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 |
|---|---|---|---|
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor, NY | $136.12 | $19.73 – $38.89 |
| NewYork-Presbyterian Queens | Flushing, NY | $136.12 | $19.73 – $38.89 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $136.12 | $19.73 – $38.89 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | $137.76 | $158.88 – $162.22 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH, FL | $137.76 | $158.88 – $162.22 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS, FL | $140.00 | $164.33 – $167.79 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | $140.63 | $158.88 – $162.22 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS, FL | $144.68 | $153.95 – $157.19 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | $150.00 | $8.07 – $23.24 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA, FL | $155.99 | $158.88 – $162.22 |
| CHRISTUS St. Vincent Regional Medical Center | Santa Fe, NM | $159.21 | $25.82 – $93.32 |
| Providence Kodiak Island Medical Center | Kodiak, AK | $160.68 | not published |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | $162.10 | $158.88 – $162.22 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE, FL | $163.16 | $158.88 – $162.22 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON, FL | $171.00 | $158.88 – $162.22 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | $179.28 | $156.50 – $159.80 |
| MENORAH MEDICAL CENTER | Overland Park, KS | $183.25 | $8.07 – $23.24 |
| Baptist Health Floyd | New Albany, IN | $205.07 | $21.13 – $274.92 |
| Baptist Health Hardin | Elizabethtown, KY | $205.07 | $26.25 – $366.56 |
| Baptist Health Corbin | Corbin, KY | $205.07 | $26.25 – $366.56 |
| Baptist Health La Grange | La Grange, KY | $205.07 | $26.25 – $366.56 |
| Baptist Health Lexington | Lexington, KY | $205.07 | $26.25 – $372.61 |
| Baptist Health Louisville | Louisville, KY | $205.07 | $23.63 – $366.56 |
| Baptist Health Paducah | Paducah, KY | $205.07 | $22.26 – $366.56 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH, FL | $276.00 | $170.65 – $174.24 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | $280.06 | $58.03 – $133.73 |
| Adventhealth Port Charlotte | Port Charlotte, FL | $294.68 | not published |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | not published | $172.05 – $175.68 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | not published | $172.05 – $175.68 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa, FL | not published | $158.88 – $162.22 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie, FL | not published | $175.68 – $175.68 |
| HCA FLORIDA TWIN CITIES HOSPITAL | DEFUNIAK SPRINGS, FL | not published | $158.21 – $166.54 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART, FL | not published | $163.08 – $166.51 |
| HCA FLORIDA POINCIANA HOSPITAL | DAVENPORT, FL | not published | $156.75 – $165.00 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE, FL | not published | $164.33 – $167.79 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | not published | $160.05 – $160.05 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE, FL | not published | $172.05 – $175.68 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | not published | $158.88 – $162.22 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI, FL | not published | $170.65 – $174.24 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER, CO | not published | $163.08 – $166.51 |
| HCA FLORIDA LARGO HOSPITAL | LARGO, FL | not published | $158.88 – $162.22 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD, FL | not published | $156.75 – $165.00 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL, FL | not published | $170.65 – $174.24 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY, FL | not published | $145.81 – $153.48 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE, FL | not published | $158.21 – $166.54 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | not published | $145.61 – $153.27 |
| HCA HOUSTON WEST | HOUSTON, TX | not published | $32.97 – $53.48 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | not published | $32.97 – $53.48 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | not published | $32.97 – $53.48 |
| HCA HOUSTON NORTHWEST | SPRING, TX | not published | $32.97 – $53.48 |