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 |
|---|---|---|---|
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | not published | $24.86 – $50.14 |
| Ascension Saint Thomas Midtown | Nashville, TN | not published | $23.28 – $42.26 |
| Clara Maass Medical Center | Belleville, NJ | not published | $24.28 – $33.08 |
| Community Medical Center | Toms River, NJ | not published | $24.28 – $33.08 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale, WI | not published | $29.64 – $57.79 |
| Covenant Hospital Plainview | Plainview, TX | not published | $85.14 – $85.14 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | not published | $24.86 – $101.00 |
| Southeastern Medical Center | Cambridge, OH | not published | $159.25 – $159.25 |
| Grant Medical Center | Columbus, OH | not published | $57.33 – $82.36 |
| Berger Hospital | Circleville, OH | not published | $72.25 – $159.25 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | not published | $24.86 – $105.13 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | not published | $40.29 – $40.29 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $45.85 – $93.93 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | not published | $29.64 – $83.69 |
| Providence Holy Cross Medical Center | Mission Hills, CA | not published | $24.86 – $98.96 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $45.65 – $45.65 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso, OK | not published | $27.29 – $33.02 |
| Advocate Condell Medical Center | Libertyville, IL | not published | $54.88 – $73.64 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $45.85 – $93.93 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | not published | $29.57 – $29.57 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | not published | $29.57 – $29.57 |
| Adventhealth Ottawa | Ottawa, KS | not published | $30.39 – $30.39 |
| Trinitas Regional Medical Center | Elizabeth, NJ | not published | $23.98 – $151.65 |
| Lincoln Health | Damariscotta, ME | not published | $27.42 – $84.27 |
| Wellstar Windy Hill Hospital | Marietta, GA | not published | $52.30 – $96.15 |
| Stephens Memorial Hospital | Norway, ME | not published | $27.42 – $51.34 |
| Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) | Hoffman Estates, IL | not published | $24.65 – $33.90 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | not published | $37.08 – $69.48 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $79.18 – $166.04 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | not published | $24.65 – $54.88 |
| Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) | Elk Grove Village, IL | not published | $24.65 – $33.90 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | not published | $26.88 – $96.16 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | not published | $79.18 – $192.29 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | not published | $30.39 – $30.39 |
| Ascension Alexian Brothers Behavioral Health Hospital | Hoffman Estates, IL | not published | $24.65 – $33.90 |
| OSF Sacred Heart Medical Center – Urbana | Danville, IL | not published | $37.08 – $37.08 |
| Sentara Norfolk General Hospital | Norfolk, VA | not published | $77.91 – $77.91 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | not published | $38.02 – $47.29 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $79.18 – $192.29 |
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | not published | $80.12 – $80.12 |
| Sentara CarePlex Hospital | Hampton, VA | not published | $67.13 – $67.13 |
| AdventHealth Littleton | Littleton, CO | not published | $45.85 – $45.85 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | not published | $30.91 – $83.69 |
| Ascension Providence | Waco, TX | not published | $26.88 – $79.64 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | not published | $37.08 – $69.48 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | not published | $37.08 – $69.48 |
| Wellstar West Georgia Medical Center | Lagrange, GA | not published | $52.30 – $96.15 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | not published | $52.30 – $96.15 |
| Wellstar Spalding Regional Hospital | Griffin, GA | not published | $52.30 – $96.15 |
| North Central Bronx | Bronx, NY | not published | $21.71 – $21.71 |