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 |
|---|---|---|---|
| Atrium Health Pineville | Charlotte, NC | $28.83 | $5.77 – $53.04 |
| Atrium Health Stanly | Albermarle, NC | $28.83 | $6.92 – $55.34 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $28.83 | $10.95 – $57.65 |
| Atrium Health Cleveland | Shelby, NC | $28.83 | $8.07 – $54.77 |
| Atrium Health Cabarrus | Concord, NC | $28.83 | $7.07 – $54.77 |
| Atrium Health Lincoln | Lincolnton, NC | $28.83 | $6.50 – $54.77 |
| Atrium Health Union | Monroe, NC | $28.83 | $7.49 – $54.77 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $28.83 | $16.26 – $53.04 |
| Atrium Health University City | Charlotte, NC | $28.83 | $5.77 – $53.04 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $28.83 | $12.57 – $51.89 |
| Reynolds Memorial Hospital | Glen Dale, WV | $29.50 | $10.50 – $45.85 |
| Wetzel County Hospital | New Martinsville, WV | $29.50 | $11.00 – $45.85 |
| West Virginia University Hospitals | Morgantown, WV | $31.00 | $10.00 – $45.85 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $31.80 | $29.64 – $83.69 |
| PORTLAND ADVENTIST MEDICAL CENTER | Portland, OR | $31.85 | $76.68 – $199.08 |
| Trinity Medical Center East | Steubenville, OH | $32.74 | $18.48 – $39.60 |
| CHI Health Plainview | Plainview, NE | $35.28 | $25.62 – $56.88 |
| CHI Health Schuyler | Schuyler, NE | $35.70 | $9.00 – $47.56 |
| cleveland clinic main campus | Cleveland, OH | $37.05 | $1.10 – $51.30 |
| akron general | Akron, OH | $37.05 | $1.10 – $51.30 |
| avon hospital | Avon, OH | $37.05 | $8.51 – $57.00 |
| cleveland clinic florida weston hospital | Weston, FL | $37.05 | $9.58 – $57.00 |
| euclid hospital | Euclid, OH | $37.05 | $8.71 – $57.00 |
| fairview hospital | Cleveland, OH | $37.05 | $8.19 – $51.30 |
| lutheran hospital | Cleveland, OH | $37.05 | $7.79 – $57.00 |
| hillcrest hospital | Mayfield Heights, OH | $37.05 | $8.53 – $51.30 |
| lodi hospital | Lodi, OH | $37.05 | $13.31 – $51.30 |
| martin north hospital | Stuart, FL | $37.05 | $18.83 – $57.00 |
| marymount hospital | Garfield Heights, OH | $37.05 | $7.70 – $57.00 |
| medina hospital | Medina, OH | $37.05 | $7.98 – $57.00 |
| mercy hospital | Canton, OH | $37.05 | $1.10 – $57.00 |
| south pointe hospital | Warrensville Heights, OH | $37.05 | $9.08 – $57.00 |
| Massena Hospital | Massena, NY | $37.25 | not published |
| Gouverneur Hospital | Gouverneur, NY | $37.25 | $27.54 – $27.54 |
| Canton-Potsdam Hospital | Potsdam, NY | $37.25 | $27.54 – $27.54 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $38.25 | $84.52 – $250.11 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $38.94 | $26.20 – $85.55 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | $41.61 | $30.66 – $1,400.00 |
| Yavapai Regional Medical Center (East) | Prescott, AZ | $42.30 | $0.01 – $26.37 |
| MID-COLUMBIA MEDICAL CENTER | The Dalles, OR | $43.68 | $47.32 – $91.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $43.75 | not published |
| UnityPoint Health - Meriter Hospital | Madison, WI | $44.00 | $12.65 – $46.75 |
| Rochester General Hospital | Rochester, NY | $45.34 | $24.79 – $31.67 |
| Newark Wayne Community Hospital | Newark, NY | $45.34 | $24.79 – $31.67 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $45.34 | $25.73 – $27.54 |
| Fresno Medical Center | FRESNO, CA | $50.96 | not published |
| Redwood City Medical Center | Redwood City, CA | $50.96 | not published |
| Oakland Medical Center | Oakland, CA | $50.96 | not published |
| Sacramento Medical Center | SACRAMENTO, CA | $50.96 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $50.96 | not published |