Nasal flu vaccine (FluMist) cost in San Jose, CA
In San Jose-Sunnyvale-Santa Clara, CA, 3 hospitals list a cash price for nasal spray flu vaccine, live (FluMist): from $21.50 to $50.96, with a median of $50.96. The lowest listed price is at Lucile Salter Packard Children's Hospital at Stanford — $29.46 less than the median here. Across California, the median is $50.96 at 52 hospitals.
Cash prices at 3 facilities across 3 cities for code 90660, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 31, 2026 and Mar 31, 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 Jose-Sunnyvale-Santa Clara, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Lucile Salter Packard Children's Hospital at Stanford lowest Palo Alto, CA · (650) 497-8000 HC Flumist Admin Vfc | $21.50 | $43.00 | $13.76 | 50% | Mar 31, 2026 source file |
| Kaiser Foundation Hospital - San Jose San Jose, CA · (408) 972-7000 LAIV3 VACCINE LIVE FOR INTRANASAL USE | $50.96 | $91.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Santa Clara Santa Clara, CA · (408) 236-6400 LAIV3 VACCINE LIVE FOR INTRANASAL USE | $50.96 | $91.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Jose San Jose, CA · (408) 972-7000 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 - Santa Clara Santa Clara, CA · (408) 236-6400 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 |
| Lucile Salter Packard Children's Hospital at Stanford Palo Alto, CA · (650) 497-8000 HC Influenza Vacc Live 0.2ml Nasal | $67.00 | $134.00 | $42.87 | 50% | Mar 31, 2026 source file |
Outpatient: lowest $21.50, median $50.96, highest $50.96 — a 2.4× difference within the same market.
As an inpatient, the same code is billed by 2 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 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.