Influenza virus vaccine, live trivalent intranasal cost at US hospitals
Influenza Virus Vaccine, live trivalent intranasal · CPT 90660
$5.46
lowest cash price
$36.50
national median
$164.25
highest cash price
144
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $5.46–$164.25 — the variation is the story.
Median cash price over time
Jan 1, 2026 ($29.60) → Sep 1, 2026 ($42.60)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| Arizona | 1 | $28.20 | $28.20 | $28.20 |
| California | 54 | $5.46 | $56.58 | $60.93 |
| Colorado | 13 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 52 | $40.89 | $40.89 | $164.25 |
| Georgia | 11 | not published by hospital | not published by hospital | not published by hospital |
| Hawaii | 1 | $81.60 | $81.60 | $81.60 |
| Illinois | 25 | $16.67 | $29.60 | $63.28 |
| Indiana | 25 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 17 | $18.90 | $29.60 | $63.28 |
| Kansas | 10 | not published by hospital | not published by hospital | not published by hospital |
| Kentucky | 1 | not published by hospital | not published by hospital | not published by hospital |
| Louisiana | 6 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 25 | not published by hospital | not published by hospital | not published by hospital |
| Minnesota | 7 | $31.70 | $31.70 | $31.70 |
| Missouri | 15 | $44.25 | $44.25 | $44.25 |
| Montana | 2 | not published by hospital | not published by hospital | not published by hospital |
| Nebraska | 12 | $11.71 | $18.90 | $38.25 |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 21 | not published by hospital | not published by hospital | not published by hospital |
| New Mexico | 2 | not published by hospital | not published by hospital | not published by hospital |
| New York | 19 | $38.74 | $51.68 | $63.60 |
| North Carolina | 11 | not published by hospital | not published by hospital | not published by hospital |
| North Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 46 | $36.50 | $40.89 | $40.89 |
| Oklahoma | 9 | not published by hospital | not published by hospital | not published by hospital |
| Oregon | 11 | $23.22 | $31.06 | $49.08 |
| Pennsylvania | 2 | $24.50 | $24.50 | $42.60 |
| South Carolina | 8 | not published by hospital | not published by hospital | not published by hospital |
| South Dakota | 3 | $29.52 | $29.52 | $29.52 |
| Tennessee | 23 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 66 | $8.70 | $8.70 | $8.70 |
| Virginia | 21 | not published by hospital | not published by hospital | not published by hospital |
| Washington | 12 | $18.00 | $18.00 | $28.18 |
| West Virginia | 16 | $24.50 | $24.50 | $58.40 |
| Wisconsin | 30 | $30.78 | $30.78 | $44.00 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON SOUTHEAST | PASADENA, TX | not published | $29.71 – $68.97 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | not published | $29.71 – $68.97 |
| HCA HOUSTON NORTHWEST | SPRING, TX | not published | $29.71 – $68.97 |
| HCA HOUSTON PEARLAND | Pearland, TX | not published | $29.71 – $68.97 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | not published | $29.71 – $68.97 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | not published | $29.71 – $68.97 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | not published | $29.71 – $68.97 |
| HCA HOUSTON CONROE | CONROE, TX | not published | $29.71 – $68.97 |
| TRICITIES HOSPITAL | HOPEWELL, VA | not published | $25.25 – $78.73 |
| HENRICO DOCTORS HOSPITAL | RICHMOND, VA | not published | $25.25 – $78.73 |
| STONESPRINGS HOSPITAL CENTER | Dulles, VA | not published | $22.28 – $78.73 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | not published | $28.82 – $78.73 |
| LEWISGALE MEDICAL CENTER | ROANOKE, VA | not published | $25.25 – $89.13 |
| RESTON HOSPITAL CENTER | VIENNA, VA | not published | $25.94 – $78.73 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG, VA | not published | $25.25 – $78.73 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI, VA | not published | $22.28 – $78.73 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR, VA | not published | $25.25 – $78.73 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | not published | $24.54 – $78.73 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | not published | $18.23 – $36.55 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | not published | $19.05 – $36.55 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | not published | $0.01 – $45.04 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | not published | $30.03 – $78.73 |
| STONECREST MEDICAL CENTER | Smyrna, TN | not published | $30.03 – $78.73 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | not published | $30.03 – $78.73 |
| SKYLINE MADISON CAMPUS | NASHVILLE, TN | not published | $30.03 – $78.73 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD, TN | not published | $30.03 – $78.73 |
| HORIZON MEDICAL CENTER | DICKSON, TN | not published | $30.03 – $78.73 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | not published | $30.03 – $78.73 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City, TN | not published | $30.03 – $78.73 |
| GREENVIEW REGIONAL HOSPITAL | BOWLING GREEN, KY | not published | $29.12 – $49.02 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $28.82 – $172.45 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $28.82 – $172.45 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $28.82 – $172.45 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | not published | $28.82 – $172.45 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $28.82 – $172.45 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | not published | $28.82 – $172.45 |
| Kettering Health Troy | Troy, OH | not published | $35.22 – $79.52 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | not published | $35.22 – $79.52 |
| Kettering Health Greene Memorial | Xenia, OH | not published | $35.22 – $79.52 |
| Soin Medical Center | Beaver Creek, OH | not published | $35.22 – $79.52 |
| Kettering Health Dayton (Grandview) | Dayton, OH | not published | $35.22 – $79.52 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | not published | $35.22 – $79.52 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | not published | $35.22 – $79.52 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | not published | $25.25 – $42.75 |
| MUSC Health Kershaw Medical Center | Camden, SC | not published | $16.98 – $42.75 |
| MUSC Health Florence Medical Center | Florence, SC | not published | $16.98 – $42.75 |
| MUSC Health Chester Medical Center | Chester, SC | not published | $25.25 – $42.75 |
| MUSC Health Main Campus - Charleston | Charleston, SC | not published | $18.41 – $42.75 |
| MUSC Health Black River Medical Center | Cades, SC | not published | $16.98 – $42.75 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | not published | $22.07 – $66.40 |