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 |
|---|---|---|---|
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $28.29 – $36.95 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | not published | $103.90 – $103.90 |
| AdventHealth Castle Rock | Castle Rock, CO | not published | $45.85 – $45.85 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | not published | $30.91 – $83.69 |
| Kadlec Regional Medical Center | Richland, WA | not published | $91.17 – $91.17 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | not published | $26.88 – $96.16 |
| Providence Milwaukie Hospital | Milwaukie, OR | not published | $91.17 – $91.17 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | not published | $26.88 – $96.16 |
| Swedish Edmonds Hospital | Edmonds, WA | not published | $29.57 – $29.57 |
| Covenant Hospital Levelland | Levelland, TX | not published | $85.14 – $85.14 |
| Providence Saint John's Health Center | Santa Monica, CA | not published | $24.86 – $67.53 |
| SSM Health Ripon Community Hospital | Ripon, WI | not published | $82.73 – $82.73 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | not published | $26.88 – $64.51 |
| Marion General Hospital | Marion, OH | not published | $159.25 – $159.25 |
| SSM Health Monroe Hospital | Monroe, WI | not published | $82.73 – $82.73 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | not published | $24.28 – $33.08 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | not published | $26.88 – $64.51 |
| Providence St Joseph Hospital Orange | Orange, CA | not published | $39.37 – $65.34 |
| Doctors Hospital | Columbus, OH | not published | $57.33 – $82.36 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $45.65 – $45.65 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | not published | $26.88 – $64.51 |
| indian river hospital | Vero Beach, FL | not published | $17.89 – $50.70 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | not published | $52.22 – $52.22 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | not published | $39.86 – $65.34 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | not published | $30.88 – $65.34 |
| Monmouth Medical Center | Long Branch, NJ | not published | $24.28 – $33.08 |
| Jersey City Medical Center | Jersey City, NJ | not published | $24.28 – $33.08 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | not published | $24.86 – $50.14 |
| Adventhealth Redmond | Rome, GA | not published | $26.88 – $26.88 |
| Adventhealth Central Texas | Killeen, TX | not published | $88.36 – $88.36 |
| AdventHealth Avista | Louisville, CO | not published | $45.85 – $45.85 |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | not published | $30.91 – $83.69 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | not published | $38.91 – $1,400.00 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | not published | $26.88 – $96.16 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | not published | $26.88 – $96.16 |
| St Jude Medical Center | Fullerton, CA | not published | $40.36 – $65.34 |
| Providence Saint Joseph Medical Center | Burbank, CA | not published | $24.86 – $85.97 |
| AdventHealth Porter | Denver, CO | not published | $45.85 – $45.85 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $13.89 – $16.08 |
| Sanford Fargo Medical Center | Fargo, ND | not published | $27.79 – $27.79 |
| Sanford Medical Center Bismarck | Bismarck, ND | not published | $27.79 – $27.79 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $27.79 – $27.79 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $28.29 – $28.29 |
| Covenant Children's Hospital | Lubbock, TX | not published | $85.83 – $105.60 |
| Healdsburg Hospital | Healdsburg, CA | not published | $24.86 – $73.24 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | not published | $24.86 – $50.14 |
| Newark Beth Israel Medical Center | Newark, NJ | not published | $24.28 – $33.08 |
| Swedish Issaquah | Issaquah, WA | not published | $29.57 – $29.57 |
| Providence St Joseph Hospital Eureka | Eureka, CA | not published | $37.09 – $65.34 |
| Queen of The Valley Medical Center | Napa, CA | not published | $31.09 – $65.34 |