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 |
|---|---|---|---|
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $35.67 – $35.67 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | not published | $30.61 – $88.99 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | not published | $14.15 – $14.72 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | not published | $13.30 – $13.58 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $30.61 – $88.99 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | not published | $41.07 – $41.07 |
| Ascension Providence | Waco, TX | not published | $21.53 – $32.04 |
| North Central Bronx | Bronx, NY | not published | $0.01 – $645.00 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | not published | $28.53 – $28.53 |
| Ascension Saint Thomas Hickman | Centerville, TN | not published | $21.47 – $26.84 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | not published | $3.13 – $26.84 |
| Corewell Health Wayne | Wayne, MI | not published | $42.84 – $42.84 |
| Corewell Health Troy | Troy, MI | not published | $16.00 – $48.05 |
| Ascension Saint Thomas River Park | McMinnville, TN | not published | $4.68 – $26.84 |
| Corewell Health Trenton | Trenton, MI | not published | $38.21 – $38.21 |
| Henry Ford Warren Hospital | Warren, MI | not published | $7.79 – $13.02 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | not published | $7.79 – $13.02 |
| Corewell Health Taylor | Taylor, MI | not published | $50.17 – $50.17 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $16.07 – $28.51 |
| Ascension Saint Thomas DeKalb | Smithville, TN | not published | $3.13 – $26.84 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $12.85 – $12.85 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks, OK | not published | $9.32 – $13.67 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | not published | $9.32 – $23.13 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata, OK | not published | $9.32 – $23.13 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville, OK | not published | $9.32 – $23.13 |
| Ocean University Medical Center | Brick, NJ | not published | $20.12 – $20.12 |
| Ascension Saint Thomas Highlands | Sparta, TN | not published | $3.13 – $26.84 |
| Henry Ford River District Hospital | China Township, MI | not published | $7.79 – $13.02 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa, OK | not published | $9.32 – $26.52 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | not published | $1.54 – $12.51 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | not published | $1.54 – $12.51 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $20.64 – $44.23 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | not published | $12.00 – $50.57 |
| Covenant Medical Center | Lubbock, TX | not published | $26.81 – $44.23 |
| South Brooklyn Health | Brooklyn, NY | not published | $0.01 – $645.00 |
| Henry Ford Rochester Hospital | Rochester, MI | not published | $32.12 – $34.47 |
| Spring Harbor Hospital | Westbrook, ME | not published | $11.61 – $24.53 |
| Henry Ford St John Hospital | Detroit, MI | not published | $7.79 – $16.94 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | not published | $12.85 – $12.85 |
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | not published | $1.54 – $12.51 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | not published | $22.49 – $22.49 |
| Bellevue Hospital Center | NY 10016, NY | not published | $0.01 – $645.00 |
| Franklin Memorial Hospital | Farmington, ME | not published | $11.35 – $24.39 |
| Adventhealth Rollins Brook | Lampasas, TX | not published | $49.93 – $49.93 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $88.99 – $88.99 |
| CHRISTUS St. Vincent Regional Medical Center | Santa Fe, NM | not published | $25.67 – $133.23 |
| CHRISTUS Shreveport-Bossier Health System-Highland | Shreveport, LA | not published | $25.42 – $81.00 |
| CHRISTUS Ochsner St. Patrick Hospital | Lake Charles, LA | not published | $34.43 – $70.00 |
| CHRISTUS Ochsner Lake Area Hospital | Lake Charles, LA | not published | $28.00 – $34.43 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $22.00 – $22.00 |