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 |
|---|---|---|---|
| CENTERPOINT MEDICAL CENTER | Independence, MO | not published | $14.15 – $14.72 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $13.30 – $13.58 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | not published | $14.15 – $15.06 |
| Jacobi Medical Center | Bronx, NY | not published | $0.01 – $645.00 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $0.01 – $645.00 |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | not published | $1.54 – $12.51 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | not published | $21.89 – $21.89 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | not published | $1.54 – $12.51 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | not published | $12.85 – $43.33 |
| Henry Ford Providence Novi Hospital | Novi, MI | not published | $13.02 – $44.97 |
| Henry J. Carter Specialty Hospital | New York, NY | not published | not published |
| Southern Ocean Medical Center | Manahawkin, NJ | not published | $20.12 – $20.12 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | not published | $1.54 – $12.51 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | not published | $1.54 – $12.51 |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | not published | $14.15 – $15.06 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | not published | $1.54 – $12.51 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita, KS | not published | $18.38 – $18.38 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | not published | $1.54 – $12.51 |
| Riverview Medical Center | Red Bank, NJ | not published | $20.12 – $20.12 |
| Palisades Medical Center | North Bergen, NJ | not published | $20.96 – $20.96 |
| Jersey Shore University Medical Center | Neptune City, NJ | not published | $20.12 – $20.12 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | $20.96 – $20.96 |
| Raritan Bay Medical Center | Perth Amboy, NJ | not published | $20.96 – $20.96 |
| Queens Hospital Center | Jamaica, NY | not published | $0.01 – $645.00 |
| Hackensack University Medical Center | Hackensack, NJ | not published | $11.50 – $20.96 |
| Bayshore Medical Center | Holmdel, NJ | not published | not published |
| Woodhull Medical Center | Brooklyn, NY | not published | $0.01 – $645.00 |
| Mid Coast Hospital | Brunswick, ME | not published | $11.35 – $24.39 |
| Harlem Hospital Center | New York, NY | not published | $0.01 – $645.00 |
| Waldo County General Hospital | Belfast, ME | not published | $11.35 – $24.39 |
| Pen Bay Medical Center | Rockport, ME | not published | $11.35 – $24.39 |
| Metropolitan Hospital Center | New York, NY | not published | $0.01 – $645.00 |
| Lincoln Medical Center | Bronx, NY | not published | $0.01 – $645.00 |
| Kings County Hospital Center | Brooklyn, NY | not published | $0.01 – $645.00 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem, IN | not published | $1.54 – $12.51 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | not published | $15.13 – $15.13 |
| Ascension Saint Thomas Midtown | Nashville, TN | not published | $3.13 – $26.84 |
| Providence Alaska Medical Center | Anchorage, AK | not published | $129.85 – $129.85 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis, IN | not published | $1.54 – $12.51 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | not published | $1.54 – $12.51 |