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 |
|---|---|---|---|
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $267.50 | $11.59 – $76.43 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor, NY | $267.50 | $19.11 – $76.43 |
| NewYork-Presbyterian Queens | Flushing, NY | $267.50 | $11.59 – $76.43 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | not published | $22.07 – $22.51 |
| MultiCare Deaconess Hospital | Spokane, WA | not published | $18.49 – $29.96 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | not published | $21.64 – $22.51 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | not published | $21.64 – $22.51 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | not published | $172.05 – $175.68 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | not published | $172.05 – $175.68 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | not published | $149.27 – $157.13 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa, FL | not published | $158.88 – $162.22 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie, FL | not published | $175.68 – $175.68 |
| UCF LAKE NONA HOSPITAL | Orlando, FL | not published | $156.75 – $160.05 |
| HCA FLORIDA TWIN CITIES HOSPITAL | DEFUNIAK SPRINGS, FL | not published | $158.21 – $166.54 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | not published | $158.88 – $162.22 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH, FL | not published | $158.88 – $162.22 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART, FL | not published | $163.08 – $166.51 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $158.88 – $162.22 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE, FL | not published | $158.88 – $162.22 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka, FL | not published | $147.28 – $155.03 |
| HCA FLORIDA POINCIANA HOSPITAL | DAVENPORT, FL | not published | $156.75 – $165.00 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE, FL | not published | $164.33 – $167.79 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | not published | $160.05 – $160.05 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO, FL | not published | $156.75 – $165.00 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE, FL | not published | $172.05 – $175.68 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | not published | $158.88 – $162.22 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY, FL | not published | $165.34 – $174.04 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI, FL | not published | $170.65 – $174.24 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | not published | $156.50 – $159.80 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER, CO | not published | $163.08 – $166.51 |
| HCA FLORIDA LARGO HOSPITAL | LARGO, FL | not published | $158.88 – $162.22 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD, FL | not published | $156.75 – $165.00 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK, FL | not published | $147.28 – $155.03 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL, FL | not published | $170.65 – $174.24 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS, FL | not published | $164.33 – $167.79 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring, FL | not published | $146.63 – $146.63 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY, FL | not published | $145.81 – $153.48 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE, FL | not published | $158.21 – $166.54 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS, FL | not published | $153.95 – $157.19 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD, FL | not published | $158.88 – $162.22 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness, FL | not published | $147.84 – $150.95 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | not published | $145.61 – $153.27 |
| HCA HOUSTON WEST | HOUSTON, TX | not published | $36.69 – $51.79 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | not published | $36.69 – $51.79 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | not published | $36.69 – $51.79 |
| HCA HOUSTON NORTHWEST | SPRING, TX | not published | $36.69 – $51.79 |
| HCA HOUSTON PEARLAND | Pearland, TX | not published | $36.69 – $51.79 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | not published | $36.69 – $51.79 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | not published | $36.69 – $51.79 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | not published | $36.69 – $51.79 |