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 |
|---|---|---|---|
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | not published | $64.48 – $179.76 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | not published | $64.48 – $179.76 |
| Houston Methodist Willowbrook Hospital | Houston, TX | not published | $64.48 – $179.76 |
| Houston Methodist Baytown Hospital | Baytown, TX | not published | $64.48 – $179.76 |
| Houston Methodist West Hospital | Houston, TX | not published | $64.48 – $179.76 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | not published | $64.48 – $179.76 |
| Houston Methodist Hospital | Houston, TX | not published | $64.48 – $162.84 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $79.18 – $166.04 |
| Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) | Carmel, IN | not published | $26.88 – $64.51 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | not published | $46.43 – $54.64 |
| Texas Health Hospital Mansfield | Mansfield, TX | not published | $46.43 – $54.64 |
| OSF St Mary Medical Center | Galesburg, IL | not published | $44.35 – $44.35 |
| OSF Saint Francis Medical Center | Peoria, IL | not published | $26.32 – $50.14 |
| OSF Saint Anthony Medical Center | Rockford, IL | not published | $26.32 – $50.14 |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | not published | $38.27 – $39.20 |
| Parkview Ortho Hospital | Fort Wayne, IN | not published | $38.27 – $39.20 |
| Parkview Noble Hospital | Kendallville, IN | not published | $38.27 – $39.20 |
| Parkview Wabash Hospital | Wabash, IN | not published | $38.27 – $39.20 |
| Parkview Logansport Hospital | Logansport, IN | not published | $42.88 – $42.88 |
| Parkview Montpelier Hospital | Montpelier, OH | not published | $27.79 – $27.79 |
| Parkview LaGrange Hospital | Lagrange, IN | not published | $38.27 – $39.20 |
| Parkview Huntington Hospital | Huntington, IN | not published | $38.27 – $39.20 |
| Parkview DeKalb Hospital | Auburn, IN | not published | $38.27 – $39.20 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | not published | $38.27 – $39.20 |
| Morristown-Hamblen Hospital Association | Morristown, TN | not published | $13.44 – $31.01 |
| Parkwest Medical Center | Knoxville, TN | not published | $13.44 – $31.01 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | not published | $13.44 – $31.01 |
| LeConte Medical Center | Sevierville, TN | not published | $13.44 – $31.01 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | not published | $79.18 – $166.04 |
| Fort Sanders Regional Medical Center | Knoxville, TN | not published | $13.44 – $31.01 |
| Fort Loudoun Medical Center | Lenoir City, TN | not published | $13.44 – $31.01 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | not published | $30.39 – $89.51 |
| Cumberland Medical Center, Inc. | Crossville, TN | not published | $16.13 – $31.01 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $24.60 – $99.83 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $28.29 – $36.95 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $32.25 – $35.48 |
| CHRISTUS Spohn Hospital Corpus Christi - Shoreline | Corpus Christi, TX | not published | $26.88 – $57.15 |
| CHRISTUS St. Michael Rehabilitation | Texarkana, TX | not published | $24.60 – $55.64 |
| Claiborne Medical Center | Tazewell, TN | not published | $13.44 – $31.01 |
| Roane County Medical Center | Harriman, TN | not published | $13.44 – $31.01 |
| CHRISTUS Spohn Hospital - Kleberg | Kingsville, TX | not published | $30.39 – $63.34 |
| CHRISTUS Spohn Hospital - Beeville | Beeville, TX | not published | $26.88 – $67.93 |
| CHRISTUS Spohn Hospital - Alice | Alice, TX | not published | $26.88 – $72.98 |
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $30.39 – $101.21 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $30.39 – $127.68 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $30.39 – $39.24 |
| CHRISTUS Trinity Mother Frances Hospital - South Tyler | Tyler, TX | not published | $30.39 – $39.24 |
| CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs | Sulphur Springs, TX | not published | $63.57 – $63.57 |
| CHRISTUS Trinity Mother Frances Hospital - Jacksonville | Jacksonville, TX | not published | $30.39 – $39.24 |
| CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital | Tyler, TX | not published | $30.39 – $39.24 |