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 |
|---|---|---|---|
| Santa Clara Medical Center | SANTA CLARA, CA | $189.84 | not published |
| San Rafael Medical Center | SAN RAFAEL, CA | $189.84 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $189.84 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $189.84 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $189.84 | not published |
| Vacaville Medical Center | VACAVILLE, CA | $189.84 | not published |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $189.84 | not published |
| Antioch Medical Center | ANTIOCH, CA | $189.84 | not published |
| Fremont Medical Center | FREMONT, CA | $189.84 | not published |
| Fresno Medical Center | FRESNO, CA | $189.84 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $189.84 | not published |
| San Jose Medical Center | SAN JOSE, CA | $189.84 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $189.84 | not published |
| Adventhealth Port Charlotte | Port Charlotte, FL | $278.63 | not published |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | not published | $14.43 – $14.72 |
| MultiCare Deaconess Hospital | Spokane, WA | not published | $26.27 – $27.81 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | not published | $14.15 – $14.72 |
| MENORAH MEDICAL CENTER | Overland Park, KS | not published | $14.15 – $14.72 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | not published | $14.15 – $14.72 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | not published | $14.15 – $14.72 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | not published | $14.25 – $14.55 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | not published | $14.25 – $14.55 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | not published | $13.30 – $14.00 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa, FL | not published | $13.30 – $13.58 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie, FL | not published | $14.55 – $14.55 |
| UCF LAKE NONA HOSPITAL | Orlando, FL | not published | $13.30 – $13.58 |
| HCA FLORIDA TWIN CITIES HOSPITAL | DEFUNIAK SPRINGS, FL | not published | $13.30 – $14.00 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | not published | $13.30 – $13.58 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH, FL | not published | $13.30 – $13.58 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART, FL | not published | $14.25 – $14.55 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $13.30 – $13.58 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE, FL | not published | $13.30 – $13.58 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka, FL | not published | $13.30 – $14.00 |
| HCA FLORIDA POINCIANA HOSPITAL | DAVENPORT, FL | not published | $13.30 – $14.00 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE, FL | not published | $14.25 – $14.55 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | not published | $13.58 – $13.58 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO, FL | not published | $13.30 – $14.00 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE, FL | not published | $13.30 – $13.58 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE, FL | not published | $14.25 – $14.55 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | not published | $13.30 – $13.58 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY, FL | not published | $13.30 – $14.00 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI, FL | not published | $14.25 – $14.55 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | not published | $13.30 – $13.58 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER, CO | not published | $14.25 – $14.55 |
| HCA FLORIDA LARGO HOSPITAL | LARGO, FL | not published | $13.30 – $13.58 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD, FL | not published | $13.30 – $14.00 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK, FL | not published | $13.30 – $14.00 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL, FL | not published | $14.25 – $14.55 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS, FL | not published | $14.25 – $14.55 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring, FL | not published | $13.58 – $13.58 |