Nasal flu vaccine (FluMist) cost in San Francisco, CA
In San Francisco-Oakland-Fremont, CA, 12 hospitals list a cash price for nasal spray flu vaccine, live (FluMist): from $50.96 to $58.00, with a median of $50.96. The lowest listed price is at Kaiser Foundation Hospital - San Leandro and 8 other hospitals. Across California, the median is $50.96 at 52 hospitals.
Cash prices at 12 facilities across 11 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 Apr 1, 2026 and Jul 22, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in San Francisco-Oakland-Fremont, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Kaiser Foundation Hospital - San Leandro lowest San Leandro, CA · (510) 454-1000 LAIV3 VACCINE LIVE FOR INTRANASAL USE | $50.96 | $91.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Redwood City lowest Redwood City, CA · (650) 299-2000 LAIV3 VACCINE LIVE FOR INTRANASAL USE | $50.96 | $91.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Fremont lowest Fremont, CA · (510) 784-4000 LAIV3 VACCINE LIVE FOR INTRANASAL USE | $50.96 | $91.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Francisco lowest San Francisco, CA · (415) 833-2646 LAIV3 VACCINE LIVE FOR INTRANASAL USE | $50.96 | $91.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Oakland/Richmond lowest Oakland, CA · (510) 752-1000 LAIV3 VACCINE LIVE FOR INTRANASAL USE | $50.96 | $91.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Antioch lowest Antioch, CA · (925) 813-6500 LAIV3 VACCINE LIVE FOR INTRANASAL USE | $50.96 | $91.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - South San Francisco lowest South San Francisco, CA · (650) 742-3200 LAIV3 VACCINE LIVE FOR INTRANASAL USE | $50.96 | $91.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Walnut Creek lowest Walnut Creek, CA · (925) 295-4000 LAIV3 VACCINE LIVE FOR INTRANASAL USE | $50.96 | $91.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Rafael lowest San Rafael, CA · (415) 444-2000 LAIV3 VACCINE LIVE FOR INTRANASAL USE | $50.96 | $91.00 | — | 44% | — source file |
| Mills Health Center San Mateo, CA · (650) 696-5400 HCHG TS INFLUENZA VIRUS VACCINE LIVE INTRANASAL | $55.00 | $55.00 | — | — | Apr 1, 2026 source file |
| Mills-Peninsula Medical Center Burlingame, CA · (650) 696-5400 HCHG TS INFLUENZA VIRUS VACCINE LIVE INTRANASAL | $55.00 | $55.00 | — | — | Apr 1, 2026 source file |
| Chinese Hospital San Francisco, CA · (415) 677-2480 Influenza vaccine, trivalent for nasal administration | $58.00 | $58.00 | $23.68–$104.40 | — | Jul 22, 2026 source file |
| Kaiser Foundation Hospital - South San Francisco South San Francisco, CA · (650) 742-3200 flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE | $60.93 | $108.80 | — | 44% | — source file |
| Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA · (925) 295-4000 flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE | $60.93 | $108.80 | — | 44% | — source file |
| Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE | $60.93 | $108.80 | — | 44% | — source file |
| Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE | $60.93 | $108.80 | — | 44% | — source file |
| Kaiser Foundation Hospital - Redwood City Redwood City, CA · (650) 299-2000 flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE | $60.93 | $108.80 | — | 44% | — source file |
| Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE | $60.93 | $108.80 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Francisco San Francisco, CA · (415) 833-2646 flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE | $60.93 | $108.80 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Leandro San Leandro, CA · (510) 454-1000 flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE | $60.93 | $108.80 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Rafael San Rafael, CA · (415) 444-2000 flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE | $60.93 | $108.80 | — | 44% | — source file |
Outpatient: lowest $50.96, median $50.96, highest $58.00 — a 1.1× difference within the same market.
As an inpatient, the same code is billed by 11 facilities here, median $50.96. 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 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.