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 |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg, CA | $13.77 | not published |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | $14.73 | $11.07 – $41.00 |
| West Virginia University Hospitals | Morgantown, WV | $15.00 | $7.53 – $49.06 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $15.20 | not published |
| Ascension Calumet Hospital, Inc. | Chilton, WI | $15.39 | $12.85 – $19.15 |
| Clara Maass Medical Center | Belleville, NJ | $15.71 | $11.07 – $41.00 |
| Redwood Memorial Hospital | Fortuna, CA | $15.81 | not published |
| Potomac Valley Hospital | Keyser, WV | $16.00 | not published |
| SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES | Simi Valley, CA | $16.16 | $10.00 – $124.23 |
| NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | Tillamook, OR | $16.74 | $12.23 – $51.00 |
| Providence St Joseph Medical Center | Polson, MT | $16.80 | not published |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $17.03 | $6.00 – $201.60 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $17.03 | $6.00 – $201.60 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $17.03 | $3.82 – $201.60 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $17.03 | $5.13 – $201.60 |
| Abbott Northwestern Hospital | MN 55407, MN | $17.52 | $9.91 – $147.00 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley, MN | $17.52 | $9.91 – $27.84 |
| United Hospital | MN | 1175 Nininger Road. Hastings, MN | $17.52 | $9.91 – $27.84 |
| Yavapai Regional Medical Center (East) | Prescott, AZ | $17.81 | $12.82 – $19.95 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $17.82 | $16.60 – $18.08 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | $17.82 | $18.08 – $18.21 |
| ST HELENA HOSPITAL | Vallejo, CA | $18.00 | $14.74 – $120.00 |
| UPMC Wellsboro | Wellsboro, PA | $18.40 | $9.25 – $9.25 |
| Grant Memorial Hospital | Petersburg, WV | $18.40 | not published |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $18.55 | $19.23 – $47.42 |
| MID-COLUMBIA MEDICAL CENTER | The Dalles, OR | $18.72 | $12.23 – $58.00 |
| HANFORD COMMUNITY HOSPITAL | Selma, CA | $19.19 | $12.96 – $169.68 |
| REEDLEY COMMUNITY HOSPITAL | Reedley, CA | $19.19 | $0.36 – $60.00 |
| ADVENTIST HEALTH TULARE | Tulare, CA | $19.19 | $12.96 – $132.31 |
| St Francis Medical Center | Midlothian, VA | $19.20 | not published |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $19.20 | not published |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $19.80 | $11.96 – $43.50 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | $19.80 | $5.00 – $34.00 |
| Mark Twain Medical Center | San Andreas, CA | $19.98 | $7.77 – $29.40 |
| St. Joseph's Hospital | Buckhannon, WV | $20.00 | not published |
| Mercy Primary Care - Bernie | Bernie, MO | $20.25 | $5.15 – $27.00 |
| SSM Health Monroe Hospital | Monroe, WI | $20.35 | not published |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $20.40 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $20.40 | $31.28 – $39.22 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $20.40 | $24.82 – $2,679.00 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $20.40 | $106.22 – $2,970.16 |
| St. Clare Hospital | Lakewood, WA | $22.06 | $55.10 – $128.52 |
| Atrium Health Anson | Wadesboro, NC | $22.15 | $3.61 – $26.27 |
| Atrium Health Mercy | Charlotte, NC | $22.15 | $3.61 – $31.90 |
| Atrium Health Pineville | Charlotte, NC | $22.15 | $3.61 – $26.58 |
| Atrium Health Stanly | Albermarle, NC | $22.15 | $3.61 – $31.90 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $22.15 | $4.70 – $35.44 |
| Atrium Health Cleveland | Shelby, NC | $22.15 | $3.61 – $31.90 |
| Atrium Health Cabarrus | Concord, NC | $22.15 | $3.61 – $31.90 |
| Atrium Health Lincoln | Lincolnton, NC | $22.15 | $3.61 – $20.87 |