CPT 90633

Vaccine Product

Current code26 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 90633 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27	—	$1.07	$2.67
Deaconess Medical CenterSpokaneFile dated 2026-08-27	—	$1.07	$2.67
EvergreenHealth Medical CenterKirkland	—	$84.80	$106
Island HospitalAnacortes	$19.08 – $20.703 plans	$32.00 – $36.63	$32.00 – $36.63
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27	—	$1.07	$2.67
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27	—	$1.07	$2.67
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27	—	$1.07	$2.67
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27	—	$1.07	$2.67
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27	—	$1.07	$2.67
Seattle Children's HospitalSeattle	$22.90 – $28.9612 plans	$89.10	$89.10
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27	—	$1.07	$2.67
Virginia Mason Medical CenterSeattle	—	$11.95 – $45.98	$23.44 – $90.15

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.