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 |
|---|---|---|---|
| Oakland Medical Center | Oakland, CA | $20.72 | not published |
| Sacramento Medical Center | SACRAMENTO, CA | $20.72 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $20.72 | not published |
| Santa Clara Medical Center | SANTA CLARA, CA | $20.72 | not published |
| San Rafael Medical Center | SAN RAFAEL, CA | $20.72 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $20.72 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $20.72 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $20.72 | not published |
| Vacaville Medical Center | VACAVILLE, CA | $20.72 | not published |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $20.72 | not published |
| Vallejo Medical Center | VALLEJO, CA | $20.72 | not published |
| Antioch Medical Center | ANTIOCH, CA | $20.72 | not published |
| Fremont Medical Center | FREMONT, CA | $20.72 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $20.72 | not published |
| San Jose Medical Center | SAN JOSE, CA | $20.72 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $20.72 | not published |
| Mercy Medical Center Redding | Redding, CA | $20.79 | $6.15 – $41.00 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $20.79 | $22.10 – $37.41 |
| MultiCare Auburn Medical Center | Auburn, WA | $20.80 | $18.78 – $36.24 |
| MultiCare Capital Medical Center | Olympia, WA | $20.80 | $19.40 – $36.24 |
| MultiCare Covington Medical Center | Covington, WA | $20.80 | $18.78 – $36.24 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $20.80 | $19.21 – $36.24 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $20.80 | $19.12 – $72.48 |
| MultiCare Allenmore Hospital | Tacoma, WA | $20.80 | $19.22 – $36.24 |
| Trinitas Regional Medical Center | Elizabeth, NJ | $20.98 | $19.17 – $122.00 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $21.60 | $19.73 – $31.93 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $21.60 | $19.37 – $31.93 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $21.60 | $19.73 – $31.93 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $21.60 | $19.73 – $31.93 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $21.60 | $19.73 – $31.93 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $21.60 | $19.73 – $31.93 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $21.60 | $7.02 – $31.93 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $21.60 | $19.73 – $31.93 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $21.60 | $19.37 – $31.93 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $21.60 | $19.37 – $31.93 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $21.60 | $19.73 – $31.93 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $21.60 | $19.73 – $31.93 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | $22.54 | $61.29 – $61.29 |
| Franklin Woods Community Hospital | JOHNSON CITY, TN | $23.12 | $17.47 – $136.17 |
| Greeneville Community Hospital | GREENEVILLE, TN | $23.12 | $6.99 – $124.31 |
| Hawkins County Memorial Hospital | ROGERSVILLE, TN | $23.12 | $9.71 – $38.90 |
| Indian Path Community Hospital | KINGSPORT, TN | $23.12 | $17.47 – $38.90 |
| Johnston Memorial Hospital | ABINGDON, VA | $23.12 | $17.47 – $38.90 |
| Lonesome Pine Hospital | BIG STONE GAP, VA | $23.12 | $9.71 – $70.27 |
| Russell County Hospital | LEBANON, VA | $23.12 | $17.47 – $67.19 |
| Smyth County Community Hospital | MARION, VA | $23.12 | $17.47 – $38.90 |
| Sycamore Shoals Hospital | ELIZABETHTON, TN | $23.12 | $17.47 – $38.90 |
| Moanalua Medical Center | HONOLULU, HI | $23.25 | not published |
| Ascension Calumet Hospital, Inc. | Chilton, WI | $23.94 | $17.64 – $1,400.00 |
| Healdsburg Hospital | Healdsburg, CA | $23.94 | $20.00 – $59.60 |