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 |
|---|---|---|---|
| OSF Saint Anthony Medical Center | Rockford, IL | not published | $18.78 – $18.78 |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | not published | $30.82 – $31.53 |
| Parkview Ortho Hospital | Fort Wayne, IN | not published | $30.82 – $31.53 |
| Parkview Noble Hospital | Kendallville, IN | not published | $30.82 – $31.53 |
| Parkview Wabash Hospital | Wabash, IN | not published | $30.82 – $31.53 |
| Parkview Logansport Hospital | Logansport, IN | not published | $34.53 – $34.53 |
| Parkview Montpelier Hospital | Montpelier, OH | not published | $22.35 – $22.35 |
| Parkview LaGrange Hospital | Lagrange, IN | not published | $30.82 – $31.53 |
| Parkview Huntington Hospital | Huntington, IN | not published | $30.82 – $31.53 |
| Parkview DeKalb Hospital | Auburn, IN | not published | $30.82 – $31.53 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | not published | $30.82 – $31.53 |
| Morristown-Hamblen Hospital Association | Morristown, TN | not published | $9.52 – $24.97 |
| Parkwest Medical Center | Knoxville, TN | not published | $9.52 – $24.97 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | not published | $9.52 – $24.97 |
| LeConte Medical Center | Sevierville, TN | not published | $9.52 – $24.97 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | not published | $58.03 – $133.73 |
| Fort Sanders Regional Medical Center | Knoxville, TN | not published | $9.52 – $24.97 |
| Fort Loudoun Medical Center | Lenoir City, TN | not published | $9.52 – $24.97 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | not published | $43.77 – $65.60 |
| Cumberland Medical Center, Inc. | Crossville, TN | not published | $11.42 – $24.97 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $16.14 – $73.17 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $22.65 – $27.08 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $25.82 – $28.40 |
| CHRISTUS St. Michael Rehabilitation | Texarkana, TX | not published | $16.14 – $39.39 |
| Claiborne Medical Center | Tazewell, TN | not published | $9.52 – $24.97 |
| Roane County Medical Center | Harriman, TN | not published | $9.52 – $24.97 |
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $43.77 – $74.18 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $64.59 – $90.39 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $22.65 – $27.08 |
| AdventHealth Castle Rock | Castle Rock, CO | not published | $36.92 – $36.92 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | not published | $24.75 – $67.41 |
| Swedish Edmonds Hospital | Edmonds, WA | not published | $23.67 – $23.67 |
| Providence Saint John's Health Center | Santa Monica, CA | not published | $20.00 – $54.96 |
| Providence St Joseph Hospital Orange | Orange, CA | not published | $32.04 – $32.04 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $36.71 – $36.71 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | not published | $36.97 – $36.97 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | not published | $32.44 – $32.44 |
| Adventhealth Redmond | Rome, GA | not published | $21.52 – $21.52 |
| Adventhealth Central Texas | Killeen, TX | not published | $64.76 – $64.76 |
| AdventHealth Avista | Louisville, CO | not published | $36.92 – $36.92 |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | not published | $24.75 – $67.41 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | not published | $31.29 – $1,400.00 |
| St Jude Medical Center | Fullerton, CA | not published | $32.84 – $32.84 |
| Providence Saint Joseph Medical Center | Burbank, CA | not published | $20.00 – $69.97 |
| AdventHealth Porter | Denver, CO | not published | $36.92 – $36.92 |
| Sanford Medical Center Bismarck | Bismarck, ND | not published | $22.35 – $22.35 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $22.35 – $22.35 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $22.75 – $22.75 |
| Swedish Issaquah | Issaquah, WA | not published | $23.67 – $23.67 |
| Providence St Joseph Hospital Eureka | Eureka, CA | not published | $30.18 – $30.18 |