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 |
|---|---|---|---|
| HCA HOUSTON CONROE | CONROE, TX | not published | $36.69 – $51.79 |
| TRICITIES HOSPITAL | HOPEWELL, VA | not published | $22.47 – $22.47 |
| HENRICO DOCTORS HOSPITAL | RICHMOND, VA | not published | $22.47 – $22.47 |
| STONESPRINGS HOSPITAL CENTER | Dulles, VA | not published | $19.47 – $19.47 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | not published | $22.47 – $22.47 |
| RESTON HOSPITAL CENTER | VIENNA, VA | not published | $19.47 – $19.47 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | not published | $22.47 – $22.47 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | not published | $13.41 – $24.37 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | not published | $22.78 – $71.88 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | not published | $27.39 – $27.39 |
| STONECREST MEDICAL CENTER | Smyrna, TN | not published | $27.39 – $27.39 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | not published | $27.39 – $27.39 |
| SKYLINE MADISON CAMPUS | NASHVILLE, TN | not published | $27.39 – $27.39 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD, TN | not published | $27.39 – $27.39 |
| HORIZON MEDICAL CENTER | DICKSON, TN | not published | $27.39 – $27.39 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | not published | $27.39 – $27.39 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City, TN | not published | $27.39 – $27.39 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $64.58 – $129.49 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $64.58 – $129.49 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $64.58 – $129.49 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | not published | $64.58 – $129.49 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | not published | $64.58 – $129.49 |
| Kettering Health Troy | Troy, OH | not published | $59.71 – $59.71 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | not published | $59.71 – $59.71 |
| Kettering Health Greene Memorial | Xenia, OH | not published | $59.71 – $59.71 |
| Soin Medical Center | Beaver Creek, OH | not published | $59.71 – $59.71 |
| Kettering Health Dayton (Grandview) | Dayton, OH | not published | $59.71 – $59.71 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | not published | $59.71 – $59.71 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | not published | $59.71 – $59.71 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | not published | $16.83 – $32.10 |
| MUSC Health Kershaw Medical Center | Camden, SC | not published | $12.34 – $32.10 |
| MUSC Health Florence Medical Center | Florence, SC | not published | $16.83 – $32.10 |
| MUSC Health Chester Medical Center | Chester, SC | not published | $16.83 – $32.10 |
| MUSC Health Main Campus - Charleston | Charleston, SC | not published | $12.26 – $32.10 |
| MUSC Health Black River Medical Center | Cades, SC | not published | $14.97 – $32.10 |
| Virginia Mason Medical Center | Seattle, WA | not published | $66.89 – $66.89 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | not published | $35.31 – $35.31 |
| Canton-Potsdam Hospital | Potsdam, NY | not published | $22.78 – $22.78 |
| Gouverneur Hospital | Gouverneur, NY | not published | $22.78 – $22.78 |
| MultiCare Allenmore Hospital | Tacoma, WA | not published | $19.22 – $36.45 |
| MultiCare Valley Hospital | Spokane Valley, WA | not published | $18.36 – $29.96 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | not published | $19.12 – $67.89 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | not published | $19.21 – $36.45 |
| MultiCare Covington Medical Center | Covington, WA | not published | $18.78 – $36.45 |
| MultiCare Capital Medical Center | Olympia, WA | not published | $20.21 – $36.45 |
| MultiCare Auburn Medical Center | Auburn, WA | not published | $18.78 – $36.45 |
| Houston Methodist Cypress Hospital | Cypress, TX | not published | $50.29 – $73.01 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | not published | $50.29 – $73.01 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | not published | $50.29 – $73.01 |
| Houston Methodist Willowbrook Hospital | Houston, TX | not published | $50.29 – $73.01 |