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 |
|---|---|---|---|
| Atrium Health Union | Monroe, NC | $22.15 | $3.61 – $26.58 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $22.15 | $3.61 – $25.92 |
| Atrium Health University City | Charlotte, NC | $22.15 | $3.61 – $31.90 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $22.15 | $3.61 – $31.90 |
| St. Anthony Hospital | Gig Harbor, WA | $23.28 | $55.10 – $128.52 |
| St. Anne Hospital | Burien, WA | $23.37 | $32.91 – $136.45 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $23.40 | $7.03 – $102.00 |
| MercyOne Clinton Medical Center | Clinton, IA | $23.40 | $5.57 – $105.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $23.40 | $4.62 – $134.00 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $23.40 | $3.96 – $81.00 |
| St. Francis Hospital | Federal Way, WA | $24.02 | $55.10 – $128.52 |
| St. Joseph Medical Center | Tacoma, WA | $25.35 | $55.10 – $128.52 |
| Orange County Anaheim Medical Center | Anaheim, CA | $26.00 | not published |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $26.00 | not published |
| Downey Medical Center | Downey, CA | $26.00 | not published |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $26.00 | not published |
| Riverside Medical Center | RIVERSIDE, CA | $26.00 | not published |
| South Bay Medical Center | HARBOR CITY, CA | $26.00 | not published |
| San Marcos Medical Center | SAN MARCOS, CA | $26.00 | not published |
| West Los Angeles Medical Center | LOS ANGELES, CA | $26.00 | not published |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $26.00 | not published |
| Panorama Medical Center | PANORAMA CITY, CA | $26.00 | not published |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $26.00 | not published |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $26.00 | not published |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $26.00 | not published |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $26.40 | $13.18 – $13.18 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $26.40 | $13.18 – $13.18 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $26.40 | $13.18 – $13.18 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $26.40 | $13.18 – $13.18 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $26.40 | $13.18 – $13.18 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $26.40 | $13.18 – $13.18 |
| St. Elizabeth Hospital | Enumclaw, WA | $27.04 | $13.01 – $68.87 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $27.20 | $10.91 – $20.31 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $27.20 | $6.72 – $31.28 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $27.20 | $10.91 – $20.31 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $27.20 | $10.91 – $20.31 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $27.20 | $10.91 – $20.31 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $27.20 | $10.91 – $20.31 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $27.20 | $8.84 – $20.31 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $27.20 | $10.91 – $20.31 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $27.20 | $6.72 – $20.31 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $27.20 | $6.72 – $20.31 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $27.20 | $10.91 – $20.31 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $27.20 | $10.91 – $20.31 |
| Mercy Medical Center Merced | Merced, CA | $27.30 | $31.80 – $52.47 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $27.95 | $5.83 – $23.00 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $27.95 | $7.44 – $22.15 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $27.95 | $7.52 – $19.68 |
| MercyOne Elkader Medical Center | Elkader, IA | $27.95 | $10.13 – $20.57 |
| MercyOne Newton Medical Center | Newton, IA | $27.95 | $12.79 – $19.68 |