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 |
|---|---|---|---|
| Wellstar Sylvan Grove Hospital | Jackson, GA | $62.79 | not published |
| Wellstar West Georgia Medical Center | Lagrange, GA | $62.79 | not published |
| Wellstar Windy Hill Hospital | Marietta, GA | $62.79 | not published |
| AdventHealth Orlando | Orlando, FL | $63.00 | not published |
| Adventhealth Carrollwood | Tampa, FL | $67.48 | not published |
| Bakersfield Memorial Hospital | Bakersfield, CA | $69.73 | $95.00 – $188.10 |
| Sanford Medical Center Bismarck | Bismarck, ND | $70.40 | $10.91 – $79.20 |
| Mercy Hospitals – Bakersfield | Bakersfield, CA | $70.49 | $95.00 – $152.00 |
| Sequoia Hospital | Redwood City, CA | $70.62 | $15.54 – $159.08 |
| St. Mary Medical Center | Long Beach, CA | $73.10 | $38.50 – $154.00 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | $75.95 | $12.45 – $53.83 |
| Providence Kodiak Island Medical Center | Kodiak, AK | $79.56 | not published |
| AdventHealth Parker | Parker, CO | $80.21 | $21.62 – $21.62 |
| AdventHealth Littleton | Littleton, CO | $80.21 | $21.62 – $21.62 |
| AdventHealth Porter | Denver, CO | $80.21 | $21.62 – $21.62 |
| AdventHealth Avista | Louisville, CO | $80.21 | $21.62 – $21.62 |
| AdventHealth Castle Rock | Castle Rock, CO | $80.21 | $21.62 – $21.62 |
| The Unity Hospital of Rochester | Rochester, NY | $86.17 | not published |
| Sanford USD Medical Center | Sioux Falls, SD | $88.80 | $1.00 – $99.90 |
| Rochester General Hospital | Rochester, NY | $90.69 | not published |
| Newark Wayne Community Hospital | Newark, NY | $90.69 | $11.91 – $24.82 |
| Sunnyside Medical Center | CLACKAMAS, OR | $103.70 | not published |
| Westside Medical Center | HILLSBORO, OR | $103.70 | not published |
| Texas Health Hospital Mansfield | Mansfield, TX | $105.02 | $35.38 – $35.38 |
| Baptist Hospital | MIAMI, FL | $116.35 | $25.27 – $153.90 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $116.35 | $25.27 – $161.10 |
| Doctors Hospital | CORAL GABLES, FL | $116.35 | $24.50 – $161.10 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $116.35 | $24.50 – $153.90 |
| Fishermens Community Hospital | MARATHON, FL | $116.35 | $24.50 – $161.10 |
| Homestead Hospital | HOMESTEAD, FL | $116.35 | $24.50 – $161.10 |
| Mariners Hospital | TAVERNIER, FL | $116.35 | $24.50 – $161.10 |
| West Kendall Baptist Hospital | MIAMI, FL | $116.35 | $24.50 – $161.10 |
| cleveland clinic main campus | Cleveland, OH | $123.50 | $1.10 – $171.00 |
| akron general | Akron, OH | $123.50 | $1.10 – $171.00 |
| avon hospital | Avon, OH | $123.50 | $14.54 – $171.00 |
| euclid hospital | Euclid, OH | $123.50 | $14.90 – $171.00 |
| fairview hospital | Cleveland, OH | $123.50 | $13.99 – $171.00 |
| lutheran hospital | Cleveland, OH | $123.50 | $13.33 – $171.00 |
| hillcrest hospital | Mayfield Heights, OH | $123.50 | $14.58 – $171.00 |
| marymount hospital | Garfield Heights, OH | $123.50 | $13.16 – $171.00 |
| medina hospital | Medina, OH | $123.50 | $13.64 – $171.00 |
| mercy hospital | Canton, OH | $123.50 | $1.10 – $171.00 |
| south pointe hospital | Warrensville Heights, OH | $123.50 | $15.52 – $171.00 |
| martin north hospital | Stuart, FL | $154.70 | $8.80 – $119.00 |
| indian river hospital | Vero Beach, FL | $154.70 | $9.36 – $190.40 |
| Vallejo Medical Center | VALLEJO, CA | $189.84 | not published |
| Redwood City Medical Center | Redwood City, CA | $189.84 | not published |
| Oakland Medical Center | Oakland, CA | $189.84 | not published |
| Sacramento Medical Center | SACRAMENTO, CA | $189.84 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $189.84 | not published |