CPT 90675
Vaccine Product
Current code48 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $81.94 – $121 | $548 | $1,370 |
| Cascade Valley Hospital | $354 – $1,271 | $954 – $1,015 | $1,192 – $1,269 |
| Deaconess Medical Center | $74.97 – $79.38 | $751 | $1,877 |
| EvergreenHealth Medical Center | — | $302 – $2,304 | $377 – $2,880 |
| EvergreenHealth Monroe | $332 | $2,135 | $2,669 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $642 | $2,103 |
| Island Hospital | $77.36 – $83.93 | $328 | $328 |
| Kadlec Regional Medical Center | — | $865 | $1,235 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $77.55 – $83.75 | $672 | $1,681 |
| MultiCare Auburn Medical Center | $76.14 – $82.23 | $548 | $1,370 |
| MultiCare Covington Medical Center | $76.14 – $82.23 | $548 | $1,370 |
| MultiCare Good Samaritan Hospital | $77.90 – $84.14 | $548 | $1,370 |
| MultiCare Valley Hospital | $74.44 – $78.82 | $751 | $1,877 |
| Olympic Medical Center | $95.84 – $105 | — | — |
| Overlake Hospital Medical Center & Clinics | — | $559 – $795 | $1,118 – $1,590 |
| PeaceHealth Peace Island Medical Center | — | $232 – $1,014 | $357 – $1,560 |
| PeaceHealth Southwest Medical Cente | $333 | $232 – $1,014 | $357 – $1,560 |
| PeaceHealth St John Medical Center | $249 – $336 | $220 – $1,014 | $339 – $1,560 |
| PeaceHealth St Joseph Medical Center | $336 | $221 – $1,014 | $340 – $1,560 |
| PeaceHealth United General Medical Center | — | $217 – $1,014 | $334 – $1,560 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $550 – $1,157 | $785 – $1,653 |
| Providence Centralia Hospital | — | $880 – $1,432 | $1,693 – $2,754 |
| Providence Holy Family Hospital | — | $550 – $1,157 | $785 – $1,653 |
| Providence Mount Carmel Hospital | — | $861 – $1,157 | $1,231 – $1,653 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $550 – $1,157 | $785 – $1,653 |
| Providence St Mary Medical Center | — | $1,542 – $1,619 | $2,202 – $2,312 |
| Providence St Peter Hospital | — | $848 – $999 | $1,631 – $1,921 |
| Seattle Children's Hospital | $226 – $286 | $879 | $879 |
| Skagit Valley Hospital | $85.83 – $1,345 | $954 – $1,015 | $1,192 – $1,269 |
| St Anthony Hospital | — | $639 | $2,103 |
| St Clare Hospital | — | $606 | $2,103 |
| St Elizabeth Hospital | $357 – $435 | $743 | $2,103 |
| St Francis Community Hospital | — | $660 | $2,103 |
| St Joseph Medical Center | — | $696 | $2,103 |
| St Michael Medical Center | — | $928 | $2,103 |
| Swedish Edmonds Hospital | — | $769 – $863 | $1,602 – $1,798 |
| Swedish Issaquah | — | $769 | $1,602 |
| Swedish Medical Center | — | $736 – $769 | $1,533 – $1,602 |
| Swedish Medical Center / Cherry Hill | — | $769 | $1,602 |
| Tacoma General Allenmore Hospital | $77.93 – $84.17 | $548 | $1,370 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $432 – $525 | $847 – $1,028 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $74.47 – $86.52 | $548 – $817 | $1,370 – $2,043 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $328 (APC 9139)
- Surgery center payment (national)
- $328