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Procedure price report · Prophylactic vaccinations and inoculations

Flu shot grown in cell culture, preservative-free

CPT 90661the billing code this page is about

Covers a three-strain influenza vaccine made using cell culture instead of eggs, free of preservative, given as an injection into the muscle; the vaccine product only.

Hospitals typically charge $55 cash for this outpatient procedure — the median across 905 hospitals that filed a usable cash price; the average of the middle 60% is $59. Most fall between $28 and $106 (20th–80th percentile).

Hospitals
905
States
49
Filings dated
Sep 2024 – 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 905 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
$18$31$55$93$182

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($18 vs $182).

How the prices are spread

$13 – $18: 53 hospitals$13$18 – $26: 55 hospitals$26 – $36: 147 hospitals$26$36 – $51: 113 hospitals$51 – $72: 153 hospitals$51$72 – $101: 146 hospitals$101 – $143: 78 hospitals$101$143 – $201: 37 hospitals$201 – $283: 28 hospitals$201$283 – $400: 7 hospitals$283median $55price bands are equal on a log scale
Hospitals per price band (817 of 905 — the bands cover the 5th to 95th percentile)
FromToHospitals
$13$1853
$18$2655
$26$36147
$36$51113
$51$72153
$72$101146
$101$14378
$143$20137
$201$28328
$283$4007

By state

The median cash price in each state, against the national median of $55.

Alaska: median $125 across 10 hospitalsAK$125Maine: no hospital in the corpus filed a usable priceMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $30 across 30 hospitalsWA$30Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $39 across 34 hospitalsMN$39Illinois: median $62 across 33 hospitalsIL$62Wisconsin: median $39 across 26 hospitalsWI$39Michigan: median $50 across 24 hospitalsMI$50New York: median $53 across 45 hospitalsNY$53Massachusetts: median $60 across 22 hospitalsMA$60Oregon: median $52 across 28 hospitalsOR$52Nevada: 3 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 $39 across 23 hospitalsSD$39Iowa: median $33 across 34 hospitalsIA$33Indiana: median $94 across 13 hospitalsIN$94Ohio: median $77 across 45 hospitalsOH$77Pennsylvania: median $19 across 52 hospitalsPA$19New Jersey: median $42 across 13 hospitalsNJ$42Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $89 across 70 hospitalsCA$89Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $311 across 10 hospitalsCO$311Nebraska: median $30 across 21 hospitalsNE$30Missouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $33 across 20 hospitalsWV$33Virginia: median $59 across 14 hospitalsVA$59Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $42 across 12 hospitalsKS$42Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $76 across 18 hospitalsTN$76North Carolina: median $72 across 11 hospitalsNC$72South Carolina: median $35 across 12 hospitalsSC$35Oklahoma: median $55 across 16 hospitalsOK$55Louisiana: median $49 across 25 hospitalsLA$49Mississippi: median $37 across 14 hospitalsMS$37Alabama: median $65 across 13 hospitalsAL$65Georgia: median $68 across 25 hospitalsGA$68Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $67 across 40 hospitalsTX$67Florida: median $97 across 53 hospitalsFL$97
Cash price by state, most expensive first. National median $55. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Colorado CO10$311+462%$26 – $889
Alaska AK10$125+126%$42 – $164
Florida FL53$97+75%$31 – $537
Indiana IN13$94+70%$24 – $135
California CA70$89+61%$66 – $104
Ohio OH45$77+39%$28 – $124
Tennessee TN18$76+37%$15 – $94
North Carolina NC11$72+31%$37 – $79
Georgia GA25$68+23%$68 – $80
Texas TX40$67+21%$35 – $213
Alabama AL13$65+17%$29 – $400
Illinois IL33$62+11%$30 – $81
Massachusetts MA22$60+9%$39 – $193
Virginia VA14$59+6%$31 – $59
Oklahoma OK16$55−1%$55 – $74
New York NY45$53−4%$28 – $95
Oregon OR28$52−6%$16 – $140
Michigan MI24$50−9%$34 – $59
Louisiana LA25$49−12%$20 – $85
Kansas KS12$42−24%$28 – $669
New Jersey NJ13$42−25%$25 – $97
Wisconsin WI26$39−29%$35 – $42
South Dakota SD23$39−30%$29 – $53
Minnesota MN34$39−30%$29 – $78
Mississippi MS14$37−33%$16 – $51
South Carolina SC12$35−37%$33 – $59
Iowa IA34$33−40%$30 – $525
West Virginia WV20$33−41%$33 – $49
Nebraska NE21$30−45%$19 – $46
Washington WA30$30−46%$8 – $71
Pennsylvania PA52$19−66%$18 – $53
Kentucky KY9not enough hospitals filed a usable price
Montana MT9not enough hospitals filed a usable price
North Dakota ND9not enough hospitals filed a usable price
New Mexico NM9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Rhode Island RI1not 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 $55.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care681$62$29 – $115
Children’s14fewer than 20 hospitals
Critical access208$43$29 – $94
Ownership
For-profit91$71$41 – $184
Government122$48$24 – $100
Non-profit690$55$28 – $100
System affiliation
Part of a system779$58$29 – $106
Independent126$46$27 – $110

Cash price vs list price

Median list price (chargemaster)$88
Median cash price$55
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

727 hospitals filed a usable inpatient cash price for this code. The median is $63 and the average of the middle 60% is $65; most fall between $30 and $130.

Cash price percentiles, inpatient, across 727 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
$18$33$63$104$204

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($18 vs $204).

Of the 780 hospitals that filed this code inpatient, 727 gave a usable cash price; 18 carried a plausibility flag, 7 filed a number their own filing marks as not a price, 0 gave an estimate, and 28 a list price only.

How complete is this

905 of the 3,956 hospitals with a price file in our corpus (23%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 997 hospitals that filed this code at all gave us
Usable cash price — counted905
Cash price carrying a plausibility flag — shown on the compare tool, excluded here27
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded11
An estimate rather than a filed cash price — excluded10
A list price only, no cash figure — excluded44
Hospitals that filed this code997

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 24, 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 CCIIV3 VAC ABX FR 0.5 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 grown in cell culture, preservative-free (CPT 90661) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90661-flu-shot-grown-in-cell-culture-preservative-free