Administration immunization intranasal/oral route each additional vaccine cost at US hospitals
HC Administration Immunization Intranasal/Oral Route Each Additional Vaccine · CPT 90474
$2.59
lowest cash price
$30.24
national median
$278.63
highest cash price
314
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $2.59–$278.63 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($53.45) → Aug 1, 2026 ($43.50)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 3 | $79.56 | $79.56 | $79.56 |
| Arizona | 2 | $17.81 | $17.81 | $53.48 |
| California | 53 | $2.59 | $26.00 | $189.84 |
| Colorado | 6 | $80.21 | $80.21 | $80.21 |
| Florida | 59 | $11.10 | $116.35 | $278.63 |
| Georgia | 11 | $62.79 | $62.79 | $62.79 |
| Hawaii | 1 | $5.44 | $5.44 | $5.44 |
| Illinois | 7 | $20.40 | $27.20 | $57.00 |
| Indiana | 16 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 28 | $19.20 | $27.20 | $54.40 |
| Kansas | 5 | not published by hospital | not published by hospital | not published by hospital |
| Louisiana | 5 | $34.06 | $34.06 | $34.06 |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 19 | $17.03 | $17.03 | $17.03 |
| Minnesota | 16 | $10.08 | $17.52 | $61.60 |
| Missouri | 16 | $20.25 | $26.40 | $29.90 |
| Montana | 1 | $16.80 | $16.80 | $16.80 |
| New Hampshire | 1 | $53.45 | $53.45 | $53.45 |
| New Jersey | 21 | $9.58 | $12.85 | $15.71 |
| New Mexico | 2 | not published by hospital | not published by hospital | not published by hospital |
| New York | 19 | $30.00 | $53.45 | $90.69 |
| North Carolina | 12 | $22.15 | $22.15 | $22.15 |
| North Dakota | 4 | $33.60 | $33.60 | $70.40 |
| Ohio | 33 | $34.80 | $43.50 | $123.50 |
| Oklahoma | 9 | $17.82 | $17.82 | $17.82 |
| Oregon | 7 | $10.24 | $34.50 | $103.70 |
| Pennsylvania | 2 | $12.50 | $12.50 | $18.40 |
| South Carolina | 9 | $9.50 | $11.50 | $11.50 |
| South Dakota | 5 | $31.20 | $32.80 | $88.80 |
| Tennessee | 26 | $12.75 | $12.75 | $12.75 |
| Texas | 84 | $2.98 | $33.60 | $105.02 |
| Virginia | 4 | $12.75 | $12.75 | $19.20 |
| Washington | 23 | $11.95 | $30.24 | $46.00 |
| West Virginia | 14 | $10.50 | $13.50 | $59.50 |
| Wisconsin | 10 | $15.39 | $18.55 | $29.60 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi, CA | $2.59 | $3.64 – $33.60 |
| St. Joseph Health Grimes Hospital | Navasota, TX | $2.98 | $6.17 – $38.00 |
| St. Joseph Health Burleson Hospital | Caldwell, TX | $2.98 | $3.74 – $17.00 |
| St. Joseph Health Madison Hospital | Madisonville, TX | $2.98 | $2.17 – $38.00 |
| St. Joseph Health College Station Hospital | College Station, TX | $2.98 | $8.33 – $38.00 |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $5.10 | $4.62 – $45.00 |
| CASTLE MEDICAL CENTER | Kailua, HI | $5.44 | $9.27 – $29.75 |
| Covenant Hospital Plainview | Plainview, TX | $5.78 | $27.37 – $27.97 |
| Covenant Hospital Levelland | Levelland, TX | $5.78 | $27.97 – $31.00 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $6.00 | $3.00 – $66.41 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $8.10 | $3.30 – $30.00 |
| MUSC Health Black River Medical Center | Cades, SC | $9.50 | $49.20 – $49.20 |
| Newark Beth Israel Medical Center | Newark, NJ | $9.58 | $6.68 – $11.07 |
| Cooperman Barnabas Medical Center | Livingston, NJ | $9.74 | $11.07 – $41.00 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | $9.81 | $11.25 – $41.00 |
| Allina Health Faribault Medical Center | Faribualt, MN | $10.08 | $12.19 – $141.00 |
| Buffalo Hospital | Buffalo, MN | $10.08 | $12.19 – $141.00 |
| Cambridge Medical Center | Cambridge, MN | $10.08 | $12.19 – $141.00 |
| River Falls Area Hospital | River Falls, MN | $10.08 | $7.62 – $58.41 |
| Owatonna Hospital | Owatonna, MN | $10.08 | $12.19 – $141.00 |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | $10.19 | $41.00 – $41.00 |
| PORTLAND ADVENTIST MEDICAL CENTER | Portland, OR | $10.24 | $10.50 – $64.00 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $10.26 | $10.00 – $199.50 |
| Weirton Medical Center | Weirton, WV | $10.50 | $8.49 – $58.94 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | $11.10 | $28.53 – $28.53 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | $11.10 | $28.53 – $28.53 |
| MUSC Health Main Campus - Charleston | Charleston, SC | $11.50 | $40.32 – $40.32 |
| MUSC Health Orangeburg Medical Center | Orangeburg, SC | $11.50 | not published |
| Trinitas Regional Medical Center | Elizabeth, NJ | $11.63 | $6.49 – $41.00 |
| Virginia Mason Medical Center | Seattle, WA | $11.95 | $0.37 – $210.01 |
| St. Joseph's Medical Center Stockton | Stockton, CA | $12.35 | $8.82 – $35.28 |
| United Hospital Center | Bridgeport, WV | $12.50 | $8.49 – $20.26 |
| Berkeley Medical Center | Martinsburg, WV | $12.50 | $8.49 – $20.26 |
| Camden Clark Medical Center | Parkersburg, WV | $12.50 | $8.49 – $20.26 |
| Princeton Community Hospital | Princeton, WV | $12.50 | $8.49 – $67.45 |
| Thomas Hospitals | South Charleston, WV | $12.50 | $8.49 – $58.61 |
| Uniontown Hospital | Uniontown, PA | $12.50 | $8.49 – $24.43 |
| WILLITS HOSPITAL INC | Willits, CA | $12.60 | $3.00 – $30.00 |
| Bristol Regional Medical Center | BRISTOL, TN | $12.75 | $3.63 – $52.42 |
| Greeneville Community Hospital | GREENEVILLE, TN | $12.75 | $3.63 – $54.88 |
| Hawkins County Memorial Hospital | ROGERSVILLE, TN | $12.75 | $3.63 – $57.62 |
| Holston Valley Medical Center | KINGSPORT, TN | $12.75 | $3.63 – $52.42 |
| Lonesome Pine Hospital | BIG STONE GAP, VA | $12.75 | $8.17 – $53.25 |
| Community Medical Center | Toms River, NJ | $12.85 | $10.80 – $41.00 |
| Jersey City Medical Center | Jersey City, NJ | $12.88 | $8.40 – $41.00 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township, NJ | $12.94 | $10.80 – $41.00 |
| Robert Wood Johnson University Hospital Somerset | Somerville, NJ | $13.35 | $6.87 – $37.00 |
| Jefferson Medical Center | Ranson, WV | $13.50 | not published |
| Reynolds Memorial Hospital | Glen Dale, WV | $13.50 | $7.53 – $20.26 |
| Monmouth Medical Center | Long Branch, NJ | $13.56 | $11.07 – $41.00 |