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 |
|---|---|---|---|
| Houston Methodist Baytown Hospital | Baytown, TX | not published | $50.29 – $73.01 |
| Houston Methodist West Hospital | Houston, TX | not published | $50.29 – $73.01 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | not published | $50.29 – $73.01 |
| Houston Methodist Hospital | Houston, TX | not published | $50.29 – $73.01 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $64.58 – $129.49 |
| Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) | Carmel, IN | not published | $21.64 – $50.71 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | not published | $37.87 – $37.87 |
| Texas Health Hospital Mansfield | Mansfield, TX | not published | $37.87 – $37.87 |
| OSF Saint Francis Medical Center | Peoria, IL | not published | $21.62 – $21.62 |
| OSF Saint Anthony Medical Center | Rockford, IL | not published | $21.62 – $21.62 |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | not published | $0.02 – $0.02 |
| Parkview Ortho Hospital | Fort Wayne, IN | not published | $0.02 – $0.02 |
| Parkview Noble Hospital | Kendallville, IN | not published | $0.02 – $0.02 |
| Parkview Wabash Hospital | Wabash, IN | not published | $0.02 – $0.02 |
| Parkview Logansport Hospital | Logansport, IN | not published | $0.02 – $0.02 |
| Parkview LaGrange Hospital | Lagrange, IN | not published | $0.02 – $0.02 |
| Parkview Huntington Hospital | Huntington, IN | not published | $0.02 – $0.02 |
| Parkview DeKalb Hospital | Auburn, IN | not published | $0.02 – $0.02 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | not published | $0.02 – $0.02 |
| Morristown-Hamblen Hospital Association | Morristown, TN | not published | $13.14 – $24.18 |
| Parkwest Medical Center | Knoxville, TN | not published | $13.14 – $24.18 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | not published | $13.14 – $24.18 |
| LeConte Medical Center | Sevierville, TN | not published | $13.14 – $24.18 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | not published | $64.58 – $129.49 |
| Fort Sanders Regional Medical Center | Knoxville, TN | not published | $13.14 – $24.18 |
| Fort Loudoun Medical Center | Lenoir City, TN | not published | $13.14 – $24.18 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | not published | $48.76 – $73.01 |
| Cumberland Medical Center, Inc. | Crossville, TN | not published | $15.76 – $24.18 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $15.45 – $81.43 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $22.78 – $30.14 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $21.20 – $32.40 |
| CHRISTUS Spohn Hospital Corpus Christi - Shoreline | Corpus Christi, TX | not published | $42.19 – $46.61 |
| CHRISTUS St. Michael Rehabilitation | Texarkana, TX | not published | $15.45 – $43.88 |
| Claiborne Medical Center | Tazewell, TN | not published | $13.14 – $24.18 |
| Roane County Medical Center | Harriman, TN | not published | $13.14 – $24.18 |
| CHRISTUS Spohn Hospital - Kleberg | Kingsville, TX | not published | $42.19 – $51.67 |
| CHRISTUS Spohn Hospital - Beeville | Beeville, TX | not published | $42.19 – $55.41 |
| CHRISTUS Spohn Hospital - Alice | Alice, TX | not published | $42.19 – $59.53 |
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $48.76 – $82.56 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $71.88 – $100.70 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $32.01 – $32.01 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $22.78 – $30.14 |
| AdventHealth Castle Rock | Castle Rock, CO | not published | $0.02 – $0.02 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | not published | $47.61 – $65.27 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | not published | $21.81 – $78.44 |
| Swedish Edmonds Hospital | Edmonds, WA | not published | $21.02 – $21.02 |
| Covenant Hospital Levelland | Levelland, TX | not published | $69.45 – $69.45 |
| Providence Saint John's Health Center | Santa Monica, CA | not published | $19.36 – $66.72 |
| Marion General Hospital | Marion, OH | not published | $124.22 – $124.22 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | not published | $18.91 – $27.42 |