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 |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville, TN | not published | $17.46 – $34.03 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale, WI | not published | $20.03 – $40.91 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | not published | $20.00 – $82.20 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | not published | $20.00 – $85.56 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | not published | $32.41 – $32.41 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $36.88 – $75.54 |
| Providence Holy Cross Medical Center | Mission Hills, CA | not published | $20.00 – $80.54 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $36.71 – $36.71 |
| Advocate Condell Medical Center | Libertyville, IL | not published | $44.20 – $59.23 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $36.88 – $75.54 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | not published | $23.67 – $23.67 |
| Lincoln Health | Damariscotta, ME | not published | $21.95 – $67.78 |
| Wellstar Windy Hill Hospital | Marietta, GA | not published | $42.12 – $77.33 |
| Stephens Memorial Hospital | Norway, ME | not published | $21.95 – $41.34 |
| Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) | Hoffman Estates, IL | not published | $18.49 – $27.27 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $58.03 – $133.73 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | not published | $18.49 – $44.20 |
| Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) | Elk Grove Village, IL | not published | $18.49 – $27.27 |
| Ascension Alexian Brothers Behavioral Health Hospital | Hoffman Estates, IL | not published | $18.49 – $27.27 |
| Sentara Norfolk General Hospital | Norfolk, VA | not published | $62.74 – $62.74 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | not published | $30.57 – $38.08 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $58.03 – $136.13 |
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | not published | $64.52 – $64.52 |
| Sentara CarePlex Hospital | Hampton, VA | not published | $54.06 – $54.06 |
| AdventHealth Littleton | Littleton, CO | not published | $36.92 – $36.92 |
| Ascension Providence | Waco, TX | not published | $21.52 – $58.37 |
| Wellstar West Georgia Medical Center | Lagrange, GA | not published | $42.12 – $77.33 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | not published | $42.12 – $77.33 |
| Wellstar Spalding Regional Hospital | Griffin, GA | not published | $42.12 – $77.33 |
| North Central Bronx | Bronx, NY | not published | $19.03 – $19.03 |
| Wellstar Paulding Hospital | Hiram, GA | not published | $42.12 – $77.33 |
| Wellstar North Fulton Hospital | Roswell, GA | not published | $42.12 – $77.33 |
| Ascension Saint Thomas Hickman | Centerville, TN | not published | $18.92 – $34.03 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | not published | $18.92 – $34.03 |
| Sentara Obici Hospital | Suffolk, VA | not published | $50.90 – $50.90 |
| Corewell Health Wayne | Wayne, MI | not published | $0.01 – $0.01 |
| Corewell Health Troy | Troy, MI | not published | $0.01 – $30.28 |
| Ascension Saint Thomas River Park | McMinnville, TN | not published | $9.71 – $34.03 |
| Corewell Health Trenton | Trenton, MI | not published | $0.01 – $0.01 |
| Henry Ford Warren Hospital | Warren, MI | not published | $21.79 – $25.00 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | not published | $21.79 – $21.79 |
| Sentara Princess Anne Hospital | Virginia Beach, VA | not published | $49.92 – $49.92 |
| Corewell Health Taylor | Taylor, MI | not published | $0.01 – $0.01 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $0.01 – $30.42 |
| Corewell Health Zeeland | Zeeland, MI | not published | $22.35 – $22.35 |
| Corewell Health Greenville | Greenville, MI | not published | $22.35 – $22.35 |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | not published | $57.22 – $57.22 |
| Sentara Leigh Hospital | Norfolk, VA | not published | $62.74 – $62.74 |
| Ascension Saint Thomas DeKalb | Smithville, TN | not published | $9.71 – $34.03 |
| Sentara Halifax Regional Hospital | South Boston, VA | not published | $38.67 – $38.67 |