HRHospitalRates.comCompare prices

Procedure price report · Prophylactic vaccinations and inoculations

Flu shot grown in cell culture, four-strain, 0.5 mL

CPT 90674the billing code this page is about

Covers a four-strain influenza vaccine made using cell culture, preservative-free, given as a single 0.5 mL injection into the muscle; the vaccine product only.

Hospitals typically charge $38 cash for this outpatient procedure — the median across 610 hospitals that filed a usable cash price; the average of the middle 60% is $40. Most fall between $20 and $71 (20th–80th percentile).

Hospitals
610
States
49
Filings dated
Dec 2022 – 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 610 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$21$38$63$118

The most expensive tenth of hospitals charges at least 7.8× what the cheapest tenth charges ($15 vs $118).

How the prices are spread

$13 – $16: 42 hospitals$13$16 – $21: 84 hospitals$21 – $28: 51 hospitals$21$28 – $36: 88 hospitals$36 – $47: 93 hospitals$36$47 – $61: 66 hospitals$61 – $79: 54 hospitals$61$79 – $103: 31 hospitals$103 – $134: 27 hospitals$103$134 – $175: 14 hospitals$134median $38price bands are equal on a log scale
Hospitals per price band (550 of 610 — the bands cover the 5th to 95th percentile)
FromToHospitals
$13$1642
$16$2184
$21$2851
$28$3688
$36$4793
$47$6166
$61$7954
$79$10331
$103$13427
$134$17514

By state

The median cash price in each state, against the national median of $38.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 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 $22 across 20 hospitalsWA$22Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $41 across 28 hospitalsIL$41Wisconsin: median $19 across 12 hospitalsWI$19Michigan: median $35 across 18 hospitalsMI$35New York: median $49 across 39 hospitalsNY$49Massachusetts: median $60 across 11 hospitalsMA$60Oregon: median $38 across 18 hospitalsOR$38Nevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $33 across 21 hospitalsIA$33Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $47 across 27 hospitalsOH$47Pennsylvania: median $21 across 31 hospitalsPA$21New Jersey: median $15 across 21 hospitalsNJ$15Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $45 across 58 hospitalsCA$45Utah: 6 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $66 across 14 hospitalsCO$66Nebraska: median $26 across 19 hospitalsNE$26Missouri: median $22 across 12 hospitalsMO$22Kentucky: median $105 across 14 hospitalsKY$105West Virginia: median $31 across 10 hospitalsWV$31Virginia: 4 hospitals 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: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $40 across 11 hospitalsKS$40Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $27 across 14 hospitalsTN$27North Carolina: median $41 across 24 hospitalsNC$41South Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $15 across 16 hospitalsOK$15Louisiana: median $15 across 13 hospitalsLA$15Mississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $71 across 16 hospitalsGA$71Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $55 across 22 hospitalsTX$55Florida: median $59 across 16 hospitalsFL$59
Cash price by state, most expensive first. National median $38. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY14$105+179%$19 – $303
Georgia GA16$71+88%$33 – $130
Colorado CO14$66+77%$66 – $66
Massachusetts MA11$60+60%$17 – $108
Florida FL16$59+57%$24 – $71
Texas TX22$55+46%$25 – $153
New York NY39$49+31%$35 – $71
Ohio OH27$47+24%$32 – $71
California CA58$45+19%$44 – $49
North Carolina NC24$41+10%$21 – $82
Illinois IL28$41+8%$28 – $87
Kansas KS11$40+6%$29 – $66
Oregon OR18$380%$15 – $74
Michigan MI18$35−6%$21 – $59
Iowa IA21$33−13%$25 – $33
West Virginia WV10$31−19%$29 – $31
Tennessee TN14$27−28%$15 – $128
Nebraska NE19$26−32%$17 – $36
Missouri MO12$22−40%$13 – $90
Washington WA20$22−43%$15 – $22
Pennsylvania PA31$21−44%$21 – $35
Wisconsin WI12$19−51%$13 – $40
Oklahoma OK16$15−61%$15 – $30
New Jersey NJ21$15−61%$10 – $179
Louisiana LA13$15−61%$11 – $29
Idaho ID9not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Utah UT6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Maryland MD2not 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 $38.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care471$41$21 – $71
Children’s6fewer than 20 hospitals
Critical access131$34$19 – $54
Ownership
For-profit75$52$28 – $130
Government108$32$19 – $59
Non-profit425$37$20 – $66
System affiliation
Part of a system494$38$20 – $71
Independent116$36$19 – $58

Cash price vs list price

Median list price (chargemaster)$61
Median cash price$38
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

398 hospitals filed a usable inpatient cash price for this code. The median is $41 and the average of the middle 60% is $42; most fall between $21 and $71.

Cash price percentiles, inpatient, across 398 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
$17$22$41$66$96

The most expensive tenth of hospitals charges at least 5.5× what the cheapest tenth charges ($17 vs $96).

Of the 458 hospitals that filed this code inpatient, 398 gave a usable cash price; 16 carried a plausibility flag, 11 filed a number their own filing marks as not a price, 0 gave an estimate, and 33 a list price only.

How complete is this

610 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 678 hospitals that filed this code at all gave us
Usable cash price — counted610
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) — excluded14
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded33
Hospitals that filed this code678

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 July 20, 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 CCIIV4 VAC NO PRSV 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, four-strain, 0.5 mL (CPT 90674) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90674-flu-shot-grown-in-cell-culture-four-strain-0-5-ml