CPT 90651 · 920 hospitals reporting

Gardasil 9 vaccine, 0.5 ml

The same procedure costs $55.39 at one hospital and $6,285 at another — a 113× spread for what's billed under the same code. Median: $415.

Cheapest published

$55.39

35 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 920 hospitals

$415

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$6,285

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

402 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
CAPE FEAR VALLEY MEDICAL CENTER	NC	$692	$415	—	—	1 insurers
BETSY JOHNSON REGIONAL HOSPITAL	NC	$692	$415	—	—	1 insurers
NORTHRIDGE HOSPITAL MEDICAL CENTER	CA	$1,490	$416	$298	$1,296	5 insurers
NORTHRIDGE HOSPITAL MEDICAL CENTER	CA	$1,490	$416	$229	$1,557	5 insurers
CHICOT MEMORIAL MEDICAL CENTER	AR	$697	$418	—	—	5 insurers
CHI ST ALEXIUS HEALTH DICKINSON	ND	$650	$410	$455	$631	5 insurers
CHI ST ALEXIUS HEALTH DICKINSON	ND	$650	$410	$273	$631	5 insurers
SANFORD LUVERNE MEDICAL CENTER	MN	$529	$423	—	—	5 insurers
COPPER QUEEN COMMUNITY HOSPITAL	AZ	$607	$425	—	—	3 insurers
THE QUEENS MEDICAL CENTER	HI	$607	$425	—	—	3 insurers
BROWN UNIVERSITY HEALTH MORTON HOSPITAL	MA	$404	$404	—	—	0 insurers
RHODE ISLAND HOSPITAL	RI	$404	$404	—	—	0 insurers
THE MIRIAM HOSPITAL	RI	$404	$404	—	—	0 insurers
WASHINGTON REGIONAL MEDICAL CENTER	AR	$570	$428	—	—	2 insurers
LANAI COMMUNITY HOSPITAL	HI	$1,029	$401	—	—	1 insurers
KULA HOSPITAL	HI	$1,029	$401	—	—	1 insurers
BARNESVILLE HOSPITAL ASSOCIATION, INC	OH	$871	$436	—	—	2 insurers
BERKELEY MEDICAL CENTER	WV	$871	$436	—	—	2 insurers
BRAXTON COUNTY MEMORIAL HOSPITAL, INC	WV	$871	$436	—	—	1 insurers
POTOMAC VALLEY HOSPITAL	WV	$871	$436	—	—	1 insurers
JACKSON GENERAL HOSPITAL	WV	$871	$436	—	—	1 insurers
MEMORIAL HOSPITAL SWEETWATER COUNTY	WY	$395	$395	—	—	5 insurers
SIDNEY HEALTH CENTER	MT	$633	$392	—	—	5 insurers
BURKE MEDICAL CENTER	GA	$620	$441	—	—	5 insurers
STEVENS COMMUNITY MEDICAL CENTER	MN	$589	$442	—	—	5 insurers
KENNEDY KRIEGER INSTITUTE	MD	$554	$443	—	—	0 insurers
SANFORD CANBY MEDICAL CENTER	MN	$554	$444	—	—	5 insurers
HIGH POINT REGIONAL HEALTH SYSTEM	NC	$773	$387	—	—	0 insurers
NORTH CAROLINA BAPTIST HOSPITAL	NC	$773	$387	—	—	0 insurers
University of Arkansas Medical Sciences	AR	$741	$444	—	—	3 insurers
BAPTIST HEALTH DEACONESS MADISONVILLE	KY	$3,420	$445	—	—	5 insurers
SANFORD MEDICAL CENTER BISMARCK	ND	$483	$386	—	—	4 insurers
SANFORD CHAMBERLAIN MEDICAL CENTER	SD	$482	$385	—	—	5 insurers
SANFORD USD MEDICAL CENTER	SD	$564	$452	—	—	2 insurers
WARD MEMORIAL HOSPITAL	TX	$540	$378	—	—	0 insurers
CHI ST ALEXIUS HEALTH WILLISTON	ND	$650	$377	$390	$611	5 insurers
CHI ST ALEXIUS HEALTH WILLISTON	ND	$650	$377	$286	$611	5 insurers
THREE RIVERS HEALTH	MI	$685	$376	—	—	0 insurers
MAUI MEMORIAL MEDICAL CENTER	HI	$962	$375	—	—	1 insurers
STORY COUNTY HOSPITAL	IA	$465	$372	—	—	5 insurers