CPT 90750

Vaccine Product

Current code30 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 90750 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$81.94 – $1215 plans$79.20$198
Deaconess Medical CenterSpokaneFile dated 2026-08-27$74.97 – $79.385 plans——
EvergreenHealth Medical CenterKirkland—$203$254
Island HospitalAnacortes$77.36 – $83.933 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$77.55 – $83.755 plans$79.20$198
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$76.14 – $82.235 plans$79.20$198
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$76.14 – $82.235 plans$79.20$198
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$77.90 – $84.145 plans$79.20$198
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$74.44 – $78.825 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$95.84 – $1055 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
PeaceHealth Peace Island Medical CenterFriday Harbor—$135 – $470$207 – $723
PeaceHealth Southwest Medical CenteVancouver—$135 – $470$207 – $723
PeaceHealth St John Medical CenterLongview—$128 – $470$197 – $723
PeaceHealth St Joseph Medical CenterBellingham—$135 – $470$207 – $723
PeaceHealth United General Medical CenterSedro Woolley—$135 – $470$207 – $723
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01———
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Skagit Valley HospitalMount Vernon$76.26 – $93.394 plans$132$165
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01—$417 – $511$869 – $1,064
Swedish Medical CenterSeattleFile dated 2026-04-01—$511$1,064
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$417 – $441$869 – $918
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$77.93 – $84.175 plans$79.20 – $308$198 – $771
Three Rivers HospitalBrewster$1901 plan$272$272
Virginia Mason Medical CenterSeattle—$240$470
WhidbeyHealth Medical CenterCoupeville—$237$237
Yakima Valley MemorialYakimaFile dated 2026-08-27$74.47 – $86.525 plans$308 – $375$771 – $937

Lowest and highest amounts each hospital lists for this code as an outpatient, 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.