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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.

Cheapest published cash price

$2.75

82-3844150 BMH Crittenden — West Memphis, AR

Most expensive published cash price

$294.68

Adventhealth Port Charlotte — Port Charlotte, FL

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
AdventHealth Orlando Orlando, FL $29.00 not published
Ascension Sacred Heart Bay (Bay County Health System, Inc.) Panama City, FL $29.22 $31.90 – $33.15
Covenant Medical Center Lubbock, TX $29.40 $62.91 – $101.51
Covenant Children's Hospital Lubbock, TX $29.40 $62.91 – $84.93
Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) Joe, FL $29.60 $31.18 – $33.15
Trinity Medical Center East Steubenville, OH $30.40 $9.80 – $23.47
Southeastern Medical Center Cambridge, OH $30.42 $128.25 – $128.25
Yavapai Regional Medical Center (East) Prescott, AZ $31.91 $0.01 – $21.24
LAFAYETTE REGIONAL HEALTH CENTER Lexington, MO $32.04 $22.35 – $23.24
WILLITS HOSPITAL INC Willits, CA $32.70 $20.00 – $36.65
HCA FLORIDA LAKE CITY HOSPITAL LIVE OAK, FL $33.00 $147.28 – $155.03
Northwestern Medicine Central DuPage Hospital IL 60190, IL $33.60 not published
Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital Lake Forest, IL $33.60 not published
Northwestern Medicine Delnor Hospital Geneva, IL $33.60 not published
Northwestern Medicine Kishwaukee Hospital DeKalb, IL $33.60 not published
Northwestern Medicine Marianjoy Rehabilitation Hospital Wheaton, IL $33.60 not published
Northwestern Medicine Palos Hospital Palos Heights, IL $33.60 not published
Northwestern Medicine McHenry Hospital McHenry, IL $33.60 not published
Northwestern Memorial Hospital Chicago, IL $33.60 not published
MID-COLUMBIA MEDICAL CENTER The Dalles, OR $35.04 $37.96 – $73.00
CHI Health Plainview Plainview, NE $35.28 $24.40 – $54.17
Hancock County Hospital SNEEDVILLE, TN $35.45 $0.24 – $38.90
Lee County Community Hospital PENNINGTON GAP, VA $35.45 $17.47 – $48.14
Johnson County Community Hospital MOUNTAIN CITY, TN $35.45 $2.59 – $38.90
CHI Health Schuyler Schuyler, NE $35.70 $8.57 – $45.29
MaineHealth - Memorial Hospital North Conway, NH $36.10 $18.98 – $44.02
Providence Valdez Medical Center Valdez, AK $36.62 not published
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa, OK $37.06 $19.63 – $19.63
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso, OK $37.06 $19.95 – $24.14
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville, OK $37.06 $19.63 – $24.14
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata, OK $37.06 $22.53 – $24.14
Ascension St. John Sapulpa (St. John Sapulpa, Inc.) Sapulpa, OK $37.06 $22.53 – $24.14
Dickenson Community Hospital CLINTWOOD, VA $37.15 $17.47 – $48.14
St. Luke's Health - The Vintage Hospital Houston, TX $37.52 $5.53 – $85.26
Baylor St Luke's Medical Center Houston, TX $37.52 $9.83 – $85.26
St. Luke's Health - Sugar Land Hospital Sugar Land, TX $37.52 $13.65 – $94.22
St. Luke's Health - Springwoods Village Hospital Spring, TX $37.52 $6.76 – $85.26
St. Luke's Health - Lakeside Hospital The Woodlands, TX $37.52 $6.76 – $85.26
St. John's Camarillo Hospital Camarillo, CA $38.11 $23.49 – $83.52
Rochester General Hospital Rochester, NY $39.11 $17.98 – $26.05
Newark Wayne Community Hospital Newark, NY $39.11 $20.00 – $26.05
Clifton Springs Hospital and Clinic Clifton Springs, NY $39.11 $20.72 – $22.65
Morrow County Hospital Mount Gilead, OH $39.18 $12.29 – $20.27
Ascension Seton Cedar Park Hospital Cedar Park, TX $39.65 $18.16 – $70.48
CHI Saint Joseph Health - Saint Joseph London London, KY $40.01 $0.04 – $0.23
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling, KY $41.09 $0.05 – $0.23
Midwest Orthopedic Specialty Hospital Franklin, WI $42.15 $24.75 – $67.41
SSM Health St. Mary's Hospital - Jefferson City Jefferson City, MO $42.90 not published
MercyOne New Hampton Medical Center New Hampton, IA $43.55 $19.73 – $67.00
MercyOne Dyersville Medical Center Dyersville, IA $43.55 $19.73 – $75.42

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