Vaccines CPT 90660 Outpatient

Nasal flu vaccine (FluMist) cost in Appleton, WI

In Appleton, WI, 3 hospitals list a cash price for nasal spray flu vaccine, live (FluMist): from $30.78 to $38.81, with a median of $38.81. The lowest listed price is at Ascension Calumet Hospital — $8.03 less than the median here. Across Wisconsin, the median is $38.81 at 18 hospitals.

Cash prices at 3 facilities across 2 cities for code 90660, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Aug 8, 2026.

Lowest$30.78Ascension Calumet Hospital

Median$38.81half of hospitals charge less

Highest$38.81in this market

Difference1.3×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Appleton, WI.

median

Lowest $30.78Highest $38.81

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Ascension Calumet Hospital lowest Chilton, WI · (920) 849-2386 HC FAC LAIV3 VACCINE INTRANASAL File of Jan 1, 2026 · source file	$30.78	$54.00	$28.51	43%
ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 FLU VACCINE, NASAL File of Aug 7, 2026 · source file	$38.81	$69.30	—	44%
ThedaCare Regional Medical Center-OSP Appleton, WI FLU VACCINE, NASAL File of Aug 8, 2026 · source file	$38.81	$69.30	—	44%

Hospital The hospital that published the price, its city and the line exactly as written in its price file.

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Off list How much lower the cash price is than the list price.

Outpatient: lowest $30.78, median $38.81, highest $38.81 — a 1.3× difference within the same market.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

FluMist is a live flu vaccine sprayed into the nose instead of injected, for healthy people aged 2 to 49 who are not pregnant.

What the price covers

The price is for the vaccine dose. Giving an oral or nasal vaccine is billed as 90473 rather than the injection fee 90471; ask whether it is included.