Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im cost at US hospitals
HC Vaccine Influenza Quadrivalent (Iiv4) Preservative Free 0.25ml Dose Im · CPT 90685
$4.06
lowest cash price
$28.77
national median
$267.50
highest cash price
153
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $4.06–$267.50 — the variation is the story.
Median cash price over time
Dec 1, 2025 ($37.50) → Sep 1, 2026 ($149.90)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 4 | $97.30 | $97.30 | $160.68 |
| California | 44 | $4.06 | $39.20 | $39.20 |
| Colorado | 6 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 50 | $22.10 | $103.00 | $189.74 |
| Georgia | 10 | not published by hospital | not published by hospital | not published by hospital |
| Hawaii | 1 | $10.24 | $10.24 | $10.24 |
| Illinois | 21 | $26.40 | $154.41 | $154.41 |
| Indiana | 25 | $47.65 | $47.65 | $47.65 |
| Iowa | 24 | $19.50 | $26.40 | $32.00 |
| Kansas | 7 | $150.00 | $150.00 | $177.65 |
| 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 | $32.00 | $32.00 | $32.00 |
| 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 | 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 | 21 | $37.99 | $46.75 | $267.50 |
| North Carolina | 12 | $37.50 | $37.50 | $37.50 |
| North Dakota | 1 | $25.60 | $25.60 | $25.60 |
| Ohio | 46 | $22.10 | $23.40 | $28.77 |
| Oklahoma | 8 | not published by hospital | not published by hospital | not published by hospital |
| Oregon | 4 | $10.54 | $24.00 | $25.16 |
| Pennsylvania | 2 | $12.00 | $12.00 | $12.60 |
| South Carolina | 8 | $146.00 | $146.00 | $146.00 |
| South Dakota | 1 | $25.60 | $25.60 | $25.60 |
| Tennessee | 23 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 63 | $5.08 | $24.57 | $215.76 |
| Virginia | 6 | 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 | 23 | $21.20 | $27.36 | $36.80 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi, CA | $4.06 | $11.93 – $63.80 |
| 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 – $25.83 |
| RIDEOUT MEMORIAL HOSPITAL | Marysville, CA | $9.68 | $19.36 – $81.40 |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $9.86 | $29.81 – $87.00 |
| CASTLE MEDICAL CENTER | Kailua, HI | $10.24 | $4.00 – $56.00 |
| Covenant Hospital Plainview | Plainview, TX | $10.50 | $69.45 – $69.45 |
| MID-COLUMBIA MEDICAL CENTER | The Dalles, OR | $10.54 | $11.42 – $58.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley, CA | $11.02 | $21.40 – $116.00 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $11.80 | $19.36 – $141.44 |
| UPMC Wellsboro | Wellsboro, PA | $12.00 | $11.00 – $32.65 |
| UPMC Muncy | Muncy, PA | $12.60 | $11.00 – $34.92 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $15.66 | $21.40 – $39.39 |
| WILLITS HOSPITAL INC | Willits, CA | $17.40 | $19.36 – $41.80 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $19.50 | $11.88 – $30.00 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $19.50 | $11.34 – $33.77 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $19.50 | $11.47 – $30.00 |
| MercyOne Elkader Medical Center | Elkader, IA | $19.50 | $15.44 – $31.36 |
| MercyOne Newton Medical Center | Newton, IA | $19.50 | $7.94 – $30.00 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $20.80 | $7.52 – $68.42 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $20.80 | $8.78 – $32.00 |
| MercyOne Clinton Medical Center | Clinton, IA | $20.80 | $9.06 – $32.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $20.80 | $7.52 – $68.42 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $20.80 | $6.43 – $32.00 |
| MercyOne North Iowa Medical Center | Mason City, IA | $20.80 | $8.19 – $32.00 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $21.20 | $20.00 – $65.27 |
| akron general | Akron, OH | $22.10 | $1.10 – $44.14 |
| martin north hospital | Stuart, FL | $22.10 | $18.83 – $34.00 |
| ADVENTIST HEALTH CLEARLAKE HOSPITAL | Clearlake, CA | $22.32 | $45.52 – $102.30 |
| Mercy Medical Center Merced | Merced, CA | $23.18 | $11.25 – $42.30 |
| cleveland clinic main campus | Cleveland, OH | $23.40 | $1.10 – $32.40 |
| avon hospital | Avon, OH | $23.40 | $6.13 – $36.00 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | $23.40 | $10.18 – $32.40 |
| euclid hospital | Euclid, OH | $23.40 | $6.13 – $36.00 |
| fairview hospital | Cleveland, OH | $23.40 | $5.59 – $32.40 |
| lutheran hospital | Cleveland, OH | $23.40 | $6.13 – $36.00 |
| hillcrest hospital | Mayfield Heights, OH | $23.40 | $5.59 – $32.40 |
| marymount hospital | Garfield Heights, OH | $23.40 | $6.13 – $36.00 |
| medina hospital | Medina, OH | $23.40 | $5.22 – $36.00 |
| mercy hospital | Canton, OH | $23.40 | $1.10 – $36.00 |
| south pointe hospital | Warrensville Heights, OH | $23.40 | $6.13 – $36.00 |
| Providence Seaside Hospital | Seaside, OR | $24.00 | not published |
| Providence Hood River Memorial Hospital | Hood River, OR | $24.00 | not published |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $24.57 | $21.81 – $78.44 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | $24.57 | $21.81 – $78.44 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | $24.57 | $21.81 – $78.44 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $24.57 | $21.81 – $78.44 |
| PORTLAND ADVENTIST MEDICAL CENTER | Portland, OR | $25.16 | $60.73 – $157.26 |