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 |
|---|---|---|---|
| Aurora Medical Center Burlington | Burlington, WI | not published | $0.01 – $34.86 |
| Ascension Saint Thomas Highlands | Sparta, TN | not published | $11.62 – $45.43 |
| Henry Ford River District Hospital | China Township, MI | not published | $24.97 – $24.97 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa, OK | not published | $25.35 – $25.35 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Wichita, KS | not published | $39.13 – $47.80 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | not published | $21.64 – $50.71 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $70.01 – $134.91 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | not published | $0.01 – $69.11 |
| Covenant Medical Center | Lubbock, TX | not published | $70.01 – $134.91 |
| Aurora Medical Center Bay Area | Marinette, WI | not published | $0.01 – $34.86 |
| Aurora Baycare Medical Center | Green Bay, WI | not published | $0.01 – $34.86 |
| South Brooklyn Health | Brooklyn, NY | not published | $21.81 – $21.81 |
| Henry Ford Rochester Hospital | Rochester, MI | not published | $46.85 – $50.26 |
| Spring Harbor Hospital | Westbrook, ME | not published | $21.40 – $38.91 |
| Henry Ford St John Hospital | Detroit, MI | not published | $24.97 – $28.48 |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | not published | $18.91 – $27.42 |
| Shelby Hospital | Shelby, OH | not published | $124.22 – $124.22 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita, KS | not published | $39.13 – $47.80 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | not published | $21.64 – $21.64 |
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | not published | $21.64 – $50.71 |
| MaineHealth - Memorial Hospital | North Conway, NH | not published | $21.40 – $38.91 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | not published | $0.01 – $0.01 |
| Dublin Methodist Hospital | Dublin, OH | not published | $44.72 – $44.72 |
| Corewell Health Gerber | Fremont, MI | not published | $21.64 – $21.64 |
| Corewell Health Big Rapids | Big Rapids, MI | not published | $21.64 – $21.64 |
| Franklin Memorial Hospital | Farmington, ME | not published | $21.40 – $57.95 |
| Wellstar MCG Health | Augusta, GA | not published | $40.79 – $45.37 |
| Wellstar Kennestone Hospital | Marietta, GA | not published | $40.79 – $66.12 |
| CHRISTUS Children's Hospital | San Antonio, TX | not published | $57.45 – $57.45 |
| Wellstar Douglas Hospital | Douglasville, GA | not published | $40.79 – $66.12 |
| Wellstar Cobb Hospital | Austell, GA | not published | $40.79 – $66.12 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | not published | $67.84 – $67.84 |
| Adventhealth Rollins Brook | Lampasas, TX | not published | $72.07 – $72.07 |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | not published | $25.05 – $25.05 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $156.02 – $156.02 |
| CHRISTUS St. Vincent Regional Medical Center | Santa Fe, NM | not published | $21.20 – $124.04 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | not published | $21.64 – $52.36 |
| CHRISTUS Shreveport-Bossier Health System-Highland | Shreveport, LA | not published | $21.64 – $43.67 |
| CHRISTUS Ochsner St. Patrick Hospital | Lake Charles, LA | not published | $21.64 – $59.15 |
| CHRISTUS Ochsner Lake Area Hospital | Lake Charles, LA | not published | $21.64 – $59.15 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $21.64 – $21.64 |
| CHRISTUS Coushatta Health Care Center | Coushatta, LA | not published | $21.64 – $21.64 |
| Providence Holy Family Hospital | Spokane, WA | not published | $21.02 – $21.02 |
| CENTERPOINT MEDICAL CENTER | Independence, MO | not published | $21.64 – $22.51 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | not published | $0.01 – $0.01 |
| AdventHealth Parker | Parker, CO | not published | $0.02 – $0.02 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | not published | $21.02 – $21.02 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $158.88 – $162.22 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | not published | $20.07 – $37.42 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | not published | $20.15 – $30.18 |