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Procedure price report · Prophylactic vaccinations and inoculations

Flu shot for young children, with preservative

CPT 90657the billing code this page is about

One injected half-volume dose of split-virus influenza vaccine from a preservative-containing vial, intended for young children and given in the muscle.

Hospitals typically charge $20 cash for this outpatient procedure — the median across 430 hospitals that filed a usable cash price; the average of the middle 60% is $20. Most fall between $9 and $34 (20th–80th percentile).

Hospitals
430
States
44
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 430 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$6$11$20$33$50

The most expensive tenth of hospitals charges at least 8.2× what the cheapest tenth charges ($6 vs $50).

How the prices are spread

$4 – $5: 16 hospitals$4$5 – $7: 29 hospitals$7 – $10: 38 hospitals$7$10 – $14: 58 hospitals$14 – $19: 58 hospitals$14$19 – $26: 71 hospitals$26 – $36: 70 hospitals$26$36 – $50: 32 hospitals$50 – $69: 17 hospitals$50$69 – $95: 6 hospitals$69median $20price bands are equal on a log scale
Hospitals per price band (395 of 430 — the bands cover the 5th to 95th percentile)
FromToHospitals
$4$516
$5$729
$7$1038
$10$1458
$14$1958
$19$2671
$26$3670
$36$5032
$50$6917
$69$956

By state

The median cash price in each state, against the national median of $20.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: median $3 across 10 hospitalsWA$3Idaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $23 across 16 hospitalsIL$23Wisconsin: median $26 across 26 hospitalsWI$26Michigan: median $20 across 21 hospitalsMI$20New York: median $14 across 20 hospitalsNY$14Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $33 across 35 hospitalsIA$33Indiana: median $15 across 14 hospitalsIN$15Ohio: median $20 across 11 hospitalsOH$20Pennsylvania: median $16 across 20 hospitalsPA$16New Jersey: 3 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $31 across 35 hospitalsCA$31Utah: no hospital in the corpus filed a usable priceUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $16 across 14 hospitalsNE$16Missouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $9 across 17 hospitalsWV$9Virginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $18 across 10 hospitalsKS$18Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 3 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $12 across 14 hospitalsOK$12Louisiana: median $11 across 12 hospitalsLA$11Mississippi: median $10 across 13 hospitalsMS$10Alabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 7 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $40 across 21 hospitalsTX$40Florida: median $16 across 17 hospitalsFL$16
Cash price by state, most expensive first. National median $20. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX21$40+103%$17 – $175
Iowa IA35$33+64%$23 – $34
California CA35$31+59%$18 – $31
Wisconsin WI26$26+32%$22 – $26
Illinois IL16$23+18%$11 – $32
Ohio OH11$20+3%$16 – $24
Michigan MI21$200%$15 – $34
Kansas KS10$18−7%$12 – $25
Pennsylvania PA20$16−19%$11 – $23
Nebraska NE14$16−19%$7 – $32
Florida FL17$16−21%$9 – $37
Indiana IN14$15−22%$4 – $62
New York NY20$14−30%$7 – $37
Oklahoma OK14$12−40%$12 – $28
Louisiana LA12$11−45%$5 – $14
Mississippi MS13$10−50%$7 – $15
West Virginia WV17$9−54%$9 – $14
Washington WA10$3−86%$3 – $6
North Carolina NC8not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
South Dakota SD4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
New Jersey NJ3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Virginia VA1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $20.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care278$17$9 – $35
Children’s9fewer than 20 hospitals
Critical access142$22$12 – $34
Ownership
For-profit45$45$11 – $159
Government85$17$9 – $35
Non-profit299$20$9 – $33
System affiliation
Part of a system334$18$9 – $34
Independent96$22$12 – $39

Cash price vs list price

Median list price (chargemaster)$30
Median cash price$20
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

263 hospitals filed a usable inpatient cash price for this code. The median is $24 and the average of the middle 60% is $23; most fall between $11 and $35.

Cash price percentiles, inpatient, across 263 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$6$12$24$34$53

The most expensive tenth of hospitals charges at least 8.6× what the cheapest tenth charges ($6 vs $53).

Of the 296 hospitals that filed this code inpatient, 263 gave a usable cash price; 11 carried a plausibility flag, 8 filed a number their own filing marks as not a price, 0 gave an estimate, and 14 a list price only.

How complete is this

430 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 490 hospitals that filed this code at all gave us
Usable cash price — counted430
Cash price carrying a plausibility flag — shown on the compare tool, excluded here21
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded12
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded27
Hospitals that filed this code490

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Prophylactic vaccinations and inoculations family.

Hospitals file this code under descriptions such as IIV3 VACCINE SPLT 0.25 ML IM.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Flu shot for young children, with preservative (CPT 90657) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90657-flu-shot-for-young-children-with-preservative