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 |
|---|---|---|---|
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $36.00 | $3.96 – $81.00 |
| Sanford Canby Medical Center | Canby, MN | $37.60 | $11.38 – $42.30 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $39.00 | not published |
| University Hospitals Geneva Medical Center | Geneva, OH | $39.00 | not published |
| cleveland clinic florida weston hospital | Weston, FL | $39.00 | $9.36 – $60.00 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | $39.06 | $12.45 – $53.83 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $40.95 | $12.45 – $53.83 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $40.95 | $12.45 – $53.83 |
| MercyOne Centerville Medical Center | Centerville, IA | $43.00 | $5.40 – $23.00 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | $43.23 | $22.00 – $46.82 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $43.50 | $5.55 – $52.20 |
| University Hospitals Elyria Medical Center | Elyria, OH | $43.50 | $11.75 – $21.15 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $43.50 | $11.75 – $21.15 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $43.50 | $6.70 – $21.15 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $43.50 | $11.75 – $21.15 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $43.50 | $11.75 – $21.15 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $43.50 | $11.75 – $21.15 |
| Jackson General Hospital | Ripley, WV | $43.50 | not published |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $43.50 | $11.75 – $52.20 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $44.25 | $11.75 – $21.15 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $44.25 | $11.75 – $23.50 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | $45.60 | not published |
| Sanford Vermillion Hospital | Vermillion, SD | $45.60 | $16.82 – $51.30 |
| MultiCare Auburn Medical Center | Auburn, WA | $46.00 | $26.68 – $28.81 |
| MultiCare Capital Medical Center | Olympia, WA | $46.00 | $28.71 – $42.53 |
| MultiCare Covington Medical Center | Covington, WA | $46.00 | $26.68 – $28.81 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $46.00 | $27.29 – $29.48 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $46.00 | $27.17 – $96.45 |
| MultiCare Allenmore Hospital | Tacoma, WA | $46.00 | $27.30 – $29.49 |
| Gouverneur Hospital | Gouverneur, NY | $52.84 | not published |
| MaineHealth - Memorial Hospital | North Conway, NH | $53.45 | $11.35 – $26.73 |
| Canton-Potsdam Hospital | Potsdam, NY | $53.45 | $10.72 – $12.51 |
| St. Joseph’s Hospital and Medical Center | Phoenix, AZ | $53.48 | $12.82 – $110.60 |
| Sanford Sheldon Medical Center | Sheldon, IA | $54.40 | $19.38 – $61.20 |
| Sanford Wheaton | Wheaton, MN | $56.00 | $16.95 – $63.00 |
| Sanford Fargo Medical Center | Fargo, ND | $56.80 | $1.00 – $63.90 |
| OSF Saint Francis Medical Center | Peoria, IL | $57.00 | $13.34 – $13.34 |
| Sanford Luverne Medical Center | Luverne, MN | $59.20 | $17.92 – $66.60 |
| Wetzel County Hospital | New Martinsville, WV | $59.50 | $8.49 – $20.26 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | $59.94 | $12.45 – $53.83 |
| Sanford Bagley Medical Center | Bagley, MN | $61.60 | $18.64 – $69.30 |
| Sanford Bemidji Medical Center | Bemidji, MN | $61.60 | $1.02 – $69.30 |
| Wellstar Cobb Hospital | Austell, GA | $62.79 | not published |
| Wellstar Douglas Hospital | Douglasville, GA | $62.79 | not published |
| Wellstar Kennestone Hospital | Marietta, GA | $62.79 | not published |
| Wellstar MCG Health | Augusta, GA | $62.79 | not published |
| Wellstar North Fulton Hospital | Roswell, GA | $62.79 | not published |
| Wellstar Paulding Hospital | Hiram, GA | $62.79 | not published |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $62.79 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $62.79 | not published |