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 |
|---|---|---|---|
| Jacobi Medical Center | Bronx, NY | not published | $21.81 – $21.81 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $21.81 – $21.81 |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | not published | $21.64 – $50.71 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | not published | $21.64 – $50.71 |
| Robert Wood Johnson University Hospital Somerset | Somerville, NJ | not published | $18.91 – $27.42 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | not published | $27.34 – $27.34 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township, NJ | not published | $18.91 – $27.42 |
| Henry Ford Providence Novi Hospital | Novi, MI | not published | $20.73 – $29.21 |
| Henry J. Carter Specialty Hospital | New York, NY | not published | not published |
| Southern Ocean Medical Center | Manahawkin, NJ | not published | not published |
| Grady Memorial Hospital | Delaware, OH | not published | $124.22 – $124.22 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | not published | $18.91 – $27.42 |
| Riverside Methodist Hospital | Columbus, OH | not published | $44.72 – $44.72 |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | not published | $20.15 – $36.59 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita, KS | not published | $39.13 – $61.65 |
| Riverview Medical Center | Red Bank, NJ | not published | $46.47 – $46.47 |
| Palisades Medical Center | North Bergen, NJ | not published | not published |
| Jersey Shore University Medical Center | Neptune City, NJ | not published | not published |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | not published |
| Raritan Bay Medical Center | Perth Amboy, NJ | not published | $46.47 – $46.47 |
| University Hospitals Samaritan Medical Center | Ashland, OH | not published | $52.65 – $52.65 |
| University Hospitals Geneva Medical Center | Geneva, OH | not published | $67.76 – $69.84 |
| Queens Hospital Center | Jamaica, NY | not published | $21.81 – $21.81 |
| Corewell Health Pennock | Hastings, MI | not published | $21.64 – $21.64 |
| Ocean University Medical Center | Brick, NJ | not published | not published |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | not published | $19.36 – $84.76 |
| Hackensack University Medical Center | Hackensack, NJ | not published | not published |
| Bayshore Medical Center | Holmdel, NJ | not published | not published |
| Woodhull Medical Center | Brooklyn, NY | not published | $21.81 – $21.81 |
| Advocate Trinity Hospital | Chicago, IL | not published | $42.80 – $42.80 |
| Mid Coast Hospital | Brunswick, ME | not published | $21.40 – $40.04 |
| Harlem Hospital Center | New York, NY | not published | $21.81 – $21.81 |
| Waldo County General Hospital | Belfast, ME | not published | $21.40 – $57.95 |
| Pen Bay Medical Center | Rockport, ME | not published | $21.40 – $57.95 |
| Metropolitan Hospital Center | New York, NY | not published | $21.81 – $21.81 |
| Lincoln Medical Center | Bronx, NY | not published | $21.81 – $21.81 |
| Kings County Hospital Center | Brooklyn, NY | not published | $21.81 – $21.81 |
| Bellevue Hospital Center | NY 10016, NY | not published | $21.81 – $21.81 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | not published | $19.36 – $75.51 |
| Advocate South Suburban Hospital | Hazel Crest, IL | not published | $42.80 – $42.80 |
| Advocate Sherman Hospital | Elgin, IL | not published | $42.80 – $42.80 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | not published | $42.80 – $42.80 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | not published | $42.80 – $42.80 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem, IN | not published | $21.64 – $50.71 |
| Cooperman Barnabas Medical Center | Livingston, NJ | not published | $18.91 – $27.42 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | not published | $0.01 – $0.01 |
| Swedish Medical Center Cherry Hill | Seattle, WA | not published | $21.02 – $21.02 |
| Petaluma Valley Hospital | Petaluma, CA | not published | $28.38 – $28.38 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | not published | $0.02 – $0.02 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | not published | $0.01 – $0.01 |