CPT 90471 Vaccines

Vaccine Administration — First Injection

What should this cost?

Medicare Pays

$17

National benchmark

Typical Range

$20–$75

What hospitals charge

Markup

Above Medicare rate

What this code means on your bill

The administration fee for giving the first vaccine. The vaccine itself is billed separately.

Commonly billed for

Flu shot, COVID vaccine, pneumonia vaccine

What to watch for

Upcoding

If your visit seemed straightforward but you see a high-level code, the provider may have billed for a more complex service than what was performed. Compare the code level to the time you actually spent with the doctor.

Duplicate charges

Check if this code appears more than once on the same date of service. Unless you had the same procedure performed twice (rare), a duplicate is likely a billing error.

Price check

If you're being charged more than 90 for this service, it's significantly above the typical range. Request an itemized bill and compare against the Medicare rate of $17.

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