Vaccines CPT 90660 Outpatient

Nasal flu vaccine (FluMist) cost in Grand Forks, ND

In Grand Forks, ND-MN, 2 hospitals list a cash price for nasal spray flu vaccine, live (FluMist): from $21.35 to $60.00, with a median of $40.68. The lowest listed price is at Altru Hospital — $19.33 less than the median here. Across North Dakota, the median is $19.71 at 6 hospitals.

Cash prices at 2 facilities across 2 cities for code 90660, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Mar 1, 2026 and Aug 3, 2026.

Lowest$21.35Altru Hospital

Median$40.68half of hospitals charge less

Highest$60.00in this market

Difference2.8×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 Grand Forks, ND-MN.

median

Lowest $21.35Highest $60.00

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Altru Hospital lowest Grand Forks, ND · (701) 780-5000 Influenza Virus Vaccine Live Intranasal Liquid File of Mar 1, 2026 · source file	$21.35	$35.00	—	39%
North Valley Health Center Warren, MN · (218) 745-4211 Influenza vaccine, trivalent for nasal administration File of Aug 3, 2026 · source file	$60.00	$60.00	$24.00–$60.00	—

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 $21.35, median $40.68, highest $60.00 — a 2.8× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $21.35. 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 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.