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 |
|---|---|---|---|
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY, FL | not published | $13.30 – $14.00 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE, FL | not published | $13.30 – $14.00 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS, FL | not published | $13.30 – $13.58 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD, FL | not published | $13.30 – $13.58 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness, FL | not published | $63.03 – $64.36 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | not published | $13.30 – $14.00 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA, FL | not published | $13.30 – $13.58 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON, FL | not published | $13.30 – $13.58 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON, FL | not published | $13.30 – $13.58 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH, FL | not published | $14.25 – $14.55 |
| HCA HOUSTON WEST | HOUSTON, TX | not published | $30.35 – $30.35 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | not published | $30.35 – $30.35 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | not published | $30.35 – $30.35 |
| HCA HOUSTON NORTHWEST | SPRING, TX | not published | $30.35 – $30.35 |
| HCA HOUSTON PEARLAND | Pearland, TX | not published | $30.35 – $30.35 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | not published | $30.35 – $30.35 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | not published | $30.35 – $30.35 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | not published | $30.35 – $30.35 |
| HCA HOUSTON CONROE | CONROE, TX | not published | $30.35 – $30.35 |
| STONESPRINGS HOSPITAL CENTER | Dulles, VA | not published | $60.63 – $60.63 |
| RESTON HOSPITAL CENTER | VIENNA, VA | not published | $60.63 – $60.63 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | not published | $54.76 – $54.76 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | not published | $57.22 – $57.22 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | not published | $4.85 – $4.85 |
| STONECREST MEDICAL CENTER | Smyrna, TN | not published | $4.38 – $4.38 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | not published | $5.38 – $5.38 |
| SKYLINE MADISON CAMPUS | NASHVILLE, TN | not published | $4.54 – $4.54 |
| HORIZON MEDICAL CENTER | DICKSON, TN | not published | $5.01 – $5.01 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | not published | $5.32 – $5.32 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City, TN | not published | $3.13 – $3.13 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $35.67 – $35.67 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $35.67 – $35.67 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $35.67 – $35.67 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | not published | $35.67 – $35.67 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $35.67 – $35.67 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | not published | $35.67 – $35.67 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | not published | $55.08 – $55.08 |
| MUSC Health Kershaw Medical Center | Camden, SC | not published | $40.58 – $40.58 |
| MUSC Health Florence Medical Center | Florence, SC | not published | $55.08 – $55.08 |
| MUSC Health Chester Medical Center | Chester, SC | not published | $54.89 – $54.89 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | not published | $10.24 – $17.26 |
| MultiCare Valley Hospital | Spokane Valley, WA | not published | $26.08 – $27.61 |
| Houston Methodist Cypress Hospital | Cypress, TX | not published | $40.47 – $40.47 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | not published | $40.47 – $40.47 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | not published | $22.57 – $22.57 |
| Houston Methodist Willowbrook Hospital | Houston, TX | not published | $40.47 – $40.47 |
| Houston Methodist Baytown Hospital | Baytown, TX | not published | $40.47 – $40.47 |
| Houston Methodist West Hospital | Houston, TX | not published | $40.47 – $40.47 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | not published | $40.47 – $40.47 |
| Houston Methodist Hospital | Houston, TX | not published | $40.47 – $40.47 |