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 |
|---|---|---|---|
| Redwood Memorial Hospital | Fortuna, CA | not published | $25.45 – $25.45 |
| Healdsburg Hospital | Healdsburg, CA | not published | $18.68 – $50.14 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | not published | $18.68 – $18.68 |
| Swedish Issaquah | Issaquah, WA | not published | $22.53 – $22.53 |
| Providence St Joseph Hospital Eureka | Eureka, CA | not published | $25.39 – $25.39 |
| Queen of The Valley Medical Center | Napa, CA | not published | $21.29 – $21.29 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | not published | $18.68 – $18.68 |
| Ascension Saint Thomas Midtown | Nashville, TN | not published | $13.98 – $31.80 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale, WI | not published | $20.16 – $38.36 |
| Covenant Hospital Plainview | Plainview, TX | not published | $58.51 – $58.51 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | not published | $18.68 – $69.14 |
| Southeastern Medical Center | Cambridge, OH | not published | $119.86 – $119.86 |
| Grant Medical Center | Columbus, OH | not published | $43.15 – $43.15 |
| Berger Hospital | Circleville, OH | not published | $54.29 – $119.86 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | not published | $18.68 – $71.96 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | not published | $30.27 – $30.27 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $34.45 – $70.57 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | not published | $57.43 – $57.43 |
| Providence Holy Cross Medical Center | Mission Hills, CA | not published | $18.68 – $67.75 |
| Sanford Fargo Medical Center | Fargo, ND | not published | $20.88 – $20.88 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $34.30 – $34.30 |
| Advocate Condell Medical Center | Libertyville, IL | not published | $41.30 – $55.33 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $34.45 – $70.57 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | not published | $22.53 – $22.53 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | not published | $22.53 – $22.53 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | not published | $26.38 – $11,591.00 |
| Lincoln Health | Damariscotta, ME | not published | $20.65 – $63.32 |
| Wellstar Windy Hill Hospital | Marietta, GA | not published | $39.36 – $72.24 |
| Stephens Memorial Hospital | Norway, ME | not published | $20.65 – $38.64 |
| Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) | Hoffman Estates, IL | not published | $14.80 – $25.47 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | not published | $30.98 – $52.20 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $54.41 – $124.95 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | not published | $14.80 – $41.30 |
| Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) | Elk Grove Village, IL | not published | $14.80 – $25.47 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | not published | $54.41 – $127.62 |
| Ascension Alexian Brothers Behavioral Health Hospital | Hoffman Estates, IL | not published | $14.80 – $25.47 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | not published | $20.88 – $21.72 |
| Sentara Norfolk General Hospital | Norfolk, VA | not published | $58.64 – $58.64 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | not published | $28.57 – $35.59 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $54.41 – $127.62 |
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | not published | $60.30 – $60.30 |
| Sentara CarePlex Hospital | Hampton, VA | not published | $50.53 – $50.53 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | not published | $23.55 – $62.98 |
| Ascension Providence | Waco, TX | not published | $20.48 – $54.72 |
| Wellstar West Georgia Medical Center | Lagrange, GA | not published | $39.36 – $72.24 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | not published | $39.36 – $72.24 |
| Wellstar Spalding Regional Hospital | Griffin, GA | not published | $39.36 – $72.24 |
| North Central Bronx | Bronx, NY | not published | $17.84 – $17.84 |
| Wellstar Paulding Hospital | Hiram, GA | not published | $39.36 – $72.24 |
| Wellstar North Fulton Hospital | Roswell, GA | not published | $39.36 – $72.24 |