Vaccines CPT 90660 Outpatient

Nasal flu vaccine (FluMist) cost in Spearfish, SD

In Spearfish, SD, 2 hospitals list a cash price for nasal spray flu vaccine, live (FluMist): from $52.80 to $52.80, with a median of $52.80. The lowest listed price is at Monument Health Lead-Deadwood Hospital and 1 other hospital. Across South Dakota, the median is $52.80 at 9 hospitals.

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

Lowest$52.80Monument Health Lead-Deadwood Hospital + 1 more

Median$52.80half of hospitals charge less

Highest$52.80in this market

Difference1.0×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 Spearfish, SD.

median

Lowest $52.80Highest $52.80

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Monument Health Lead-Deadwood Hospital lowest Deadwood, SD · (605) 717-6000 Influenza vaccine, trivalent for nasal administration File of Sep 1, 2026 · source file	$52.80	$66.00	$19.14–$66.00	20%
Monument Health Spearfish Hospital lowest Spearfish, SD · (605) 644-4000 Influenza vaccine, trivalent for nasal administration File of Sep 1, 2026 · source file	$52.80	$66.00	$19.40–$67.65	20%

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.

Outpatient: lowest $52.80, median $52.80, highest $52.80.

Cash or insurance?

At 2 of 2 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.