Vaccines CPT 90660 Outpatient

Nasal flu vaccine (FluMist) cost in New York, NY

In New York-Newark-Jersey City, NY-NJ, 22 hospitals list a cash price for nasal spray flu vaccine, live (FluMist): from $22.54 to $271.59, with a median of $46.49. The lowest listed price is at Kingsbrook Jewish Medical Center and 2 other hospitals — $23.95 less than the median here. Across New York, the median is $43.17 at 38 hospitals.

Cash prices at 22 facilities across 17 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 Oct 28, 2025 and Jul 13, 2026.

Lowest$22.54Kingsbrook Jewish Medical Center + 2 more
Median$46.49half pay less
Highest$271.59in this market
Difference12.0×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 New York-Newark-Jersey City, NY-NJ.

median
Lowest $22.54Highest $271.59

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Kingsbrook Jewish Medical Center lowest Brooklyn, NY HC INFLUENZA INTRANASAL $22.54 $60.00 $21.41–$50.72 62% —
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Interfaith Medical Center lowest Brooklyn, NY HC INFLUENZA INTRANASAL $22.54 $60.00 $22.54–$50.72 62% —
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Brookdale Hospital Medical Center lowest Brooklyn, NY · (718) 240-5966 HC INFLUENZA INTRANASAL $22.54 $60.00 $22.54–$50.72 62% —
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Brookdale Hospital Medical Center lowest Brooklyn, NY · (718) 240-5966 influenza live Liqd 1 each Plas Cont $22.54 $104.76 $22.54–$50.72 78% —
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Interfaith Medical Center lowest Brooklyn, NY influenza live Liqd 1 each Plas Cont $22.54 $104.76 $22.54–$50.72 78% —
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St Joseph's Hospital, Yonkers Yonkers, NY · (914) 378-7000 Laiv3 vaccine intranasal $29.71 — $20.00–$345.38 — Jul 13, 2026
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St Joseph's Hospital, Yonkers Yonkers, NY · (914) 378-7000 FLU VACCINE NASAL $29.71 — $20.00–$345.38 — Jul 13, 2026
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St Joseph's Hospital, Yonkers Yonkers, NY · (914) 378-7000 LAIV3 VACCINE INTRANASAL $29.71 — $20.00–$345.38 — Jul 13, 2026
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Nassau University Medical Center East Meadow, NY · (516) 572-0123 Flu Vaccine Nasal $31.65 $45.21 $11.30–$45.21 30% Oct 28, 2025
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St. Francis Hospital Roslyn, NY LAIV3 VACCINE INTRANASAL $36.67 — $22.54–$115.48 — Feb 19, 2026
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Mercy Medical Center Rockville Centre, NY · (516) 705-2525 LAIV3 VACCINE INTRANASAL $36.67 — $22.54–$115.48 — Feb 19, 2026
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Good Samaritan Hospital Medical Center West Islip, NY · (631) 376-3000 LAIV3 VACCINE INTRANASAL $36.67 — $22.54–$115.48 — Feb 19, 2026
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St. Catherine of Siena Medical Center Smithtown, NY · (631) 862-3000 LAIV3 VACCINE INTRANASAL $36.67 — $22.54–$115.48 — Feb 19, 2026
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St. Charles Hospital and Rehabilitation Center Port Jefferson, NY LAIV3 VACCINE INTRANASAL $36.67 — $22.54–$115.48 — Feb 19, 2026
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Chsli St Joseph Hospital Bethpage, NY · (516) 759-6000 LAIV3 VACCINE INTRANASAL $36.67 — $22.54–$50.72 — Feb 19, 2026
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NYU Langone – Orthopedic Hospital New York, NY LAIV3 VACCINE INTRANASAL $56.30 $296.33 $2.96–$405.46 81% Jan 1, 2026
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NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 LAIV3 VACCINE INTRANASAL $56.30 $296.33 $2.96–$405.46 81% Jan 1, 2026
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NYU Langone Mineola, NY LAIV3 VACCINE INTRANASAL $56.30 $296.33 $2.96–$405.46 81% Jan 1, 2026
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NYU Langone Brooklyn, NY LAIV3 VACCINE INTRANASAL $56.30 $296.33 $2.96–$405.46 81% Jan 1, 2026
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NYU Langone – Tisch Hospital New York, NY · (212) 263-7300 LAIV3 VACCINE INTRANASAL $56.30 $296.33 $2.96–$405.46 81% Jan 1, 2026
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Stony Brook Southampton Hospital Southampton, NY LAIV3 VACCINE INTRANASAL $69.55 $69.55 — — —
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St Johns Episcopal Hospital Far Rockaway, NY · (718) 869-7000 LAIV3 VACCINE INTRANASAL $79.02 $79.02 $28.87 — —
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Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 LAIV3 VACCINE INTRANASAL $92.00 $92.00 $22.22–$1,912.00 — —
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Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 LAIV3 VACCINE INTRANASAL $92.00 $92.00 $22.22–$1,912.00 — —
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BronxCare Hospital Center - Fulton Campus Bronx, NY · (212) 588-7000 FLU VIRUS VACC LIVE INTRANASL $271.59 $271.59 $16.94–$244.43 — —
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Bronx-Lebanon Hospital Center - Concourse Division Bronx, NY · (212) 588-7000 FLU VIRUS VACC LIVE INTRANASL $271.59 $271.59 $16.94–$244.43 — —
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Outpatient: lowest $22.54, median $46.49, highest $271.59 — a 12.0× difference within the same market.

As an inpatient, the same code is billed by 10 facilities here, median $73.73. 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 18 of 21 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.

Maimonides Medical Center Brooklyn, NYLAIV3 VACCINE INTRANASAL $0.01 file
Mount Sinai Brooklyn Brooklyn, NYHC Influenza Virus Vaccine, Trivalent, Live (Laiv3), for Intranasal Use $0.90 file