Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im cost at US hospitals
HC Vaccine Influenza Quadrivalent (Riv4) Rdna Antibiotic/Preservative Free Im · CPT 90682
$12.88
lowest cash price
$72.00
national median
$441.57
highest cash price
197
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $12.88–$441.57 — the variation is the story.
Median cash price over time
Jan 1, 2026 ($53.06) → Sep 1, 2026 ($170.64)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 3 | $36.62 | $36.62 | $36.62 |
| California | 45 | $12.88 | $44.80 | $121.44 |
| Colorado | 6 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 51 | $28.88 | $151.45 | $441.57 |
| Georgia | 19 | $311.06 | $311.06 | $311.06 |
| Illinois | 22 | $72.00 | $90.55 | $90.55 |
| Indiana | 25 | $53.06 | $53.06 | $53.06 |
| Iowa | 25 | $57.43 | $142.35 | $230.00 |
| Kansas | 7 | 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 |
| Maryland | 1 | $98.40 | $98.40 | $98.40 |
| Michigan | 21 | $62.00 | $62.00 | $62.00 |
| Minnesota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Missouri | 13 | $138.13 | $138.13 | $213.32 |
| Montana | 1 | $59.20 | $59.20 | $59.20 |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 21 | $24.66 | $28.94 | $66.66 |
| New Mexico | 2 | not published by hospital | not published by hospital | not published by hospital |
| New York | 22 | $91.25 | $127.48 | $429.94 |
| North Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 46 | $50.25 | $151.45 | $151.45 |
| Oklahoma | 3 | not published by hospital | not published by hospital | not published by hospital |
| Oregon | 2 | $59.40 | $59.40 | $114.24 |
| Pennsylvania | 16 | $25.80 | $65.50 | $76.20 |
| South Carolina | 6 | not published by hospital | not published by hospital | not published by hospital |
| South Dakota | 1 | $86.40 | $86.40 | $86.40 |
| Tennessee | 23 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 84 | $23.10 | $149.21 | $370.77 |
| Virginia | 18 | $63.60 | $63.60 | $63.60 |
| Washington | 18 | $15.40 | $15.40 | $15.40 |
| West Virginia | 7 | $62.50 | $66.00 | $66.00 |
| Wisconsin | 24 | $44.52 | $46.64 | $54.15 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island, IL | $72.00 | $63.60 – $95.42 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $72.00 | $63.60 – $95.42 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $72.00 | $64.51 – $95.42 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $72.00 | $64.51 – $95.42 |
| Mercy San Juan Medical Center | Carmichael, CA | $73.71 | $7.04 – $168.05 |
| UPMC Community Osteopathic | Harrisburg, PA | $76.20 | $13.62 – $102.85 |
| UPMC Hanover | Hanover, PA | $76.20 | $12.70 – $515.45 |
| UPMC Lititz | Lititz, PA | $76.20 | $12.70 – $515.45 |
| UPMC Memorial | York, PA | $76.20 | $12.70 – $515.45 |
| UPMC Somerset | Somerset, PA | $76.20 | $11.00 – $59.17 |
| UPMC Carlisle | Carlisle, PA | $76.20 | $12.70 – $102.85 |
| Methodist Hospital of Sacramento | Sacramento, CA | $77.48 | $15.70 – $168.05 |
| Sanford USD Medical Center | Sioux Falls, SD | $86.40 | $36.18 – $97.20 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | $90.55 | $148.27 – $148.27 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $90.55 | $148.27 – $148.27 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | $90.55 | $148.27 – $148.27 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | $90.55 | $148.27 – $148.27 |
| Massena Hospital | Massena, NY | $91.25 | not published |
| Gouverneur Hospital | Gouverneur, NY | $91.25 | $73.62 – $73.62 |
| Canton-Potsdam Hospital | Potsdam, NY | $91.25 | $73.62 – $73.62 |
| UPMC Western Maryland | Cumberland, MD | $98.40 | $134.00 – $134.00 |
| MID-COLUMBIA MEDICAL CENTER | The Dalles, OR | $114.24 | $58.00 – $238.00 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $121.44 | $42.72 – $266.80 |
| Rochester General Hospital | Rochester, NY | $127.48 | $65.67 – $84.66 |
| Newark Wayne Community Hospital | Newark, NY | $127.48 | $65.67 – $84.66 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $127.48 | $67.74 – $73.62 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | $137.00 | $156.50 – $159.80 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | $138.13 | $46.31 – $48.16 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $142.35 | $64.51 – $219.00 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $142.35 | $64.51 – $246.51 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $142.35 | $64.51 – $219.00 |
| MercyOne Elkader Medical Center | Elkader, IA | $142.35 | $64.51 – $228.90 |
| MercyOne Newton Medical Center | Newton, IA | $142.35 | $57.95 – $219.00 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $149.21 | $59.70 – $270.33 |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $149.21 | $59.70 – $270.33 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $149.21 | $59.70 – $270.33 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $149.21 | $93.70 – $270.33 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $149.21 | $93.70 – $270.33 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $149.21 | $59.70 – $270.33 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $149.21 | $93.70 – $270.33 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $149.21 | $59.70 – $270.33 |
| Texas Health Hospital Frisco | Frisco, TX | $149.21 | $59.70 – $270.33 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $149.21 | $93.70 – $270.33 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $149.21 | $93.70 – $270.33 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $149.21 | $59.70 – $270.33 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $149.21 | $59.70 – $270.33 |
| Texas Health Hospital Rockwall | Rockwall, TX | $149.21 | $93.70 – $270.33 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $149.21 | $93.70 – $270.33 |
| Texas Health Springwood Hospital Hurst-Euless-Bedford | Bedford, TX | $149.21 | $59.70 – $59.70 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $149.21 | $59.70 – $270.33 |