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 | 20 | $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 | 6 | $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 |
|---|---|---|---|
| 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 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | not published | $30.98 – $52.20 |
| Ascension Saint Thomas Hickman | Centerville, TN | not published | $17.59 – $31.80 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | not published | $30.98 – $30.98 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | not published | $17.59 – $31.80 |
| Sentara Obici Hospital | Suffolk, VA | not published | $47.58 – $47.58 |
| Corewell Health Wayne | Wayne, MI | not published | $0.01 – $0.01 |
| Corewell Health Troy | Troy, MI | not published | $0.01 – $28.81 |
| Ascension Saint Thomas River Park | McMinnville, TN | not published | $8.42 – $31.80 |
| Corewell Health Trenton | Trenton, MI | not published | $0.01 – $0.01 |
| Henry Ford Warren Hospital | Warren, MI | not published | $20.43 – $20.43 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | not published | $20.43 – $20.43 |
| Sentara Princess Anne Hospital | Virginia Beach, VA | not published | $46.65 – $46.65 |
| Corewell Health Taylor | Taylor, MI | not published | $0.01 – $0.01 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $0.01 – $28.95 |
| Corewell Health Zeeland | Zeeland, MI | not published | $20.88 – $20.88 |
| Corewell Health Greenville | Greenville, MI | not published | $20.88 – $20.88 |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | not published | $53.48 – $53.48 |
| Sentara Leigh Hospital | Norfolk, VA | not published | $58.64 – $58.64 |
| Ascension Saint Thomas DeKalb | Smithville, TN | not published | $8.42 – $31.80 |
| Sentara Halifax Regional Hospital | South Boston, VA | not published | $36.14 – $36.14 |
| Sentara RMH Medical Center | Harrisonburg, VA | not published | $34.48 – $34.48 |
| Corewell Health Reed City | Po Box 75, MI | not published | $20.88 – $20.88 |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | not published | $34.85 – $34.85 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $20.88 – $20.88 |
| Aurora West Allis Medical Center | West Allis, WI | not published | $18.44 – $30.98 |
| Aurora Medical Center Washington County | Hartford, WI | not published | $18.44 – $30.98 |
| Aurora Medical Center Summit | Summit, WI | not published | $18.44 – $30.98 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | not published | $18.44 – $30.98 |
| Aurora Psychiatric Hospital | Wauwatosa, WI | not published | $18.44 – $30.98 |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | not published | $18.44 – $30.98 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | not published | $18.44 – $30.98 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | not published | $21.10 – $22.61 |
| Aurora Medical Center Kenosha | Kenosha, WI | not published | $18.44 – $30.98 |
| Aurora Medical Center Manitowoc | Two Rivers, WI | not published | $18.44 – $30.98 |
| Aurora Medical Center Grafton | Grafton, WI | not published | $18.44 – $30.98 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata, OK | not published | $21.10 – $22.61 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville, OK | not published | $18.39 – $22.61 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso, OK | not published | $18.69 – $22.61 |
| Aurora Medical Center Burlington | Burlington, WI | not published | $18.44 – $30.98 |
| Ascension Saint Thomas Highlands | Sparta, TN | not published | $8.42 – $31.80 |
| Henry Ford River District Hospital | China Township, MI | not published | $20.43 – $20.43 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa, OK | not published | $18.39 – $18.39 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Wichita, KS | not published | $33.68 – $34.32 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | not published | $15.30 – $46.01 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | not published | $15.30 – $46.01 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $58.98 – $95.07 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | not published | $0.01 – $60.57 |