-Covington, LA 1 $53.76 $53.76 $53.76 1.0×
Smithville, TN single city 1 $275.10 $275.10 $275.10 1.0×
Soldotna, AK single city 1 $195.00 $195.00 $195.00 1.0×
Somerset, PA 1 $193.20 $193.20 $193.20 1.0×
South Boston, VA single city 1 $72.96 $72.96 $72.96 1.0×
Sparta, NC single city 1 $645.03 $645.03 $645.03 1.0×
Spartanburg, SC 3 $152.40 $152.40 $152.40 1.0×
Spearfish, SD 2 $206.40 $206.40 $206.40 1.0×
Spencer, IA 1 $261.75 $261.75 $261.75 1.0×
Spirit Lake, IA 1 $99.75 $99.75 $99.75 1.0×
Spokane-Spokane Valley, WA 4 $204.40 $204.40 $204.40 1.0×
Springerville, AZ single city 1 $83.17 $83.17 $83.17 1.0×
Spruce Pine, NC single city 1 $1,121.26 $1,121.26 $1,121.26 1.0×
St. Johnsbury, VT single city 1 $120.00 $120.00 $120.00 1.0×
Staples, MN single city 1 $155.00 $155.00 $155.00 1.0×
Starkville, MS 1 $465.45 $465.45 $465.45 1.0×
Staunton-Stuarts Draft, VA 1 $113.17 $113.17 $113.17 1.0×
Stevens Point-Plover, WI 3 $167.05 $167.05 $304.07 1.8×
Stockton-Lodi, CA 1 $241.92 $241.92 $241.92 1.0×
Suffolk, VA single city 1 $76.61 $76.61 $76.61 1.0×
Summersville, WV single city 1 $186.00 $186.00 $186.00 1.0×
Sweetwater, TN single city 1 $209.79 $209.79 $209.79 1.0×
Syracuse, NY 1 $240.77 $240.77 $240.77 1.0×
Tampa-St. Petersburg-Clearwater, FL 2 $374.00 $558.60 $743.20 2.0×
Taylorville, IL 1 $94.50 $94.50 $94.50 1.0×
Toledo, OH 1 $175.20 $175.20 $175.20 1.0×
Tomahawk, WI single city 1 $167.05 $167.05 $167.05 1.0×
Traverse City, MI 1 $380.80 $380.80 $380.80 1.0×
Trenton-Princeton, NJ 1 $66.14 $66.14 $66.14 1.0×
Tullahoma-Manchester, TN 1 $65.25 $65.25 $65.25 1.0×
Tulsa, OK 1 $119.81 $119.81 $119.81 1.0×
Two Harbors, MN single city 1 $211.51 $211.51 $211.51 1.0×
Urban Honolulu, HI 7 $177.00 $217.70 $425.74 2.4×
Utica-Rome, NY 2 $52.92 $112.05 $171.17 3.2×
Valdez, AK single city 1 $227.64 $227.64 $227.64 1.0×
Vallejo, CA 3 $232.09 $241.92 $241.92 1.0×
Vermillion, SD 1 $201.26 $201.26 $201.26 1.0×
Vincennes, IN 1 $216.60 $216.60 $216.60 1.0×
Virginia Beach-Chesapeake-Norfolk, VA-NC 7 $76.61 $76.61 $469.62 6.1×
Walla Walla, WA 1 $204.40 $204.40 $204.40 1.0×
Warner Robins, GA 1 $98.00 $98.00 $98.00 1.0×
Warren, PA 1 $438.00 $438.00 $438.00 1.0×
Washington Court House, OH 1 $170.00 $170.00 $170.00 1.0×
Washington-Arlington-Alexandria, DC-VA-MD-WV 11 $60.38 $76.61 $245.74 4.1×
Waterloo-Cedar Falls, IA 4 $128.00 $286.65 $371.10 2.9×
Watford City, ND single city 1 $128.05 $128.05 $128.05 1.0×
Waupaca, WI single city 1 $139.64 $139.64 $139.64 1.0×
Wausau, WI 2 $167.05 $235.56 $304.07 1.8×
Waverly, OH single city 1 $85.00 $85.00 $85.00 1.0×
Waynesboro, TN single city 1 $191.88 $191.88 $191.88 1.0×
Weaverville, CA single city 1 $76.00 $76.00 $76.00 1.0×
Webster City, IA single city 1 $219.06 $219.06 $219.06 1.0×
Weirton-Steubenville, WV-OH 1 $124.00 $124.00 $124.00 1.0×
Weiser, ID single city 1 $250.88 $250.88 $250.88 1.0×
Wellsboro, PA single city 1 $209.40 $209.40 $209.40 1.0×
Wellsville, NY single city 1 $146.00 $146.00 $146.00 1.0×
Wenatchee-East Wenatchee, WA 2 $132.00 $211.30 $290.60 2.2×
West Union, IA single city 1 $205.52 $205.52 $205.52 1.0×
Wheeling, WV-OH 3 $124.00 $124.00 $186.00 1.5×
Whitehall, WI single city 1 $219.36 $219.36 $219.36 1.0×
Wichita Falls, TX 1 $262.50 $262.50 $262.50 1.0×
Wild Rose, WI single city 1 $139.64 $139.64 $139.64 1.0×
Williamsport, PA 2 $199.20 $204.30 $209.40 1.1×
Winston-Salem, NC 3 $98.00 $98.00 $337.50 3.4×
Wisconsin Rapids-Marshfield, WI 2 $167.05 $235.56 $304.07 1.8×
Wolfeboro, NH single city 1 $146.50 $146.50 $146.50 1.0×
Woodruff, WI single city 1 $167.05 $167.05 $167.05 1.0×
Worthington, MN 1 $256.68 $256.68 $256.68 1.0×
York-Hanover, PA 2 $193.20 $193.20 $193.20 1.0×
Zanesville, OH 1 $114.11 $114.11 $114.11 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 91322?

CPT 91322 is the billing code for COVID-19 vaccine (Moderna), age 12 and older. This code is the Moderna 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 (Moderna) cost a clinic or pharmacy?

$151.73 (Spikevax) 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, $204.19 across 822 hospitals, is 1.3× that. Giving the shot is billed separately (CPT 90471).

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

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 (Moderna) has a median of $360.50 and the lowest a median of $87.02; at 513 of 610 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 (Moderna)?

Among 38 states with at least 5 hospitals listing a cash price, the median is lowest in New Jersey ($67.17), Virginia ($76.61) and Georgia ($98.00), and highest in Michigan ($277.95), Kentucky ($276.53) and Iowa ($263.57). 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.