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 |
|---|---|---|---|
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $35.67 – $35.67 |
| Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) | Carmel, IN | not published | $1.54 – $12.51 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | not published | $35.38 – $35.38 |
| OSF Saint Anthony's Health Center | Alton, IL | not published | $31.69 – $31.69 |
| OSF Saint Anthony Medical Center | Rockford, IL | not published | $13.34 – $13.34 |
| Morristown-Hamblen Hospital Association | Morristown, TN | not published | $14.51 – $14.51 |
| Parkwest Medical Center | Knoxville, TN | not published | $5.75 – $14.51 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | not published | $14.51 – $14.51 |
| LeConte Medical Center | Sevierville, TN | not published | $14.51 – $14.51 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | not published | $35.67 – $35.67 |
| Fort Sanders Regional Medical Center | Knoxville, TN | not published | $14.51 – $14.51 |
| Fort Loudoun Medical Center | Lenoir City, TN | not published | $14.51 – $14.51 |
| Cumberland Medical Center, Inc. | Crossville, TN | not published | $14.51 – $14.51 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $17.36 – $55.90 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $5.00 – $32.00 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $25.67 – $28.24 |
| CHRISTUS St. Michael Rehabilitation | Texarkana, TX | not published | $17.36 – $32.00 |
| Claiborne Medical Center | Tazewell, TN | not published | $14.51 – $14.51 |
| Roane County Medical Center | Harriman, TN | not published | $14.51 – $14.51 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $31.65 – $58.62 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $24.00 – $41.50 |
| CHRISTUS Trinity Mother Frances Hospital - South Tyler | Tyler, TX | not published | $24.00 – $41.50 |
| CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs | Sulphur Springs, TX | not published | $15.17 – $15.17 |
| CHRISTUS Trinity Mother Frances Hospital - Jacksonville | Jacksonville, TX | not published | $24.00 – $41.50 |
| CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital | Tyler, TX | not published | $24.00 – $41.50 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $5.00 – $32.00 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | not published | $41.07 – $41.07 |
| Kadlec Regional Medical Center | Richland, WA | not published | $21.22 – $21.22 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | not published | $12.45 – $53.83 |
| Swedish Edmonds Hospital | Edmonds, WA | not published | $26.46 – $26.46 |
| Providence Saint John's Health Center | Santa Monica, CA | not published | $61.17 – $61.17 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | not published | $1.54 – $12.51 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | not published | $1.54 – $12.51 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | not published | $1.54 – $12.51 |
| Adventhealth Central Texas | Killeen, TX | not published | $49.93 – $49.93 |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | not published | $41.07 – $41.07 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | not published | $12.85 – $43.33 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | not published | $12.45 – $53.83 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | not published | $12.45 – $53.83 |
| lodi hospital | Lodi, OH | not published | $22.75 – $26.35 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $23.74 – $27.49 |
| Covenant Children's Hospital | Lubbock, TX | not published | $44.23 – $44.23 |
| Berger Hospital | Circleville, OH | not published | $7.80 – $7.80 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | not published | $41.54 – $41.54 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | not published | $19.23 – $47.42 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $16.60 – $18.08 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso, OK | not published | $9.32 – $26.21 |
| Lincoln Health | Damariscotta, ME | not published | $11.35 – $24.39 |
| Stephens Memorial Hospital | Norway, ME | not published | $11.35 – $24.39 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | not published | $28.53 – $28.53 |