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 |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $24.00 | $22.35 – $57.70 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $24.00 | $22.35 – $55.65 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $24.00 | $22.35 – $55.65 |
| Mercy Primary Care - Bernie | Bernie, MO | $24.00 | $23.53 – $23.53 |
| Providence Seaside Hospital | Seaside, OR | $24.00 | not published |
| Central Medical Center | Seattle, WA | $24.00 | not published |
| Providence Hood River Memorial Hospital | Hood River, OR | $24.00 | not published |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $24.00 | $22.35 – $55.65 |
| ADVENTIST HEALTH CLEARLAKE HOSPITAL | Clearlake, CA | $24.12 | $11.00 – $49.90 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $24.20 | $20.00 – $20.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $24.20 | $20.00 – $20.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $24.20 | $20.00 – $20.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $24.20 | $20.00 – $20.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $24.20 | $20.00 – $20.00 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $24.20 | $20.00 – $20.00 |
| Holston Valley Medical Center | KINGSPORT, TN | $24.23 | $11.65 – $38.90 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $25.02 | $34.80 – $248.36 |
| Northridge Hospital Medical Center | Northridge, CA | $25.11 | $14.59 – $90.00 |
| Providence Seward Hospital | Seward, AK | $25.12 | not published |
| Johnson City Medical Center | JOHNSON CITY, TN | $25.16 | $1.00 – $33.60 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $25.50 | $13.60 – $30.60 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $25.50 | $78.02 – $78.02 |
| University Hospitals Elyria Medical Center | Elyria, OH | $25.50 | $43.56 – $43.56 |
| University Hospitals Geneva Medical Center | Geneva, OH | $25.50 | $72.17 – $72.17 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $25.50 | $37.55 – $70.00 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $25.50 | $54.40 – $201.15 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $25.50 | $19.40 – $19.40 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $25.50 | $42.47 – $42.47 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $25.50 | $57.53 – $57.53 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $25.50 | $64.01 – $64.01 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $25.50 | $7.51 – $30.60 |
| St. Joseph Health Grimes Hospital | Navasota, TX | $25.55 | $4.93 – $32.19 |
| St. Joseph Health Burleson Hospital | Caldwell, TX | $25.55 | $4.93 – $26.10 |
| St. Joseph Health Madison Hospital | Madisonville, TX | $25.55 | $3.70 – $26.10 |
| St. Joseph Health College Station Hospital | College Station, TX | $25.55 | $2.85 – $24.65 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | $26.00 | $23.67 – $23.67 |
| Weirton Medical Center | Weirton, WV | $26.00 | $10.00 – $12.60 |
| Bristol Regional Medical Center | BRISTOL, TN | $26.12 | $11.65 – $38.90 |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $26.18 | $30.80 – $55.50 |
| Sanford USD Medical Center | Sioux Falls, SD | $26.40 | $11.06 – $29.70 |
| Sanford Fargo Medical Center | Fargo, ND | $26.40 | $13.53 – $29.70 |
| CHI Health St. Mary's | Nebraska City, NE | $26.63 | $6.88 – $30.80 |
| PORTLAND ADVENTIST MEDICAL CENTER | Portland, OR | $27.01 | $55.76 – $168.80 |
| Providence Alaska Medical Center | Anchorage, AK | $28.08 | $118.80 – $118.80 |
| Henry Ford Rochester Hospital | Rochester, MI | $28.35 | $48.12 – $51.63 |
| Covenant Hospital Plainview | Plainview, TX | $28.35 | $62.40 – $62.40 |
| Waldo County General Hospital | Belfast, ME | $28.55 | $21.41 – $41.34 |
| Covenant Hospital Levelland | Levelland, TX | $28.56 | $62.40 – $62.40 |
| Defiance Hospital | Defiance, OH | $28.80 | not published |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | $28.88 | $26.52 – $33.15 |