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 | 23 | $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 |
| Pennsylvania | 2 | not published by hospital | not published by hospital | not published by hospital |
| 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 |
|---|---|---|---|
| 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 |
| Wellstar Paulding Hospital | Hiram, GA | not published | $52.30 – $96.15 |
| Wellstar North Fulton Hospital | Roswell, GA | not published | $52.30 – $96.15 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | not published | $37.08 – $69.48 |
| Ascension Saint Thomas Hickman | Centerville, TN | not published | $25.46 – $42.26 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | not published | $37.08 – $41.16 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | not published | $25.46 – $42.26 |
| Sentara Obici Hospital | Suffolk, VA | not published | $63.21 – $63.21 |
| Corewell Health Wayne | Wayne, MI | not published | $0.01 – $0.01 |
| Corewell Health Troy | Troy, MI | not published | $0.01 – $39.10 |
| Ascension Saint Thomas River Park | McMinnville, TN | not published | $12.30 – $42.26 |
| Corewell Health Trenton | Trenton, MI | not published | $0.01 – $0.01 |
| Henry Ford Warren Hospital | Warren, MI | not published | $31.53 – $31.53 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | not published | $31.53 – $31.53 |
| Sentara Princess Anne Hospital | Virginia Beach, VA | not published | $61.99 – $61.99 |
| Corewell Health Taylor | Taylor, MI | not published | $0.01 – $0.01 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $0.01 – $39.29 |
| Corewell Health Zeeland | Zeeland, MI | not published | $27.79 – $27.79 |
| Corewell Health Greenville | Greenville, MI | not published | $27.79 – $27.79 |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | not published | $71.05 – $71.05 |
| Sentara Leigh Hospital | Norfolk, VA | not published | $77.91 – $77.91 |
| Ascension Saint Thomas DeKalb | Smithville, TN | not published | $12.30 – $42.26 |
| Sentara Halifax Regional Hospital | South Boston, VA | not published | $48.02 – $48.02 |
| Sentara RMH Medical Center | Harrisonburg, VA | not published | $45.82 – $45.82 |
| Corewell Health Reed City | Po Box 75, MI | not published | $27.79 – $27.79 |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | not published | $46.31 – $46.31 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $27.79 – $27.79 |
| Aurora West Allis Medical Center | West Allis, WI | not published | $24.50 – $41.16 |
| Aurora Medical Center Washington County | Hartford, WI | not published | $24.50 – $41.16 |
| Aurora Medical Center Summit | Summit, WI | not published | $24.50 – $41.16 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | not published | $24.50 – $41.16 |
| Aurora Psychiatric Hospital | Wauwatosa, WI | not published | $24.50 – $41.16 |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | not published | $24.50 – $41.16 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | not published | $24.50 – $41.16 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | not published | $30.81 – $33.02 |
| Aurora Medical Center Kenosha | Kenosha, WI | not published | $24.50 – $41.16 |
| Aurora Medical Center Manitowoc | Two Rivers, WI | not published | $24.50 – $41.16 |
| Aurora Medical Center Grafton | Grafton, WI | not published | $24.50 – $41.16 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata, OK | not published | $30.81 – $33.02 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville, OK | not published | $26.85 – $33.02 |
| Aurora Medical Center Burlington | Burlington, WI | not published | $24.50 – $41.16 |
| Ascension Saint Thomas Highlands | Sparta, TN | not published | $12.30 – $42.26 |
| Henry Ford River District Hospital | China Township, MI | not published | $31.53 – $31.53 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa, OK | not published | $26.85 – $26.85 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Wichita, KS | not published | $51.48 – $51.72 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | not published | $26.88 – $64.51 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | not published | $26.88 – $64.51 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $85.83 – $145.26 |