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 |
|---|---|---|---|
| Lincoln Health | Damariscotta, ME | not published | $21.40 – $57.95 |
| Wellstar Windy Hill Hospital | Marietta, GA | not published | $40.79 – $66.12 |
| Stephens Memorial Hospital | Norway, ME | not published | $21.40 – $57.95 |
| Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) | Hoffman Estates, IL | not published | $17.06 – $1,564.00 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | not published | $32.10 – $54.10 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $64.58 – $129.49 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | not published | $17.06 – $42.80 |
| Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) | Elk Grove Village, IL | not published | $17.06 – $1,564.00 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | not published | $64.58 – $156.02 |
| Ascension Alexian Brothers Behavioral Health Hospital | Hoffman Estates, IL | not published | $17.06 – $1,564.00 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | not published | $21.64 – $22.51 |
| AdventHealth Littleton | Littleton, CO | not published | $0.02 – $0.02 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | not published | $47.61 – $65.27 |
| Ascension Providence | Waco, TX | not published | $45.86 – $64.96 |
| Wellstar West Georgia Medical Center | Lagrange, GA | not published | $40.79 – $66.12 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | not published | $40.79 – $66.12 |
| Wellstar Spalding Regional Hospital | Griffin, GA | not published | $40.79 – $66.12 |
| North Central Bronx | Bronx, NY | not published | $21.81 – $21.81 |
| Wellstar Paulding Hospital | Hiram, GA | not published | $40.79 – $66.12 |
| Wellstar North Fulton Hospital | Roswell, GA | not published | $40.79 – $66.12 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | not published | $32.10 – $54.10 |
| Ascension Saint Thomas Hickman | Centerville, TN | not published | $20.66 – $45.43 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | not published | $20.66 – $45.43 |
| Corewell Health Wayne | Wayne, MI | not published | $0.01 – $0.01 |
| Corewell Health Troy | Troy, MI | not published | $0.01 – $27.24 |
| Ascension Saint Thomas River Park | McMinnville, TN | not published | $11.62 – $45.43 |
| Corewell Health Trenton | Trenton, MI | not published | $0.01 – $0.01 |
| Henry Ford Warren Hospital | Warren, MI | not published | $24.97 – $24.97 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | not published | $24.97 – $24.97 |
| Corewell Health Taylor | Taylor, MI | not published | $0.01 – $0.01 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $0.01 – $27.37 |
| Corewell Health Zeeland | Zeeland, MI | not published | $21.64 – $21.64 |
| Corewell Health Greenville | Greenville, MI | not published | $21.64 – $21.64 |
| Ascension Saint Thomas DeKalb | Smithville, TN | not published | $11.62 – $45.43 |
| Corewell Health Reed City | Po Box 75, MI | not published | $21.64 – $21.64 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $21.64 – $21.64 |
| Aurora West Allis Medical Center | West Allis, WI | not published | $0.01 – $34.86 |
| Aurora Medical Center Washington County | Hartford, WI | not published | $0.01 – $34.86 |
| Aurora Medical Center Summit | Summit, WI | not published | $0.01 – $34.86 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | not published | $0.01 – $34.86 |
| Aurora Psychiatric Hospital | Wauwatosa, WI | not published | $0.01 – $34.86 |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | not published | $0.01 – $34.86 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | not published | $0.01 – $34.86 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | not published | $29.09 – $31.17 |
| Aurora Medical Center Kenosha | Kenosha, WI | not published | $0.01 – $34.86 |
| Aurora Medical Center Manitowoc | Two Rivers, WI | not published | $0.01 – $34.86 |
| Aurora Medical Center Grafton | Grafton, WI | not published | $0.01 – $34.86 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata, OK | not published | $29.09 – $31.17 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville, OK | not published | $25.35 – $31.17 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso, OK | not published | $25.77 – $31.17 |