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Procedure price report · Prophylactic vaccinations and inoculations

Flu shot, four-strain, cell-grown, into muscle

CPT 90756the billing code this page is about

Covers one 0.5 mL dose of quadrivalent influenza vaccine grown in cell culture and free of preservative, injected into a muscle; giving the shot is billed separately.

Hospitals typically charge $33 cash for this outpatient procedure — the median across 284 hospitals that filed a usable cash price; the average of the middle 60% is $37. Most fall between $20 and $66 (20th–80th percentile).

Hospitals
284
States
42
Filings dated
Jul 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 284 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$22$33$56$119

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($18 vs $119).

How the prices are spread

$13 – $17: 14 hospitals$13$17 – $22: 43 hospitals$22 – $28: 19 hospitals$22$28 – $35: 65 hospitals$35 – $45: 17 hospitals$35$45 – $58: 43 hospitals$58 – $74: 25 hospitals$58$74 – $94: 8 hospitals$94 – $121: 8 hospitals$94$121 – $154: 14 hospitals$121median $33price bands are equal on a log scale
Hospitals per price band (256 of 284 — the bands cover the 5th to 95th percentile)
FromToHospitals
$13$1714
$17$2243
$22$2819
$28$3565
$35$4517
$45$5843
$58$7425
$74$948
$94$1218
$121$15414

By state

The median cash price in each state, against the national median of $33.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: median $62 across 18 hospitalsIL$62Wisconsin: median $33 across 31 hospitalsWI$33Michigan: median $33 across 14 hospitalsMI$33New York: median $53 across 16 hospitalsNY$53Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $46 across 14 hospitalsIA$46Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: 3 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 7 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: 7 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 4 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 $31 across 35 hospitalsCA$31Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: no hospital in the corpus filed a usable priceMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 4 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: median $16 across 10 hospitalsLA$16Mississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $53 across 14 hospitalsTX$53Florida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $33. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Illinois IL18$62+87%$18 – $386
Texas TX14$53+61%$27 – $53
New York NY16$53+60%$49 – $62
Iowa IA14$46+38%$29 – $46
Wisconsin WI31$330%$20 – $68
Michigan MI14$33−1%$20 – $56
California CA35$31−5%$31 – $54
Louisiana LA10$16−52%$12 – $34
Georgia GA9not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
New Jersey NJ7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Pennsylvania PA7not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Oklahoma OK4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Ohio OH3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Tennessee TN1not enough hospitals filed a usable price
Wyoming WY1not 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 $33.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care215$33$20 – $62
Children’s3fewer than 20 hospitals
Critical access66$33$25 – $68
Ownership
For-profit23$32$18 – $92
Government51$32$20 – $56
Non-profit210$33$20 – $68
System affiliation
Part of a system238$33$20 – $68
Independent46$37$21 – $60

Cash price vs list price

Median list price (chargemaster)$56
Median cash price$33
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

183 hospitals filed a usable inpatient cash price for this code. The median is $33 and the average of the middle 60% is $38; most fall between $20 and $71.

Cash price percentiles, inpatient, across 183 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$21$33$56$122

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($18 vs $122).

Of the 208 hospitals that filed this code inpatient, 183 gave a usable cash price; 6 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

284 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 318 hospitals that filed this code at all gave us
Usable cash price — counted284
Cash price carrying a plausibility flag — shown on the compare tool, excluded here13
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded20
Hospitals that filed this code318

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 CCIIV4 VACC ABX FREE 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, four-strain, cell-grown, into muscle (CPT 90756) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90756-flu-shot-four-strain-cell-grown-into-muscle