Vaccine influenza quadrivalent live (laiv4) intranasal cost at US hospitals
HC Vaccine Influenza Quadrivalent Live (Laiv4) Intranasal · CPT 90672
$4.13
lowest cash price
$37.05
national median
$174.72
highest cash price
146
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $4.13–$174.72 — the variation is the story.
Most expensive published cash price
$174.72
Uchicago Medicine Adventhealth Bolingbrook — Bolingbrook, ILMedian cash price over time
Dec 1, 2025 ($28.83) → Aug 1, 2026 ($11.21)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| Arizona | 1 | $42.30 | $42.30 | $42.30 |
| California | 42 | $4.13 | $50.96 | $155.91 |
| Colorado | 6 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 51 | $22.00 | $22.00 | $37.05 |
| Georgia | 11 | not published by hospital | not published by hospital | not published by hospital |
| Illinois | 24 | $28.00 | $174.72 | $174.72 |
| Indiana | 25 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 28 | $17.64 | $28.00 | $87.00 |
| Kansas | 10 | not published by hospital | not published by hospital | not published by hospital |
| Louisiana | 6 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 25 | $25.00 | $25.00 | $25.00 |
| Minnesota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Missouri | 14 | not published by hospital | not published by hospital | not published by hospital |
| Montana | 1 | not published by hospital | not published by hospital | not published by hospital |
| Nebraska | 12 | $11.27 | $17.64 | $35.70 |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 21 | not published by hospital | not published by hospital | not published by hospital |
| New Mexico | 2 | not published by hospital | not published by hospital | not published by hospital |
| New York | 22 | $37.25 | $45.34 | $82.95 |
| North Carolina | 12 | $28.83 | $28.83 | $28.83 |
| North Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 47 | $32.74 | $37.05 | $102.00 |
| Oklahoma | 8 | not published by hospital | not published by hospital | not published by hospital |
| Oregon | 9 | $22.68 | $26.25 | $43.68 |
| South Carolina | 8 | not published by hospital | not published by hospital | not published by hospital |
| South Dakota | 1 | not published by hospital | not published by hospital | not published by hospital |
| Tennessee | 23 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 70 | $7.00 | $7.00 | $7.00 |
| Virginia | 17 | not published by hospital | not published by hospital | not published by hospital |
| Washington | 19 | not published by hospital | not published by hospital | not published by hospital |
| West Virginia | 7 | $26.50 | $29.50 | $59.00 |
| Wisconsin | 28 | $31.80 | $41.61 | $44.00 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi, CA | $4.13 | $27.44 – $70.80 |
| St. Joseph Health Grimes Hospital | Navasota, TX | $7.00 | $6.80 – $44.40 |
| St. Joseph Health Burleson Hospital | Caldwell, TX | $7.00 | $6.80 – $36.00 |
| St. Joseph Health Madison Hospital | Madisonville, TX | $7.00 | $5.10 – $36.00 |
| St. Joseph Health College Station Hospital | College Station, TX | $7.00 | $3.92 – $34.00 |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $10.03 | $38.28 – $118.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley, CA | $11.21 | $27.44 – $118.00 |
| CHI Health Nebraska Heart | Lincoln, NE | $11.27 | $5.88 – $25.48 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $11.80 | $24.86 – $143.16 |
| CHI Health St. Elizabeth | Lincoln, NE | $12.25 | $5.39 – $25.48 |
| CHI Health St. Francis | Grand Island, NE | $14.46 | $5.64 – $25.48 |
| CHI Health Good Samaritan | Kearney, NE | $14.95 | $4.90 – $25.48 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $15.93 | $27.44 – $59.00 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $17.64 | $6.30 – $35.70 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $17.64 | $7.14 – $35.70 |
| Lasting Hope Recovery Center | Omaha, NE | $17.64 | $7.14 – $35.70 |
| CHI Health Immanuel | Omaha, NE | $17.64 | $5.88 – $35.70 |
| CHI Health Lakeside | Omaha, NE | $17.64 | $6.72 – $35.70 |
| CHI Health Midlands | Papillion, NE | $17.64 | $7.56 – $35.70 |
| CHI Health Mercy Corning | Corning, IA | $20.16 | $18.06 – $41.16 |
| CHI Health St. Mary's | Nebraska City, NE | $20.34 | $5.25 – $23.52 |
| CHI Health Missouri Valley | Missouri Valley, IA | $20.58 | $14.70 – $41.16 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | $22.00 | $41.16 – $50.14 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | $22.00 | $41.16 – $50.14 |
| ADVENTIST HEALTH CLEARLAKE HOSPITAL | Clearlake, CA | $22.32 | $46.07 – $102.30 |
| NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | Tillamook, OR | $22.68 | $44.10 – $51.00 |
| Providence Seaside Hospital | Seaside, OR | $24.00 | not published |
| WILLITS HOSPITAL INC | Willits, CA | $24.00 | $24.86 – $88.00 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $25.00 | $27.79 – $71.66 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $25.00 | $27.79 – $69.17 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $25.00 | $27.79 – $69.17 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $25.00 | $27.79 – $69.17 |
| Providence Hood River Memorial Hospital | Hood River, OR | $26.25 | not published |
| United Hospital Center | Bridgeport, WV | $26.50 | $45.85 – $45.85 |
| Berkeley Medical Center | Martinsburg, WV | $26.50 | $10.70 – $45.85 |
| Camden Clark Medical Center | Parkersburg, WV | $26.50 | not published |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $28.00 | $24.50 – $36.12 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $28.00 | $24.08 – $36.12 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $28.00 | $24.50 – $36.12 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $28.00 | $24.50 – $36.12 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $28.00 | $24.50 – $36.12 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $28.00 | $24.50 – $36.12 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $28.00 | $9.10 – $36.12 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $28.00 | $24.50 – $36.12 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $28.00 | $24.08 – $36.12 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $28.00 | $24.08 – $36.12 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $28.00 | $24.50 – $36.12 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $28.00 | $24.50 – $36.12 |
| Atrium Health Anson | Wadesboro, NC | $28.83 | $8.62 – $54.77 |
| Atrium Health Mercy | Charlotte, NC | $28.83 | $12.57 – $53.04 |