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 |
|---|---|---|---|
| Santa Clara Medical Center | SANTA CLARA, CA | $50.96 | not published |
| San Rafael Medical Center | SAN RAFAEL, CA | $50.96 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $50.96 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $50.96 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $50.96 | not published |
| Vacaville Medical Center | VACAVILLE, CA | $50.96 | not published |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $50.96 | not published |
| Vallejo Medical Center | VALLEJO, CA | $50.96 | not published |
| Antioch Medical Center | ANTIOCH, CA | $50.96 | not published |
| Fremont Medical Center | FREMONT, CA | $50.96 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $50.96 | not published |
| San Jose Medical Center | SAN JOSE, CA | $50.96 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $50.96 | not published |
| MercyOne New Hampton Medical Center | New Hampton, IA | $53.95 | $24.50 – $83.00 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $53.95 | $24.50 – $93.42 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $53.95 | $24.50 – $83.00 |
| MercyOne Elkader Medical Center | Elkader, IA | $53.95 | $24.50 – $86.75 |
| MercyOne Newton Medical Center | Newton, IA | $53.95 | $21.96 – $83.00 |
| The Unity Hospital of Rochester | Rochester, NY | $55.80 | $24.79 – $27.54 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $56.55 | $20.45 – $87.86 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $56.55 | $23.87 – $87.00 |
| MercyOne Clinton Medical Center | Clinton, IA | $56.55 | $24.50 – $87.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $56.55 | $20.45 – $87.86 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $56.55 | $17.49 – $87.00 |
| MercyOne North Iowa Medical Center | Mason City, IA | $56.55 | $22.27 – $87.00 |
| Princeton Community Hospital | Princeton, WV | $59.00 | $10.00 – $11.00 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $72.75 | $67.62 – $250.11 |
| Redwood Memorial Hospital | Fortuna, CA | $76.50 | $37.18 – $37.18 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor, NY | $82.95 | $23.70 – $29.26 |
| NewYork-Presbyterian Queens | Flushing, NY | $82.95 | $23.70 – $29.26 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $82.95 | $20.85 – $27.35 |
| MercyOne Centerville Medical Center | Centerville, IA | $83.00 | $22.78 – $83.00 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $87.00 | $17.49 – $87.00 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $102.00 | $23.70 – $122.40 |
| University Hospitals Elyria Medical Center | Elyria, OH | $102.00 | $54.14 – $54.14 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $102.00 | $46.67 – $87.01 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $102.00 | $23.70 – $23.70 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $102.00 | $52.78 – $52.78 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $102.00 | $71.51 – $71.51 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $102.00 | $79.56 – $79.56 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $102.00 | $30.06 – $122.40 |
| Woodland Memorial Hospital | Woodland, CA | $155.91 | $10.01 – $91.00 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | $174.72 | $56.13 – $56.13 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $174.72 | $56.13 – $56.13 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | $174.72 | $56.13 – $56.13 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | $174.72 | $56.13 – $56.13 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | not published | $28.35 – $28.90 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | not published | $27.79 – $28.90 |
| MultiCare Deaconess Hospital | Spokane, WA | not published | $18.49 – $38.42 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | not published | $8.07 – $28.90 |