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 |
|---|---|---|---|
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $36.51 | $19.36 – $21.56 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $36.80 | $10.58 – $39.10 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $38.28 | $16.14 – $42.90 |
| MaineHealth - Memorial Hospital | North Conway, NH | $40.55 | $20.65 – $41.12 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $40.95 | $18.44 – $63.00 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $40.95 | $18.44 – $70.91 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $40.95 | $18.44 – $63.00 |
| MercyOne Elkader Medical Center | Elkader, IA | $40.95 | $18.44 – $65.85 |
| MercyOne Newton Medical Center | Newton, IA | $40.95 | $16.67 – $63.00 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $42.90 | $15.51 – $66.02 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $42.90 | $18.11 – $66.00 |
| MercyOne Clinton Medical Center | Clinton, IA | $42.90 | $18.44 – $66.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $42.90 | $15.51 – $66.02 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $42.90 | $13.27 – $66.00 |
| MercyOne North Iowa Medical Center | Mason City, IA | $42.90 | $16.90 – $66.00 |
| cleveland clinic main campus | Cleveland, OH | $43.55 | $1.10 – $60.30 |
| akron general | Akron, OH | $43.55 | $1.10 – $60.30 |
| avon hospital | Avon, OH | $43.55 | $8.51 – $60.30 |
| cleveland clinic florida weston hospital | Weston, FL | $43.55 | $11.26 – $67.00 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | $43.55 | $13.89 – $60.30 |
| euclid hospital | Euclid, OH | $43.55 | $8.71 – $60.30 |
| fairview hospital | Cleveland, OH | $43.55 | $8.19 – $60.30 |
| lutheran hospital | Cleveland, OH | $43.55 | $7.79 – $60.30 |
| hillcrest hospital | Mayfield Heights, OH | $43.55 | $8.53 – $60.30 |
| lodi hospital | Lodi, OH | $43.55 | $13.31 – $60.30 |
| martin north hospital | Stuart, FL | $43.55 | $13.94 – $67.00 |
| marymount hospital | Garfield Heights, OH | $43.55 | $7.70 – $60.30 |
| indian river hospital | Vero Beach, FL | $43.55 | $15.68 – $67.00 |
| medina hospital | Medina, OH | $43.55 | $7.98 – $60.30 |
| mercy hospital | Canton, OH | $43.55 | $1.10 – $60.30 |
| south pointe hospital | Warrensville Heights, OH | $43.55 | $9.08 – $60.30 |
| The Unity Hospital of Rochester | Rochester, NY | $44.94 | $17.84 – $21.56 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $56.97 | $17.84 – $66.08 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | $56.97 | $17.84 – $66.08 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | $56.97 | $17.84 – $66.08 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $56.97 | $17.84 – $66.08 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | $61.20 | $17.84 – $66.08 |
| MercyOne Centerville Medical Center | Centerville, IA | $63.00 | $17.29 – $63.00 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $66.00 | $13.27 – $66.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | $67.00 | $156.50 – $159.80 |
| Adventhealth Hendersonville | Hendersonville, NC | $72.71 | not published |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | $75.89 | $42.17 – $42.17 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $75.89 | $42.17 – $42.17 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | $75.89 | $42.17 – $42.17 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | $75.89 | $42.17 – $42.17 |
| Adventhealth Fish Memorial | Orange City, FL | $76.73 | not published |
| Emory Decatur Hospital | Decatur, GA | $77.25 | not published |
| Emory Hillandale Hospital | Lithonia, GA | $77.25 | not published |
| Emory Long-Term Acute Care Hospital | Decatur, GA | $77.25 | not published |
| Emory Johns Creek Hospital | Johns Creek, GA | $77.25 | not published |