Vaccines CPT 90660 Outpatient

Nasal flu vaccine (FluMist) cost in Wenatchee, WA

In Wenatchee-East Wenatchee, WA, 3 hospitals list a cash price for nasal spray flu vaccine, live (FluMist): from $22.50 to $58.80, with a median of $25.00. The lowest listed price is at Confluence Health Hospital — $2.50 less than the median here. Across Washington, the median is $21.05 at 10 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 29, 2026; the hospital files themselves were last updated between Sep 1, 2026 and Sep 1, 2026.

Lowest$22.50Confluence Health Hospital
Median$25.00half pay less
Highest$58.80in this market
Difference2.6×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 Wenatchee-East Wenatchee, WA.

median
Lowest $22.50Highest $58.80

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Confluence Health Hospital lowest Wenatchee, WA · (509) 662-1511 HC Laiv3 Vaccine Live for Intranasal Use $22.50 $25.00 $7.50–$24.00 10% —
source file
Lake Chelan Community Hospital Chelan, WA · (509) 682-3300 Influenza vaccine, trivalent for nasal administration $25.00 $25.00 $13.75–$25.00 — Sep 1, 2026
source file
Cascade Medical Center Leavenworth, WA · (509) 548-5815 FLU MIST DRUG CHARGE $58.80 $73.50 $21.38–$66.15 20% —
source file

Outpatient: lowest $22.50, median $25.00, highest $58.80 — a 2.6× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $40.65. 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 2 of 3 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.