Vaccines CPT 90660 Outpatient

Nasal flu vaccine (FluMist) cost in Buffalo, NY

In Buffalo-Cheektowaga, NY, 4 hospitals list a cash price for nasal spray flu vaccine, live (FluMist): from $22.00 to $77.00, with a median of $22.00. The lowest listed price is at Mount St. Mary's Hospital and 2 other hospitals. Across New York, the median is $43.17 at 38 hospitals.

Cash prices at 4 facilities across 2 cities for code 90660, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$22.00Mount St. Mary's Hospital + 2 more
Median$22.00half of hospitals charge less
Highest$77.00in this market
Difference3.5×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 Buffalo-Cheektowaga, NY.

median
Lowest $22.00Highest $83.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Mount St. Mary's Hospital lowest Lewiston, NY · (716) 297-4800 HC Pbb Laiv3 Vaccine Live for Intranasal Use source file $22.00 $22.00 $8.23–$55.32 —
Mercy Hospital of Buffalo lowest Buffalo, NY · (716) 826-7000 HC Pbb Laiv3 Vaccine Live for Intranasal Use source file $22.00 $22.00 $8.23–$55.32 —
Sisters of Charity Hospital lowest Buffalo, NY · (716) 862-1000 HC Pbb Laiv3 Vaccine Live for Intranasal Use source file $22.00 $22.00 $8.23–$55.32 —
Kaleida Health Buffalo, NY · (716) 859-8620 Influ Tri 0.2Ml Flumist File of Apr 1, 2026 · source file $77.00 $77.00 — —
Kaleida Health Buffalo, NY · (716) 859-8620 Influ Live Intransl Vacc File of Apr 1, 2026 · source file $81.00 $81.00 — —
Kaleida Health Buffalo, NY · (716) 859-8620 Influenza Nasal Spray File of Apr 1, 2026 · source file $83.00 $83.00 — —
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.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $22.00, median $22.00, highest $77.00 — a 3.5× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $22.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 3 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. 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.

2 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 90660 ($38.74). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

HospitalCash priceFile
Kaleida Health Buffalo, NYVfc Infl Tri .2Ml Flumist $0.01 file
Kaleida Health Buffalo, NYVfc Influ Live Nasal Vacc $0.01 file
File Link to the hospital's own price file.