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Procedure price report · Prophylactic vaccinations and inoculations

Flu shot made without eggs, four-strain

CPT 90682the billing code this page is about

Covers a four-strain influenza vaccine made by recombinant technology, preservative-free, given as an injection into the muscle; the vaccine product only.

Hospitals typically charge $71 cash for this outpatient procedure — the median across 691 hospitals that filed a usable cash price; the average of the middle 60% is $77. Most fall between $42 and $149 (20th–80th percentile).

Hospitals
691
States
47
Filings dated
Aug 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 691 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
$28$45$71$129$234

The most expensive tenth of hospitals charges at least 8.5× what the cheapest tenth charges ($28 vs $234).

How the prices are spread

$20 – $26: 27 hospitals$20$26 – $35: 38 hospitals$35 – $45: 86 hospitals$35$45 – $60: 101 hospitals$60 – $78: 121 hospitals$60$78 – $103: 68 hospitals$103 – $135: 49 hospitals$103$135 – $177: 79 hospitals$177 – $233: 18 hospitals$177$233 – $306: 39 hospitals$233median $71price bands are equal on a log scale
Hospitals per price band (626 of 691 — the bands cover the 5th to 95th percentile)
FromToHospitals
$20$2627
$26$3538
$35$4586
$45$60101
$60$78121
$78$10368
$103$13549
$135$17779
$177$23318
$233$30639

By state

The median cash price in each state, against the national median of $71.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $65 across 14 hospitalsWA$65Idaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $52 across 28 hospitalsMN$52Illinois: median $88 across 33 hospitalsIL$88Wisconsin: median $75 across 36 hospitalsWI$75Michigan: median $63 across 21 hospitalsMI$63New York: median $105 across 39 hospitalsNY$105Massachusetts: median $110 across 16 hospitalsMA$110Oregon: median $46 across 17 hospitalsOR$46Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $83 across 37 hospitalsIA$83Indiana: median $53 across 20 hospitalsIN$53Ohio: median $65 across 47 hospitalsOH$65Pennsylvania: median $83 across 37 hospitalsPA$83New Jersey: median $85 across 27 hospitalsNJ$85Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $45 across 33 hospitalsCA$45Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $306 across 17 hospitalsCO$306Nebraska: median $73 across 18 hospitalsNE$73Missouri: median $77 across 13 hospitalsMO$77Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: median $66 across 15 hospitalsKS$66Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 4 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: median $49 across 18 hospitalsSC$49Oklahoma: median $39 across 13 hospitalsOK$39Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $42 across 15 hospitalsMS$42Alabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $311 across 11 hospitalsGA$311Hawaii: no hospital in the corpus filed a usable priceHITexas: median $149 across 41 hospitalsTX$149Florida: median $151 across 19 hospitalsFL$151
Cash price by state, most expensive first. National median $71. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA11$311+337%$72 – $311
Colorado CO17$306+330%$270 – $306
Florida FL19$151+113%$29 – $345
Texas TX41$149+110%$97 – $153
Massachusetts MA16$110+55%$65 – $158
New York NY39$105+48%$49 – $207
Illinois IL33$88+24%$44 – $91
New Jersey NJ27$85+20%$29 – $215
Iowa IA37$83+17%$72 – $150
Pennsylvania PA37$83+17%$54 – $120
Missouri MO13$77+9%$28 – $120
Wisconsin WI36$75+5%$54 – $129
Nebraska NE18$73+3%$43 – $103
Kansas KS15$66−7%$26 – $105
Ohio OH47$65−9%$50 – $151
Washington WA14$65−9%$15 – $98
Michigan MI21$63−11%$46 – $78
Indiana IN20$53−25%$43 – $53
Minnesota MN28$52−27%$26 – $58
South Carolina SC18$49−31%$49 – $63
Oregon OR17$46−35%$14 – $78
California CA33$45−37%$33 – $66
Mississippi MS15$42−41%$34 – $56
Oklahoma OK13$39−46%$39 – $56
Montana MT9not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
North Carolina NC8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
New Hampshire NH2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
New Mexico NM1not 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 $71.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care490$71$39 – $151
Children’s5fewer than 20 hospitals
Critical access193$70$43 – $119
Ownership
For-profit51$149$50 – $306
Government120$57$36 – $102
Non-profit517$72$44 – $149
System affiliation
Part of a system566$72$43 – $149
Independent125$66$36 – $135

Cash price vs list price

Median list price (chargemaster)$104
Median cash price$71
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

471 hospitals filed a usable inpatient cash price for this code. The median is $73 and the average of the middle 60% is $80; most fall between $44 and $149.

Cash price percentiles, inpatient, across 471 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
$28$46$73$142$234

The most expensive tenth of hospitals charges at least 8.5× what the cheapest tenth charges ($28 vs $234).

Of the 522 hospitals that filed this code inpatient, 471 gave a usable cash price; 7 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 43 a list price only.

How complete is this

691 of the 3,956 hospitals with a price file in our corpus (17%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 752 hospitals that filed this code at all gave us
Usable cash price — counted691
Cash price carrying a plausibility flag — shown on the compare tool, excluded here14
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded45
Hospitals that filed this code752

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 RIV4 VACC RECOMBINANT DNA 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 made without eggs, four-strain (CPT 90682) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90682-flu-shot-made-without-eggs-four-strain