Vaccines CPT 90660 Outpatient

Nasal flu vaccine (FluMist) cost in Chicago, IL

In Chicago-Naperville-Elgin, IL-IN, 12 hospitals list a cash price for nasal spray flu vaccine, live (FluMist): from $9.59 to $64.00, with a median of $39.75. The lowest listed price is at Franciscan Health Munster — $30.16 less than the median here. Across Illinois, the median is $27.29 at 24 hospitals.

Cash prices at 12 facilities across 9 cities for code 90660, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 2, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Sep 29, 2026.

Lowest$9.59Franciscan Health Munster
Median$39.75half of hospitals charge less
Highest$64.00in this market
Difference6.7×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 Chicago-Naperville-Elgin, IL-IN.

median
Lowest $9.59Highest $64.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Franciscan Health Munster lowest Munster, IN · (219) 922-4200 FLU VAC TV LIVE 25-26(2-49YRS) 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY source file $9.59 $45.00 $22.50–$59.42 79%
Franciscan Health Dyer Dyer, IN · (219) 865-2141 FLU VAC TV LIVE 25-26(2-49YRS) 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY source file $12.15 $45.00 $22.50–$59.42 73%
Franciscan Health Rensselaer Rensselaer, IN · (219) 866-5141 Laiv3 Vaccine Intranasal source file $13.25 $37.00 $9.25–$29.60 64%
Uchicago Medicine AdventHealth Hinsdale Hinsdale, IL · (630) 856-9000 FLU VAC TV LIVE 24-25(2-49YRS) 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY File of Apr 1, 2026 · source file $16.67 $27.79 — 40%
Humboldt Park Health Chicago, IL · (773) 292-8200 Influenza vaccine, trivalent for nasal administration File of Sep 29, 2026 · source file $24.92 $89.00 $29.37–$93.45 72%
Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL · (312) 227-4000 H LAIV3 VACCINE LIVE FOR INTRANASAL USE source file $38.50 $55.00 $9.35–$8,500.00 30%
The University of Chicago Medical Center Chicago, IL · (773) 702-9785 NDC Description Not Available+1 more line at this price File of Apr 1, 2026 · source file $41.00 $41.00 — —
Endeavor Health Highland Park Hospital Highland Park, IL INFLUENZA VIRUS VAC, LIVE, INTRANASAL USE File of Apr 1, 2026 · source file $62.00 $62.00 — —
Northshore University Healthsystem - Evanston Hospital Evanston, IL · (847) 570-2000 INFLUENZA VIRUS VAC, LIVE, INTRANASAL USE File of Apr 1, 2026 · source file $62.00 $62.00 — —
Swedish Covenant Health Chicago, IL · (773) 878-8200 INFLUENZA VIRUS VAC, LIVE, INTRANASAL USE File of Apr 1, 2026 · source file $62.00 $62.00 — —
Edward Hospital Naperville, IL · (630) 527-3000 HC INFLUENZA VACCINE TRIVALENT (LAIV3) INTRANASAL File of Apr 1, 2026 · source file $64.00 $64.00 — —
Elmhurst Memorial Hospital Elmhurst, IL · (331) 221-1000 HC INFLUENZA VACCINE TRIVALENT (LAIV3) INTRANASAL File of Apr 1, 2026 · source file $64.00 $64.00 — —
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 $9.59, median $39.75, highest $64.00 — a 6.7× difference within the same market.

As an inpatient, the same code is billed by 11 facilities here, median $41.00. 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 5 of 5 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 it is 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.