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 |
|---|---|---|---|
| Downey Medical Center | Downey, CA | $15.60 | not published |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $15.60 | not published |
| Riverside Medical Center | RIVERSIDE, CA | $15.60 | not published |
| South Bay Medical Center | HARBOR CITY, CA | $15.60 | not published |
| San Marcos Medical Center | SAN MARCOS, CA | $15.60 | not published |
| West Los Angeles Medical Center | LOS ANGELES, CA | $15.60 | not published |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $15.60 | not published |
| Panorama Medical Center | PANORAMA CITY, CA | $15.60 | not published |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $15.60 | not published |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $15.60 | not published |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $15.60 | not published |
| HSHS St. Nicholas Hospital | SHEBOYGAN, WI | $15.84 | $5.76 – $24.00 |
| CHI Health St. Elizabeth | Lincoln, NE | $16.04 | $7.06 – $25.67 |
| Maryview Hospital | Portsmouth, VA | $16.20 | not published |
| Atrium Health Anson | Wadesboro, NC | $16.33 | $4.88 – $31.02 |
| Atrium Health Mercy | Charlotte, NC | $16.33 | $7.12 – $30.04 |
| Atrium Health Pineville | Charlotte, NC | $16.33 | $3.27 – $30.04 |
| Atrium Health Stanly | Albermarle, NC | $16.33 | $3.92 – $31.34 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $16.33 | $6.20 – $32.65 |
| Atrium Health Cleveland | Shelby, NC | $16.33 | $4.57 – $31.02 |
| Atrium Health Cabarrus | Concord, NC | $16.33 | $4.01 – $31.02 |
| Atrium Health Lincoln | Lincolnton, NC | $16.33 | $3.68 – $31.02 |
| Atrium Health Union | Monroe, NC | $16.33 | $4.24 – $31.02 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $16.33 | $9.21 – $30.04 |
| Atrium Health University City | Charlotte, NC | $16.33 | $3.27 – $30.04 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $16.33 | $7.12 – $29.39 |
| Mercy Medical Center Merced | Merced, CA | $16.48 | $1.00 – $4.00 |
| St Elias Specialty Hospital | Anchorage, AK | $17.43 | $62.91 – $101.51 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $17.64 | $6.00 – $34.00 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $17.64 | $6.80 – $34.00 |
| Lasting Hope Recovery Center | Omaha, NE | $17.64 | $6.80 – $34.00 |
| CHI Health Immanuel | Omaha, NE | $17.64 | $5.60 – $34.00 |
| CHI Health Lakeside | Omaha, NE | $17.64 | $6.40 – $34.00 |
| CHI Health Midlands | Papillion, NE | $17.64 | $7.20 – $34.00 |
| Redwood Memorial Hospital | Fortuna, CA | $17.85 | $30.26 – $30.26 |
| Memorial Regional Hospital | Mechanicsville, VA | $18.00 | not published |
| NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | Tillamook, OR | $18.36 | $21.52 – $48.00 |
| Providence St Joseph Medical Center | Polson, MT | $18.40 | not published |
| MultiCare Valley Hospital | Spokane Valley, WA | $18.40 | $18.36 – $40.14 |
| MultiCare Deaconess Hospital | Spokane, WA | $18.40 | $18.49 – $40.14 |
| CHI Health St. Francis | Grand Island, NE | $18.93 | $7.38 – $30.16 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | $19.38 | $24.75 – $67.41 |
| CHI Health Good Samaritan | Kearney, NE | $19.57 | $6.42 – $29.84 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $19.61 | $24.75 – $67.41 |
| CHI Health Mercy Corning | Corning, IA | $20.16 | $17.20 – $39.20 |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | $20.28 | $19.70 – $38.71 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | $20.28 | $19.70 – $31.92 |
| CHI Health Missouri Valley | Missouri Valley, IA | $20.58 | $14.00 – $39.20 |
| Fresno Medical Center | FRESNO, CA | $20.72 | not published |
| Redwood City Medical Center | Redwood City, CA | $20.72 | not published |