Cciiv4 vac no prsv 0.5 ml im cost at US hospitals

CCIIV4 VAC NO PRSV 0.5 ML IM · CPT 90674

$0.09

lowest cash price

$32.80

national median

$204.53

highest cash price

96

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $0.09–$204.53 — the variation is the story.

Most expensive published cash price

$204.53

NewYork-Presbyterian Queens — Flushing, NY

Median cash price over time

Sep 1, 2025 ($40.55) → Sep 1, 2026 ($21.00)

By state

State Hospitals Lowest cash Median Highest
Alaska 2 not published by hospital not published by hospital not published by hospital
Arizona 1 $47.49 $47.49 $47.49
California 12 $36.83 $36.83 $84.15
Colorado 3 not published by hospital not published by hospital not published by hospital
Florida 33 $24.00 $28.88 $166.00
Georgia 10 not published by hospital not published by hospital not published by hospital
Illinois 17 $32.80 $97.55 $97.55
Indiana 16 not published by hospital not published by hospital not published by hospital
Iowa 11 $32.80 $32.80 $32.80
Kansas 5 not published by hospital not published by hospital not published by hospital
Kentucky 6 $0.09 $0.11 $0.13
Maine 7 not published by hospital not published by hospital not published by hospital
Michigan 21 not published by hospital not published by hospital not published by hospital
Minnesota 2 not published by hospital not published by hospital not published by hospital
Missouri 6 not published by hospital not published by hospital not published by hospital
Montana 1 not published by hospital not published by hospital not published by hospital
New Hampshire 1 $40.55 $40.55 $40.55
New Jersey 20 $8.81 $10.34 $23.83
New York 12 $21.00 $204.53 $204.53
North Carolina 12 $82.03 $82.03 $82.03
North Dakota 2 not published by hospital not published by hospital not published by hospital
Ohio 36 $70.85 $70.85 $70.85
Oklahoma 3 not published by hospital not published by hospital not published by hospital
Oregon 1 $84.75 $84.75 $84.75
Pennsylvania 23 $21.00 $21.00 $34.80
South Carolina 2 not published by hospital not published by hospital not published by hospital
South Dakota 1 not published by hospital not published by hospital not published by hospital
Tennessee 6 not published by hospital not published by hospital not published by hospital
Texas 14 not published by hospital not published by hospital not published by hospital
Virginia 6 not published by hospital not published by hospital not published by hospital
Washington 5 not published by hospital not published by hospital not published by hospital
Wisconsin 6 $20.14 $20.14 $129.60

All hospitals

Hospital Location Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph London London, KY $0.09 $0.04 – $0.23
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling, KY $0.10 $0.05 – $0.23
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown, KY $0.11 $0.05 – $0.23
CHI Saint Joseph Health - Saint Joseph East Lexington, KY $0.11 $0.06 – $0.23
CHI Saint Joseph Health - Saint Joseph Hospital Lexington, KY $0.13 $0.04 – $0.23
CHI Saint Joseph Health - Saint Joseph Berea Berea, KY $0.13 $0.07 – $0.23
Robert Wood Johnson University Hospital Rahway Rahway, NJ $8.81 $29.86 – $36.22
Clara Maass Medical Center Belleville, NJ $9.71 $29.86 – $37.60
Community Medical Center Toms River, NJ $10.12 $29.86 – $36.68
Jersey City Medical Center Jersey City, NJ $10.14 $29.86 – $38.36
Newark Beth Israel Medical Center Newark, NJ $10.17 $29.86 – $37.60
Cooperman Barnabas Medical Center Livingston, NJ $10.34 $29.86 – $37.60
Monmouth Medical Center Long Branch, NJ $10.68 $29.86 – $37.60
Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ $11.20 $29.86 – $36.68
Monmouth Medical Center Southern Campus Lakewood, NJ $11.60 $29.86 – $37.60
Robert Wood Johnson University Hospital New Brunswick, NJ $14.58 $29.86 – $623.06
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon, WI $20.14 $37.12 – $11,591.00
UPMC Chautauqua Jamestown, NY $21.00 $12.50 – $32.28
UPMC East Monroeville, PA $21.00 $4.19 – $28.00
UPMC Hamot Erie, PA $21.00 $11.00 – $93.03
UPMC Horizon-Greenville Greenville, PA $21.00 $10.50 – $37.90
UPMC Jameson New Castle, PA $21.00 $11.00 – $30.57
UPMC Kane Kane, PA $21.00 $11.00 – $34.17
UPMC Magee Pittsburgh, PA $21.00 $11.00 – $17.04
UPMC McKeesport Mckeesport, PA $21.00 $11.00 – $33.63
UPMC Mercy Pittsburgh, PA $21.00 $11.00 – $17.04
UPMC Muncy Muncy, PA $21.00 $11.00 – $17.04
UPMC Northwest Seneca, PA $21.00 $11.00 – $38.59
UPMC Passavant-McCandless Pittsburgh, PA $21.00 $11.00 – $17.04
UPMC Presbyterian Pittsburgh, PA $21.00 $11.00 – $17.04
UPMC St. Margaret Pittsburgh, PA $21.00 $11.00 – $17.04
UPMC Wellsboro Wellsboro, PA $21.00 $11.00 – $17.04
UPMC Williamsport Williamsport, PA $21.00 $11.00 – $17.04
UPMC Altoona Altoona, PA $21.00 $10.00 – $28.00
UPMC Bedford Everett, PA $21.00 $8.75 – $41.24
Trinitas Regional Medical Center Elizabeth, NJ $23.83 $29.64 – $186.48
Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) Pensacola, FL $24.00 $30.00 – $50.57
Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) Jacksonville, FL $26.83 $36.25 – $85.43
Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) Jacksonville, FL $26.83 $36.25 – $85.43
Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) Joe, FL $28.88 $25.02 – $50.57
Ascension Sacred Heart Bay (Bay County Health System, Inc.) Panama City, FL $28.88 $36.10 – $50.57
UnityPoint Health - Allen Hospital Waterloo, IA $32.80 $30.10 – $44.42
UnityPoint Health - Finley Hospital Dubuque, IA $32.80 $29.61 – $44.42
UnityPoint Health - Grinnell Regional Medical Center Grinnell, IA $32.80 $30.10 – $44.42
UnityPoint Health - Iowa Lutheran Hospital Des Moines, IA $32.80 $30.10 – $44.42
UnityPoint Health - Jones Regional Medical Center Anamosa, IA $32.80 $30.10 – $44.42
UnityPoint Health - Marshalltown Marshalltown, IA $32.80 $30.10 – $44.42
UnityPoint Health - St. Lukes Downtown Sioux City, IA $32.80 $10.66 – $44.42
UnityPoint Health - Trinity Bettendorf Bettendorf, IA $32.80 $30.10 – $44.42
UnityPoint Health - Trinity Moline Rock Island, IL $32.80 $29.61 – $44.42

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