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 |
|---|---|---|---|
| Newark Wayne Community Hospital | Newark, NY | $37.99 | $20.50 – $26.20 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $37.99 | $20.06 – $22.78 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $38.28 | $25.88 – $37.74 |
| Fresno Medical Center | FRESNO, CA | $39.20 | not published |
| Redwood City Medical Center | Redwood City, CA | $39.20 | not published |
| Oakland Medical Center | Oakland, CA | $39.20 | not published |
| Sacramento Medical Center | SACRAMENTO, CA | $39.20 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $39.20 | not published |
| Santa Clara Medical Center | SANTA CLARA, CA | $39.20 | not published |
| San Rafael Medical Center | SAN RAFAEL, CA | $39.20 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $39.20 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $39.20 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $39.20 | not published |
| Vacaville Medical Center | VACAVILLE, CA | $39.20 | not published |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $39.20 | not published |
| Vallejo Medical Center | VALLEJO, CA | $39.20 | not published |
| Antioch Medical Center | ANTIOCH, CA | $39.20 | not published |
| Fremont Medical Center | FREMONT, CA | $39.20 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $39.20 | not published |
| San Jose Medical Center | SAN JOSE, CA | $39.20 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $39.20 | not published |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | $39.60 | $32.10 – $36.10 |
| The Unity Hospital of Rochester | Rochester, NY | $46.75 | $20.06 – $22.78 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | $47.65 | $21.64 – $50.71 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $47.65 | $21.64 – $50.71 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | $47.65 | $21.64 – $50.71 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | $47.65 | $21.64 – $50.71 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | $47.65 | $21.64 – $50.71 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | $47.65 | $21.64 – $50.71 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $47.65 | $21.64 – $50.71 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | $47.65 | $21.64 – $50.71 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | $47.65 | $21.64 – $50.71 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | $47.78 | $21.81 – $78.44 |
| Providence Valdez Medical Center | Valdez, AK | $97.30 | not published |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA, FL | $103.00 | $158.88 – $162.22 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | $108.41 | $32.10 – $146.50 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | $108.41 | $32.10 – $146.50 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE, FL | $133.81 | $158.88 – $162.22 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | $146.00 | $12.83 – $24.37 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON, FL | $149.90 | $158.88 – $162.22 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | $150.00 | $8.07 – $22.51 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | $154.41 | not published |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $154.41 | not published |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | $154.41 | not published |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | $154.41 | not published |
| Providence Kodiak Island Medical Center | Kodiak, AK | $160.68 | not published |
| MENORAH MEDICAL CENTER | Overland Park, KS | $177.65 | $8.07 – $22.51 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | $179.28 | $156.50 – $159.80 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON, FL | $189.74 | $158.88 – $162.22 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | $215.76 | $64.58 – $156.02 |