HRHospitalRates.comCompare prices

Procedure price report · Prophylactic vaccinations and inoculations

Nasal spray flu vaccine, four-strain live

CPT 90672the billing code this page is about

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

Hospitals typically charge $35 cash for this outpatient procedure — the median across 542 hospitals that filed a usable cash price; the average of the middle 60% is $35. Most fall between $19 and $51 (20th–80th percentile).

Hospitals
542
States
45
Filings dated
Jun 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 542 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
$14$21$35$49$71

The most expensive tenth of hospitals charges at least 4.9× what the cheapest tenth charges ($14 vs $71).

How the prices are spread

$9 – $11: 12 hospitals$9$11 – $14: 14 hospitals$14 – $18: 47 hospitals$14$18 – $23: 47 hospitals$23 – $28: 67 hospitals$23$28 – $36: 60 hospitals$36 – $45: 100 hospitals$36$45 – $57: 91 hospitals$57 – $71: 23 hospitals$57$71 – $90: 30 hospitals$71median $35price bands are equal on a log scale
Hospitals per price band (491 of 542 — the bands cover the 5th to 95th percentile)
FromToHospitals
$9$1112
$11$1414
$14$1847
$18$2347
$23$2867
$28$3660
$36$45100
$45$5791
$57$7123
$71$9030

By state

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

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: median $17 across 18 hospitalsWA$17Idaho: median $23 across 10 hospitalsID$23Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $32 across 31 hospitalsMN$32Illinois: median $28 across 25 hospitalsIL$28Wisconsin: median $45 across 23 hospitalsWI$45Michigan: median $32 across 27 hospitalsMI$32New York: median $45 across 37 hospitalsNY$45Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $18 across 22 hospitalsOR$18Nevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $31 across 44 hospitalsIA$31Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $37 across 37 hospitalsOH$37Pennsylvania: median $45 across 20 hospitalsPA$45New Jersey: 2 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $51 across 38 hospitalsCA$51Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $18 across 17 hospitalsNE$18Missouri: median $16 across 10 hospitalsMO$16Kentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $30 across 11 hospitalsWV$30Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital 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: no hospital in the corpus filed a usable priceNMKansas: median $37 across 12 hospitalsKS$37Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 4 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $29 across 21 hospitalsNC$29South Carolina: median $46 across 13 hospitalsSC$46Oklahoma: median $49 across 11 hospitalsOK$49Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $17 across 11 hospitalsMS$17Alabama: 5 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 $7 across 10 hospitalsTX$7Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
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
California CA38$51+46%$32 – $51
Oklahoma OK11$49+40%$49 – $49
South Carolina SC13$46+30%$37 – $46
New York NY37$45+30%$26 – $60
Pennsylvania PA20$45+29%$39 – $83
Wisconsin WI23$45+27%$18 – $58
Kansas KS12$37+6%$34 – $53
Ohio OH37$37+6%$37 – $102
Minnesota MN31$32−8%$23 – $39
Michigan MI27$32−9%$25 – $42
Iowa IA44$31−12%$27 – $54
West Virginia WV11$30−16%$27 – $55
North Carolina NC21$29−18%$25 – $30
Illinois IL25$28−20%$21 – $53
Idaho ID10$23−34%$19 – $23
Nebraska NE17$18−50%$12 – $36
Oregon OR22$18−50%$2 – $33
Washington WA18$17−51%$10 – $32
Mississippi MS11$17−52%$15 – $25
Missouri MO10$16−54%$8 – $50
Texas TX10$7−80%$7 – $15
Florida FL8not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
New Jersey NJ2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
Nevada NV1not 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 care352$37$20 – $53
Children’s14fewer than 20 hospitals
Critical access175$33$18 – $50
Ownership
For-profit15fewer than 20 hospitals
Government120$31$17 – $46
Non-profit406$37$20 – $53
System affiliation
Part of a system424$35$19 – $51
Independent118$36$21 – $53

Cash price vs list price

Median list price (chargemaster)$53
Median cash price$35
Cash as a share of list, median hospital70%

At the typical hospital, asking for the cash price cuts the list price by about 30%. 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

351 hospitals filed a usable inpatient cash price for this code. The median is $37 and the average of the middle 60% is $37; most fall between $21 and $53.

Cash price percentiles, inpatient, across 351 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$23$37$51$79

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($15 vs $79).

Of the 415 hospitals that filed this code inpatient, 351 gave a usable cash price; 27 carried a plausibility flag, 15 filed a number their own filing marks as not a price, 0 gave an estimate, and 22 a list price only.

How complete is this

542 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 610 hospitals that filed this code at all gave us
Usable cash price — counted542
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) — excluded18
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded23
Hospitals that filed this code610

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 LAIV4 VACCINE INTRANASAL.

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, four-strain live (CPT 90672) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90672-nasal-spray-flu-vaccine-four-strain-live