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 |
|---|---|---|---|
| Sentara RMH Medical Center | Harrisonburg, VA | not published | $36.90 – $36.90 |
| Corewell Health Reed City | Po Box 75, MI | not published | $22.35 – $22.35 |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | not published | $37.29 – $37.29 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $22.35 – $22.35 |
| Aurora West Allis Medical Center | West Allis, WI | not published | $19.73 – $33.15 |
| Aurora Medical Center Washington County | Hartford, WI | not published | $19.73 – $33.15 |
| Aurora Medical Center Summit | Summit, WI | not published | $19.73 – $33.15 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | not published | $19.73 – $33.15 |
| Aurora Psychiatric Hospital | Wauwatosa, WI | not published | $19.73 – $33.15 |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | not published | $19.73 – $33.15 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | not published | $19.73 – $33.15 |
| Aurora Medical Center Kenosha | Kenosha, WI | not published | $19.73 – $33.15 |
| Aurora Medical Center Manitowoc | Two Rivers, WI | not published | $19.73 – $33.15 |
| Aurora Medical Center Grafton | Grafton, WI | not published | $19.73 – $33.15 |
| Aurora Medical Center Burlington | Burlington, WI | not published | $19.73 – $33.15 |
| Ascension Saint Thomas Highlands | Sparta, TN | not published | $9.71 – $34.03 |
| Henry Ford River District Hospital | China Township, MI | not published | $21.79 – $25.29 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Wichita, KS | not published | $35.96 – $36.61 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | not published | $0.01 – $64.64 |
| Aurora Medical Center Bay Area | Marinette, WI | not published | $19.73 – $33.15 |
| Aurora Baycare Medical Center | Green Bay, WI | not published | $19.73 – $33.15 |
| South Brooklyn Health | Brooklyn, NY | not published | $19.03 – $19.03 |
| Spring Harbor Hospital | Westbrook, ME | not published | $22.10 – $42.92 |
| Henry Ford St John Hospital | Detroit, MI | not published | $21.79 – $32.10 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita, KS | not published | $35.96 – $36.61 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | not published | $22.35 – $22.35 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | not published | $0.01 – $0.01 |
| Corewell Health Gerber | Fremont, MI | not published | $22.35 – $22.35 |
| Corewell Health Big Rapids | Big Rapids, MI | not published | $22.35 – $22.35 |
| Franklin Memorial Hospital | Farmington, ME | not published | $21.95 – $41.34 |
| Wellstar MCG Health | Augusta, GA | not published | $42.12 – $53.06 |
| Wellstar Kennestone Hospital | Marietta, GA | not published | $42.12 – $77.33 |
| CHRISTUS Children's Hospital | San Antonio, TX | not published | $51.57 – $51.57 |
| Wellstar Douglas Hospital | Douglasville, GA | not published | $42.12 – $77.33 |
| Wellstar Cobb Hospital | Austell, GA | not published | $42.12 – $77.33 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | not published | $67.84 – $67.84 |
| Adventhealth Rollins Brook | Lampasas, TX | not published | $64.76 – $64.76 |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | not published | $25.05 – $25.05 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $136.13 – $136.13 |
| CHRISTUS Shreveport-Bossier Health System-Highland | Shreveport, LA | not published | $20.53 – $39.20 |
| CHRISTUS Ochsner St. Patrick Hospital | Lake Charles, LA | not published | $20.53 – $53.09 |
| CHRISTUS Ochsner Lake Area Hospital | Lake Charles, LA | not published | $20.53 – $53.09 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $22.35 – $22.35 |
| CHRISTUS Coushatta Health Care Center | Coushatta, LA | not published | $20.53 – $23.69 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | not published | $20.00 – $20.00 |
| AdventHealth Parker | Parker, CO | not published | $36.92 – $36.92 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | not published | $36.71 – $36.71 |
| Jacobi Medical Center | Bronx, NY | not published | $19.03 – $19.03 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $19.03 – $19.03 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | not published | $31.29 – $1,400.00 |