Vaccines CPT 90660 Inpatient — admitted to hospital

Nasal flu vaccine (FluMist) cost in Cleveland, OH — inpatient

In Cleveland, OH, 13 hospitals list a cash price for nasal spray flu vaccine, live (FluMist) as an inpatient: from $11.20 to $40.89, with a median of $39.69. The lowest listed price is at Metrohealth System — $28.49 less than the median here. Across Ohio, the median is $39.69 at 24 hospitals.

Cash prices at 13 facilities across 9 cities for code 90660, as an inpatient (admitted to hospital) . Collected Sep 29, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Sep 8, 2026.

Lowest$11.20Metrohealth System
Median$39.69half pay less
Highest$40.89in this market
Difference3.7×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 Cleveland, OH.

median
Lowest $11.20Highest $40.89

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Metrohealth System lowest Cleveland, OH · (216) 778-7089 NDC Description Not Available $11.20 $32.00 — 65% Apr 1, 2026
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Metrohealth System lowest Cleveland, OH · (216) 778-7089 Flumist: 10 Applicator In 1 Package (66019-311-10) / .2 Ml In 1 Applicator (66019-311-00) $11.20 $32.00 — 65% Apr 1, 2026
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Metrohealth System lowest Cleveland, OH · (216) 778-7089 Flu Vaccine, Nasal, Live, Trivalent (Laiv3) $11.20 $32.00 — 65% Apr 1, 2026
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Ashtabula County Medical Center Ashtabula, OH · (440) 997-2262 FLUMIST VACC NSPR 0.2ML $35.00 $50.00 $21.50–$47.00 30% Sep 8, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $17.27–$61.06 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $13.31–$61.06 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $13.31–$61.06 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $13.31–$61.06 35% Jun 15, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $17.27–$61.06 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $13.31–$61.06 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $13.31–$61.06 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $13.31–$61.06 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $13.31–$61.06 35% Jun 15, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $13.31–$61.06 35% Jun 15, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $13.31–$61.06 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $13.31–$61.06 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $13.31–$61.06 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $13.31–$61.06 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $13.31–$61.06 35% Jun 15, 2026
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Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $17.27–$61.06 35% Jun 15, 2026
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Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $17.27–$61.06 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $13.31–$61.06 35% Jun 15, 2026
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Euclid Hospital Euclid, OH · (216) 531-9000 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $13.31–$61.06 35% Jun 15, 2026
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Euclid Hospital Euclid, OH · (216) 531-9000 FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE $39.69 $61.06 $13.31–$61.06 35% Jun 15, 2026
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Euclid Hospital Euclid, OH · (216) 531-9000 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $13.71–$62.90 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $13.71–$62.90 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $13.71–$62.90 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $13.71–$62.90 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $13.71–$62.90 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $13.71–$62.90 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $13.71–$62.90 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $13.71–$62.90 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $13.71–$62.90 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $13.71–$62.90 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $13.71–$62.90 35% Jun 15, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $17.79–$62.90 35% Jun 15, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $17.79–$62.90 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $13.71–$62.90 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $13.71–$62.90 35% Jun 15, 2026
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Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $17.79–$62.90 35% Jun 15, 2026
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Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $17.79–$62.90 35% Jun 15, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $13.71–$62.90 35% Jun 16, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $13.71–$62.90 35% Jun 16, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $13.71–$62.90 35% Jun 15, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $13.71–$62.90 35% Jun 15, 2026
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Euclid Hospital Euclid, OH · (216) 531-9000 FLUMIST VACC NSPR 0.2ML $40.89 $62.90 $13.71–$62.90 35% Jun 15, 2026
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Inpatient: lowest $11.20, median $39.69, highest $40.89 — a 3.7× difference within the same market.

As an outpatient, the same code is billed by 13 facilities here, median $39.69 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 12 of 12 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.