Vaccine influenza quadrivalent (iiv4) 0.5ml dose im cost at US hospitals
HC Vaccine Influenza Quadrivalent (Iiv4) 0.5ml Dose Im · CPT 90688
$4.90
lowest cash price
$35.88
national median
$335.57
highest cash price
180
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $4.90–$335.57 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($40.55) → Sep 1, 2026 ($67.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| California | 55 | $4.90 | $31.36 | $38.28 |
| Colorado | 1 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 63 | $11.88 | $103.70 | $300.50 |
| Georgia | 18 | $77.25 | $77.25 | $77.25 |
| Hawaii | 1 | $16.00 | $16.00 | $16.00 |
| Illinois | 22 | $20.00 | $75.89 | $75.89 |
| Indiana | 25 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 25 | $16.34 | $40.95 | $66.00 |
| Kansas | 10 | $335.57 | $335.57 | $335.57 |
| Kentucky | 1 | $142.26 | $142.26 | $142.26 |
| 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 | $27.00 | $27.00 | $27.00 |
| Minnesota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Missouri | 13 | 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 | 21 | $7.58 | $8.89 | $20.48 |
| New Mexico | 2 | not published by hospital | not published by hospital | not published by hospital |
| New York | 19 | $26.44 | $36.51 | $44.94 |
| North Carolina | 14 | $16.33 | $16.33 | $134.49 |
| North Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 44 | $43.55 | $43.55 | $43.55 |
| Oklahoma | 8 | not published by hospital | not published by hospital | not published by hospital |
| Pennsylvania | 4 | $12.00 | $12.60 | $13.20 |
| South Carolina | 8 | 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 | 23 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 65 | $5.08 | $56.97 | $145.34 |
| Virginia | 17 | not published by hospital | not published by hospital | not published by hospital |
| Washington | 18 | not published by hospital | not published by hospital | not published by hospital |
| Wisconsin | 25 | $16.70 | $24.51 | $85.67 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi, CA | $4.90 | $8.27 – $48.40 |
| St. Joseph Health Grimes Hospital | Navasota, TX | $5.08 | $4.93 – $32.19 |
| St. Joseph Health Burleson Hospital | Caldwell, TX | $5.08 | $4.93 – $26.10 |
| St. Joseph Health Madison Hospital | Madisonville, TX | $5.08 | $3.70 – $26.10 |
| St. Joseph Health College Station Hospital | College Station, TX | $5.08 | $2.85 – $24.65 |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | $7.58 | $18.24 – $26.71 |
| Clara Maass Medical Center | Belleville, NJ | $8.34 | $18.24 – $26.71 |
| Community Medical Center | Toms River, NJ | $8.70 | $18.24 – $26.71 |
| Jersey City Medical Center | Jersey City, NJ | $8.72 | $18.24 – $26.71 |
| Newark Beth Israel Medical Center | Newark, NJ | $8.74 | $18.24 – $26.71 |
| Cooperman Barnabas Medical Center | Livingston, NJ | $8.89 | $18.24 – $26.71 |
| Monmouth Medical Center | Long Branch, NJ | $9.18 | $18.24 – $26.71 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township, NJ | $9.63 | $18.24 – $26.71 |
| REEDLEY COMMUNITY HOSPITAL | Reedley, CA | $9.88 | $13.00 – $82.00 |
| Robert Wood Johnson University Hospital Somerset | Somerville, NJ | $9.93 | $18.24 – $26.71 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | $9.97 | $18.24 – $26.71 |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $10.54 | $28.77 – $55.50 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $10.60 | $18.68 – $98.02 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | $11.88 | $14.85 – $30.98 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | $11.88 | $14.85 – $30.98 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $12.00 | $11.00 – $17.04 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | $12.53 | $18.24 – $26.71 |
| UPMC Wellsboro | Wellsboro, PA | $12.60 | $11.00 – $17.04 |
| UPMC Magee | Pittsburgh, PA | $13.20 | $11.00 – $17.04 |
| UPMC Williamsport | Williamsport, PA | $13.20 | $11.00 – $17.04 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $14.04 | $20.65 – $34.54 |
| CASTLE MEDICAL CENTER | Kailua, HI | $16.00 | $4.00 – $63.00 |
| Atrium Health Anson | Wadesboro, NC | $16.33 | $4.88 – $31.02 |
| Atrium Health Mercy | Charlotte, NC | $16.33 | $7.12 – $30.04 |
| Atrium Health Pineville | Charlotte, NC | $16.33 | $3.27 – $30.04 |
| Atrium Health Stanly | Albermarle, NC | $16.33 | $3.92 – $31.34 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $16.33 | $6.20 – $32.65 |
| Atrium Health Cleveland | Shelby, NC | $16.33 | $4.57 – $31.02 |
| Atrium Health Cabarrus | Concord, NC | $16.33 | $4.01 – $31.02 |
| Atrium Health Lincoln | Lincolnton, NC | $16.33 | $3.68 – $31.02 |
| Atrium Health Union | Monroe, NC | $16.33 | $4.24 – $31.02 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $16.33 | $9.21 – $30.04 |
| Atrium Health University City | Charlotte, NC | $16.33 | $3.27 – $30.04 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $16.33 | $7.12 – $29.39 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $16.34 | not published |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | $16.70 | $23.55 – $62.98 |
| WILLITS HOSPITAL INC | Willits, CA | $17.10 | $18.68 – $34.35 |
| ADVENTIST HEALTH CLEARLAKE HOSPITAL | Clearlake, CA | $19.80 | $11.00 – $41.99 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | $19.95 | $14.70 – $1,400.00 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $20.00 | $18.44 – $29.92 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $20.00 | $18.09 – $29.92 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $20.00 | $18.44 – $29.92 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $20.00 | $18.44 – $29.92 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $20.00 | $18.44 – $29.92 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $20.00 | $18.44 – $29.92 |