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 |
|---|---|---|---|
| Dublin Methodist Hospital | Dublin, OH | $79.28 | $46.17 – $46.17 |
| Grant Medical Center | Columbus, OH | $79.28 | $46.17 – $46.17 |
| Doctors Hospital | Columbus, OH | $79.28 | $46.17 – $46.17 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | $79.37 | $33.15 – $107.25 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | $79.37 | $33.15 – $107.25 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | $79.85 | $18.16 – $70.48 |
| Mansfield Hospital | Mansfield, OH | $80.48 | $128.25 – $128.25 |
| Shelby Hospital | Shelby, OH | $80.48 | $128.25 – $128.25 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | $81.24 | $18.16 – $70.48 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | $81.77 | $58.03 – $133.73 |
| Queen of The Valley Medical Center | Napa, CA | $84.15 | $25.30 – $25.30 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $84.15 | $25.13 – $25.13 |
| Emory Decatur Hospital | Decatur, GA | $84.46 | not published |
| Emory Hillandale Hospital | Lithonia, GA | $84.46 | not published |
| Emory Long-Term Acute Care Hospital | Decatur, GA | $84.46 | not published |
| Emory Johns Creek Hospital | Johns Creek, GA | $84.46 | not published |
| Emory Rehabilitation Hospital | Atlanta, GA | $84.46 | not published |
| Emory Saint Joseph's Hospital | Atlanta, GA | $84.46 | not published |
| Emory University Hospital | Ne, GA | $84.46 | not published |
| Emory University Hospital Midtown | Atlanta, GA | $84.46 | not published |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | $88.70 | $149.27 – $157.13 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | $90.50 | $22.35 – $23.24 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | $90.86 | $58.03 – $133.73 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka, FL | $91.00 | $147.28 – $155.03 |
| Massena Hospital | Massena, NY | $91.73 | not published |
| Gouverneur Hospital | Gouverneur, NY | $91.73 | $22.65 – $22.65 |
| Canton-Potsdam Hospital | Potsdam, NY | $91.73 | $22.65 – $22.65 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY, FL | $95.87 | $165.34 – $174.04 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | $97.81 | $22.35 – $23.24 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | $97.81 | $22.80 – $23.24 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $97.93 | $10.58 – $39.10 |
| HENRICO DOCTORS HOSPITAL | RICHMOND, VA | $99.00 | $23.21 – $23.21 |
| CHI Memorial Hospital Chattanooga | Chattanooga, TN | $102.46 | $12.59 – $54.96 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | $102.98 | $45.15 – $45.15 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $102.98 | $45.15 – $45.15 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | $102.98 | $45.15 – $45.15 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | $102.98 | $45.15 – $45.15 |
| UCF LAKE NONA HOSPITAL | Orlando, FL | $107.00 | $156.75 – $160.05 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE, FL | $109.00 | $158.88 – $162.22 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | $110.78 | $18.16 – $70.48 |
| HORIZON MEDICAL CENTER | DICKSON, TN | $110.86 | $28.29 – $28.29 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO, FL | $114.75 | $156.75 – $165.00 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON, FL | $115.32 | $158.88 – $162.22 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | $123.35 | $58.03 – $136.13 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness, FL | $124.45 | $147.84 – $150.95 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD, FL | $128.47 | $158.88 – $162.22 |
| CENTERPOINT MEDICAL CENTER | Independence, MO | $128.61 | $22.35 – $23.24 |
| St. Luke's Health Memorial Lufkin | Lufkin, TX | $136.04 | $24.97 – $408.24 |
| St. Luke's Health Memorial Livingston | Livingston, TX | $136.04 | $24.97 – $408.24 |
| St. Luke's Health Memorial San Augustine | San Augustine, TX | $136.04 | $24.97 – $408.24 |