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 |
|---|---|---|---|
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | $52.18 | $20.53 – $47.00 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea, KY | $54.05 | $0.07 – $0.23 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $54.84 | $21.95 – $83.18 |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $54.84 | $21.95 – $83.18 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $54.84 | $21.95 – $83.18 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $54.84 | $34.45 – $83.18 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $54.84 | $34.45 – $83.18 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $54.84 | $21.95 – $83.18 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $54.84 | $34.45 – $83.18 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $54.84 | $21.95 – $83.18 |
| Texas Health Hospital Frisco | Frisco, TX | $54.84 | $21.95 – $83.18 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $54.84 | $34.45 – $83.18 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $54.84 | $34.45 – $83.18 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $54.84 | $21.95 – $83.18 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $54.84 | $21.95 – $83.18 |
| Texas Health Hospital Rockwall | Rockwall, TX | $54.84 | $34.45 – $83.18 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $54.84 | $34.45 – $83.18 |
| Texas Health Springwood Hospital Hurst-Euless-Bedford | Bedford, TX | $54.84 | $21.95 – $21.95 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $54.84 | $21.95 – $83.18 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $54.84 | $21.95 – $83.18 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $54.84 | $34.45 – $83.18 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $54.84 | $34.45 – $83.18 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $55.44 | $19.19 – $42.90 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington, KY | $56.47 | $0.04 – $0.23 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $56.97 | $18.16 – $70.48 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | $56.97 | $18.16 – $70.48 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | $56.97 | $18.16 – $70.48 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $56.97 | $18.16 – $70.48 |
| Middlesboro ARH Hospital | Middlesboro, KY | $61.80 | $26.25 – $26.25 |
| MercyOne Centerville Medical Center | Centerville, IA | $67.00 | $18.38 – $67.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | $67.00 | $156.50 – $159.80 |
| Beckley ARH Hospital | Beckley, WV | $69.00 | not published |
| Whitesburg ARH Hospital | Whitesburg, KY | $69.00 | $26.25 – $26.25 |
| Harlan ARH Hospital | KY 40831, KY | $69.00 | $26.25 – $26.25 |
| Morgan County ARH Hospital | Liberty, KY | $69.00 | $26.25 – $26.25 |
| Mary Breckinridge ARH Hospital | Hayden, KY | $69.00 | $26.25 – $26.25 |
| ARH Our Lady of the Way Hospital | Martin, KY | $69.00 | $26.25 – $26.25 |
| Tug Valley ARH Regional Medical Center | Williamson, KY | $69.00 | $26.25 – $26.25 |
| Hazard ARH Regional Medical Center | Hazard, KY | $69.00 | $26.25 – $26.25 |
| Barbourville ARH Hospital | Barbourville, KY | $69.00 | $26.25 – $26.25 |
| Paintsville ARH Hospital | Paintsville, KY | $69.00 | $26.25 – $26.25 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $70.00 | $14.07 – $70.00 |
| CHI Memorial Hospital - Georgia | Ringgold, GA | $71.70 | $11.00 – $50.25 |
| CHI Memorial Hospital Hixson | Hixson, TN | $71.70 | $12.59 – $54.96 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $73.00 | $14.07 – $73.00 |
| Hardin Memorial Hospital | Kenton, OH | $78.31 | $128.25 – $128.25 |
| Marion General Hospital | Marion, OH | $78.99 | $128.25 – $128.25 |
| Grady Memorial Hospital | Delaware, OH | $79.03 | $128.25 – $128.25 |
| Berger Hospital | Circleville, OH | $79.03 | $58.11 – $128.25 |
| Riverside Methodist Hospital | Columbus, OH | $79.28 | $46.17 – $46.17 |