Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im cost at US hospitals
HC Vaccine Influenza Quadrivalent (Iiv4) Preservative Free 0.5ml Dose Im · CPT 90686
$2.75
lowest cash price
$33.60
national median
$294.68
highest cash price
427
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $2.75–$294.68 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($28.55) → Sep 1, 2026 ($115.32)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 5 | $17.43 | $28.08 | $160.68 |
| Arizona | 3 | $31.91 | $46.26 | $49.90 |
| Arkansas | 2 | $2.75 | $2.75 | $3.48 |
| California | 62 | $4.76 | $20.72 | $84.15 |
| Colorado | 6 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 53 | $28.88 | $107.00 | $294.68 |
| Georgia | 20 | $71.70 | $84.46 | $84.46 |
| Hawaii | 2 | $12.16 | $12.16 | $23.25 |
| Illinois | 30 | $21.60 | $33.60 | $102.98 |
| Indiana | 26 | $48.47 | $49.02 | $205.07 |
| Iowa | 28 | $17.64 | $21.60 | $73.00 |
| Kansas | 7 | $20.28 | $20.28 | $183.25 |
| Kentucky | 22 | $40.01 | $69.00 | $205.07 |
| Louisiana | 6 | $52.18 | $52.18 | $52.18 |
| Maine | 7 | $28.55 | $28.55 | $28.55 |
| Michigan | 25 | $24.00 | $24.00 | $28.35 |
| Minnesota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Mississippi | 5 | $3.66 | $4.21 | $4.58 |
| Missouri | 15 | $24.00 | $24.20 | $128.61 |
| Montana | 2 | $18.40 | $18.40 | $18.40 |
| Nebraska | 12 | $14.76 | $17.64 | $35.70 |
| New Hampshire | 1 | $36.10 | $36.10 | $36.10 |
| New Jersey | 21 | $7.76 | $9.11 | $20.98 |
| New Mexico | 2 | $159.21 | $159.21 | $159.21 |
| New York | 23 | $12.00 | $91.73 | $136.12 |
| North Carolina | 12 | $16.33 | $16.33 | $16.33 |
| North Dakota | 2 | $26.40 | $26.40 | $26.40 |
| Ohio | 49 | $25.50 | $45.50 | $80.48 |
| Oklahoma | 8 | $37.06 | $37.06 | $37.06 |
| Oregon | 5 | $18.36 | $24.00 | $35.04 |
| Pennsylvania | 16 | $12.00 | $12.00 | $14.40 |
| South Carolina | 8 | not published by hospital | not published by hospital | not published by hospital |
| South Dakota | 1 | $26.40 | $26.40 | $26.40 |
| Tennessee | 37 | $3.66 | $23.12 | $110.86 |
| Texas | 87 | $25.55 | $54.84 | $280.06 |
| Virginia | 25 | $16.20 | $23.12 | $99.00 |
| Washington | 19 | $13.30 | $20.80 | $26.00 |
| West Virginia | 2 | $26.00 | $26.00 | $69.00 |
| Wisconsin | 25 | $15.84 | $19.61 | $97.93 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON PEARLAND | Pearland, TX | not published | $32.97 – $53.48 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | not published | $32.97 – $53.48 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | not published | $32.97 – $53.48 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | not published | $32.97 – $53.48 |
| HCA HOUSTON CONROE | CONROE, TX | not published | $32.97 – $53.48 |
| TRICITIES HOSPITAL | HOPEWELL, VA | not published | $23.21 – $23.21 |
| STONESPRINGS HOSPITAL CENTER | Dulles, VA | not published | $20.11 – $20.11 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | not published | $23.21 – $23.21 |
| RESTON HOSPITAL CENTER | VIENNA, VA | not published | $20.11 – $20.11 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | not published | $23.21 – $23.21 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | not published | $10.11 – $27.69 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | not published | $10.56 – $27.69 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | not published | $22.65 – $64.59 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | not published | $28.29 – $28.29 |
| STONECREST MEDICAL CENTER | Smyrna, TN | not published | $28.29 – $28.29 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | not published | $28.29 – $28.29 |
| SKYLINE MADISON CAMPUS | NASHVILLE, TN | not published | $28.29 – $28.29 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | not published | $28.29 – $28.29 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City, TN | not published | $28.29 – $28.29 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $58.03 – $133.73 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $58.03 – $133.73 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $58.03 – $133.73 |
| Kettering Health Troy | Troy, OH | not published | $29.60 – $61.66 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | not published | $29.60 – $61.66 |
| Kettering Health Greene Memorial | Xenia, OH | not published | $29.60 – $61.66 |
| Soin Medical Center | Beaver Creek, OH | not published | $29.60 – $61.66 |
| Kettering Health Dayton (Grandview) | Dayton, OH | not published | $29.60 – $61.66 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | not published | $29.60 – $61.66 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | not published | $29.60 – $61.66 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | not published | $13.01 – $33.15 |
| MUSC Health Kershaw Medical Center | Camden, SC | not published | $9.35 – $33.15 |
| MUSC Health Florence Medical Center | Florence, SC | not published | $13.01 – $33.15 |
| MUSC Health Chester Medical Center | Chester, SC | not published | $13.01 – $36.88 |
| MUSC Health Main Campus - Charleston | Charleston, SC | not published | $9.29 – $48.05 |
| MUSC Health Black River Medical Center | Cades, SC | not published | $11.33 – $33.15 |
| Virginia Mason Medical Center | Seattle, WA | not published | $69.08 – $69.08 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | not published | $28.99 – $36.47 |
| Houston Methodist Cypress Hospital | Cypress, TX | not published | $51.94 – $65.60 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | not published | $51.94 – $65.60 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | not published | $51.94 – $65.60 |
| Houston Methodist Willowbrook Hospital | Houston, TX | not published | $51.94 – $65.60 |
| Houston Methodist Baytown Hospital | Baytown, TX | not published | $51.94 – $65.60 |
| Houston Methodist West Hospital | Houston, TX | not published | $51.94 – $65.60 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | not published | $51.94 – $65.60 |
| Houston Methodist Hospital | Houston, TX | not published | $51.94 – $65.60 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $58.03 – $133.73 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | not published | $34.03 – $43.94 |
| Texas Health Hospital Mansfield | Mansfield, TX | not published | $34.03 – $43.94 |
| OSF St Mary Medical Center | Galesburg, IL | not published | $35.51 – $35.51 |
| OSF Saint Francis Medical Center | Peoria, IL | not published | $18.78 – $18.78 |