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 |
|---|---|---|---|
| Providence St Joseph Hospital Orange | Orange, CA | not published | $38.90 – $38.90 |
| Doctors Hospital | Columbus, OH | not published | $44.72 – $44.72 |
| Hardin Memorial Hospital | Kenton, OH | not published | $124.22 – $124.22 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $20.07 – $37.42 |
| indian river hospital | Vero Beach, FL | not published | $17.89 – $39.54 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | not published | $39.52 – $39.52 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | not published | $39.39 – $39.39 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | not published | $30.51 – $30.51 |
| Monmouth Medical Center | Long Branch, NJ | not published | $18.91 – $27.42 |
| Jersey City Medical Center | Jersey City, NJ | not published | $18.91 – $27.42 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | not published | $0.01 – $0.01 |
| Adventhealth Central Texas | Killeen, TX | not published | $72.07 – $72.07 |
| AdventHealth Avista | Louisville, CO | not published | $0.02 – $0.02 |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | not published | $47.61 – $65.27 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | not published | $27.34 – $27.34 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | not published | $21.81 – $78.44 |
| St Jude Medical Center | Fullerton, CA | not published | $39.88 – $39.88 |
| Providence Saint Joseph Medical Center | Burbank, CA | not published | $19.36 – $84.94 |
| AdventHealth Porter | Denver, CO | not published | $0.02 – $0.02 |
| lodi hospital | Lodi, OH | not published | $13.31 – $15.41 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $19.36 – $19.36 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $19.71 – $19.71 |
| Covenant Children's Hospital | Lubbock, TX | not published | $70.01 – $74.74 |
| Redwood Memorial Hospital | Fortuna, CA | not published | $36.73 – $36.73 |
| Healdsburg Hospital | Healdsburg, CA | not published | $19.36 – $72.36 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | not published | $0.01 – $0.01 |
| Newark Beth Israel Medical Center | Newark, NJ | not published | $18.91 – $27.42 |
| Swedish Issaquah | Issaquah, WA | not published | $21.02 – $21.02 |
| Providence St Joseph Hospital Eureka | Eureka, CA | not published | $36.64 – $36.64 |
| Queen of The Valley Medical Center | Napa, CA | not published | $30.72 – $30.72 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | not published | $0.01 – $0.01 |
| Ascension Saint Thomas Midtown | Nashville, TN | not published | $16.12 – $45.43 |
| Clara Maass Medical Center | Belleville, NJ | not published | $18.91 – $27.42 |
| Community Medical Center | Toms River, NJ | not published | $18.91 – $27.42 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale, WI | not published | $27.13 – $43.73 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | not published | $19.36 – $99.79 |
| Southeastern Medical Center | Cambridge, OH | not published | $124.22 – $124.22 |
| Grant Medical Center | Columbus, OH | not published | $44.72 – $44.72 |
| Berger Hospital | Circleville, OH | not published | $50.34 – $124.22 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | not published | $19.36 – $103.86 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $42.80 – $42.80 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | not published | $68.26 – $68.26 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | not published | $27.34 – $11,591.00 |
| Providence Holy Cross Medical Center | Mission Hills, CA | not published | $19.36 – $97.77 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $20.07 – $37.42 |
| Advocate Condell Medical Center | Libertyville, IL | not published | $42.80 – $42.80 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $42.80 – $42.80 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | not published | $21.02 – $21.02 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | not published | $21.02 – $21.02 |
| Trinitas Regional Medical Center | Elizabeth, NJ | not published | $18.91 – $118.10 |