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Procedure price report · Prophylactic vaccinations and inoculations

Nasal spray flu vaccine, three-strain live

CPT 90660the billing code this page is about

Covers a live weakened three-strain influenza vaccine sprayed into the nose rather than injected; the charge is for the vaccine product, with the administration fee billed separately.

Hospitals typically charge $35 cash for this outpatient procedure — the median across 565 hospitals that filed a usable cash price; the average of the middle 60% is $35. Most fall between $19 and $53 (20th–80th percentile).

Hospitals
565
States
49
Filings dated
Jul 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 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 565 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
$13$22$35$51$68

The most expensive tenth of hospitals charges at least 5.4× what the cheapest tenth charges ($13 vs $68).

How the prices are spread

$8 – $10: 15 hospitals$8$10 – $13: 19 hospitals$13 – $17: 28 hospitals$13$17 – $21: 44 hospitals$21 – $27: 58 hospitals$21$27 – $35: 90 hospitals$35 – $44: 98 hospitals$35$44 – $56: 91 hospitals$56 – $71: 41 hospitals$56$71 – $90: 25 hospitals$71median $35price bands are equal on a log scale
Hospitals per price band (509 of 565 — the bands cover the 5th to 95th percentile)
FromToHospitals
$8$1015
$10$1319
$13$1728
$17$2144
$21$2758
$27$3590
$35$4498
$44$5691
$56$7141
$71$9025

By state

The median cash price in each state, against the national median of $35.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $18 across 22 hospitalsWA$18Idaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $31 across 29 hospitalsMN$31Illinois: median $27 across 31 hospitalsIL$27Wisconsin: median $39 across 37 hospitalsWI$39Michigan: median $28 across 19 hospitalsMI$28New York: median $39 across 28 hospitalsNY$39Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $18 across 18 hospitalsOR$18Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $53 across 10 hospitalsSD$53Iowa: median $30 across 36 hospitalsIA$30Indiana: median $8 across 30 hospitalsIN$8Ohio: median $40 across 23 hospitalsOH$40Pennsylvania: median $48 across 25 hospitalsPA$48New Jersey: 3 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $51 across 49 hospitalsCA$51Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $19 across 21 hospitalsNE$19Missouri: 7 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 $25 across 18 hospitalsWV$25Virginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 3 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $16 across 10 hospitalsNC$16South Carolina: median $37 across 12 hospitalsSC$37Oklahoma: median $35 across 12 hospitalsOK$35Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $27 across 11 hospitalsTX$27Florida: median $75 across 11 hospitalsFL$75
Cash price by state, most expensive first. National median $35. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL11$75+115%$40 – $75
South Dakota SD10$53+52%$48 – $53
California CA49$51+47%$43 – $57
Pennsylvania PA25$48+37%$30 – $83
Ohio OH23$40+14%$24 – $40
Wisconsin WI37$39+12%$28 – $53
New York NY28$39+12%$22 – $64
South Carolina SC12$37+5%$34 – $42
Oklahoma OK12$35+1%$35 – $35
Minnesota MN29$31−11%$27 – $44
Iowa IA36$30−15%$25 – $44
Michigan MI19$28−19%$21 – $55
Illinois IL31$27−21%$22 – $42
Texas TX11$27−22%$9 – $60
West Virginia WV18$25−29%$25 – $37
Nebraska NE21$19−46%$13 – $38
Washington WA22$18−48%$18 – $25
Oregon OR18$18−49%$4 – $42
North Carolina NC10$16−54%$15 – $37
Indiana IN30$8−76%$5 – $44
Mississippi MS9not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
New Jersey NJ3not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Utah UT1not 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 $35.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care358$32$18 – $55
Children’s19fewer than 20 hospitals
Critical access187$37$23 – $53
Ownership
For-profit31$42$25 – $71
Government99$32$18 – $46
Non-profit434$34$19 – $53
System affiliation
Part of a system468$34$19 – $53
Independent97$35$20 – $60

Cash price vs list price

Median list price (chargemaster)$50
Median cash price$35
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

388 hospitals filed a usable inpatient cash price for this code. The median is $35 and the average of the middle 60% is $37; most fall between $20 and $55.

Cash price percentiles, inpatient, across 388 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
$15$24$35$53$77

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($15 vs $77).

Of the 437 hospitals that filed this code inpatient, 388 gave a usable cash price; 12 carried a plausibility flag, 10 filed a number their own filing marks as not a price, 0 gave an estimate, and 27 a list price only.

How complete is this

565 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 632 hospitals that filed this code at all gave us
Usable cash price — counted565
Cash price carrying a plausibility flag — shown on the compare tool, excluded here20
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded10
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded37
Hospitals that filed this code632

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 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 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 Laiv3 Vaccine Live for Intranasal Use|Y-VFC.

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, “Nasal spray flu vaccine, three-strain live (CPT 90660) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90660-nasal-spray-flu-vaccine-three-strain-live