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 |
|---|---|---|---|
| University Hospitals Beachwood Medical Center | Beachwood, OH | $25.50 | $13.39 – $30.60 |
| University Hospitals Elyria Medical Center | Elyria, OH | $25.50 | $42.16 – $42.16 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $25.50 | $36.34 – $67.76 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $25.50 | $13.39 – $13.39 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $25.50 | $41.10 – $41.10 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $25.50 | $55.68 – $55.68 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $25.50 | $86.04 – $86.04 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $25.50 | $61.95 – $61.95 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $25.50 | $7.51 – $30.60 |
| Sanford USD Medical Center | Sioux Falls, SD | $25.60 | $8.46 – $28.80 |
| Sanford Fargo Medical Center | Fargo, ND | $25.60 | $8.89 – $28.80 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $26.40 | $14.88 – $36.61 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $26.40 | $14.88 – $36.61 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $26.40 | $14.88 – $36.61 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $26.40 | $14.88 – $36.61 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $26.40 | $19.11 – $36.61 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $26.40 | $14.88 – $36.61 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $26.40 | $8.58 – $36.61 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $26.40 | $14.88 – $36.61 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $26.40 | $14.88 – $36.61 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $26.40 | $14.88 – $36.61 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $26.40 | $14.88 – $36.61 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $26.40 | $14.88 – $36.61 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | $27.36 | $27.34 – $27.34 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | $27.37 | $32.10 – $34.22 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $28.51 | $29.62 – $554.40 |
| Trinity Medical Center East | Steubenville, OH | $28.77 | $16.24 – $34.80 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | $28.88 | $32.10 – $36.10 |
| cleveland clinic florida weston hospital | Weston, FL | $29.90 | $7.73 – $39.10 |
| MercyOne Centerville Medical Center | Centerville, IA | $30.00 | $8.23 – $30.00 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | $31.03 | $21.81 – $78.44 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $32.00 | $21.64 – $64.49 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $32.00 | $21.64 – $46.64 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $32.00 | $21.64 – $46.96 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $32.00 | $6.43 – $32.00 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $32.00 | $21.64 – $46.74 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $36.80 | $10.58 – $39.10 |
| Atrium Health Anson | Wadesboro, NC | $37.50 | $11.22 – $71.25 |
| Atrium Health Mercy | Charlotte, NC | $37.50 | $16.36 – $69.00 |
| Atrium Health Pineville | Charlotte, NC | $37.50 | $7.50 – $69.00 |
| Atrium Health Stanly | Albermarle, NC | $37.50 | $9.00 – $72.00 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $37.50 | $14.25 – $75.00 |
| Atrium Health Cleveland | Shelby, NC | $37.50 | $10.50 – $71.25 |
| Atrium Health Cabarrus | Concord, NC | $37.50 | $9.20 – $71.25 |
| Atrium Health Lincoln | Lincolnton, NC | $37.50 | $8.46 – $71.25 |
| Atrium Health Union | Monroe, NC | $37.50 | $9.75 – $71.25 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $37.50 | $21.16 – $69.00 |
| Atrium Health University City | Charlotte, NC | $37.50 | $7.50 – $69.00 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $37.50 | $16.36 – $67.50 |
| Rochester General Hospital | Rochester, NY | $37.99 | $20.06 – $26.20 |