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 |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | not published | $44.98 – $66.40 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | not published | $44.98 – $66.40 |
| HCA HOUSTON CONROE | CONROE, TX | not published | $44.98 – $66.40 |
| TRICITIES HOSPITAL | HOPEWELL, VA | not published | $28.81 – $28.81 |
| HENRICO DOCTORS HOSPITAL | RICHMOND, VA | not published | $28.81 – $28.81 |
| STONESPRINGS HOSPITAL CENTER | Dulles, VA | not published | $24.97 – $24.97 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | not published | $28.81 – $28.81 |
| RESTON HOSPITAL CENTER | VIENNA, VA | not published | $24.97 – $24.97 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | not published | $28.81 – $28.81 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | not published | $18.23 – $36.55 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | not published | $19.05 – $36.55 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | not published | $28.29 – $88.13 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | not published | $35.12 – $35.12 |
| STONECREST MEDICAL CENTER | Smyrna, TN | not published | $35.12 – $35.12 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | not published | $35.12 – $35.12 |
| SKYLINE MADISON CAMPUS | NASHVILLE, TN | not published | $35.12 – $35.12 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD, TN | not published | $35.12 – $35.12 |
| HORIZON MEDICAL CENTER | DICKSON, TN | not published | $35.12 – $35.12 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | not published | $35.12 – $35.12 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City, TN | not published | $35.12 – $35.12 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $79.18 – $166.04 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $79.18 – $166.04 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $79.18 – $166.04 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | not published | $79.18 – $166.04 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $79.18 – $166.04 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | not published | $79.18 – $166.04 |
| Kettering Health Troy | Troy, OH | not published | $36.75 – $76.56 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | not published | $36.75 – $76.56 |
| Kettering Health Greene Memorial | Xenia, OH | not published | $36.75 – $76.56 |
| Soin Medical Center | Beaver Creek, OH | not published | $36.75 – $76.56 |
| Kettering Health Dayton (Grandview) | Dayton, OH | not published | $36.75 – $76.56 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | not published | $36.75 – $76.56 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | not published | $36.75 – $76.56 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | not published | $25.25 – $41.16 |
| MUSC Health Kershaw Medical Center | Camden, SC | not published | $18.53 – $41.16 |
| MUSC Health Florence Medical Center | Florence, SC | not published | $25.25 – $41.16 |
| MUSC Health Chester Medical Center | Chester, SC | not published | $25.25 – $45.85 |
| MUSC Health Main Campus - Charleston | Charleston, SC | not published | $18.41 – $59.75 |
| MUSC Health Black River Medical Center | Cades, SC | not published | $22.46 – $41.16 |
| Virginia Mason Medical Center | Seattle, WA | not published | $85.77 – $85.77 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | not published | $35.92 – $45.34 |
| MultiCare Allenmore Hospital | Tacoma, WA | not published | $19.22 – $45.26 |
| MultiCare Valley Hospital | Spokane Valley, WA | not published | $18.36 – $49.73 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | not published | $19.12 – $82.06 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | not published | $19.21 – $45.26 |
| MultiCare Covington Medical Center | Covington, WA | not published | $18.78 – $45.26 |
| MultiCare Capital Medical Center | Olympia, WA | not published | $20.21 – $45.26 |
| MultiCare Auburn Medical Center | Auburn, WA | not published | $18.78 – $45.26 |
| Houston Methodist Cypress Hospital | Cypress, TX | not published | $64.48 – $179.76 |
| Houston Methodist Continuing Care Hospital | Katy, TX | not published | $179.76 – $179.76 |