Nasal flu vaccine (FluMist) cost without insurance
The median hospital cash price for nasal spray flu vaccine, live (FluMist) is $37.50 across 407 US hospitals; most list between $15.38 and $75.05. The lowest outpatient cash price in any of 240 markets is $4.06. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Oct 2, 2026 Each price links to its source file All Vaccine costs
Lowest$4.06any market
Median market$34.08middle of market medians
Most below$75.059 in 10 hospitals
Listings403hospital prices
Compared with the vaccine's list price
$26.20 (FluMist) per dose is the manufacturer's private-sector price in the CDC vaccine price list: what a clinic or pharmacy pays for the vaccine itself. The median hospital cash price, $37.50 across 407 hospitals, is 1.4× that.
Giving the shot is billed separately (CPT 90471), and anyone who gives it adds a markup, so treat this as a floor: a concrete number to mention when you ask for a cash discount. Source: CDC.
What is CPT 90660?
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.
Why prices differ
Pharmacies, health departments and pediatric offices also give this vaccine, and hospital prices for the same dose vary widely.
What to ask
Ask whether the self-pay price for CPT 90660 includes giving the dose (90473) and compare with a pharmacy's price.
Prices by state
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$33.38
- Alaska$69.75
- Arizona$71.28
- Arkansas$15.20
- California$50.96
- Colorado$9.92
- Delaware$492.00
- Florida$74.80
- Georgia$15.60
- Hawaii$39.00
- Idaho$32.00
- Illinois$27.29
- Indiana$41.53
- Iowa$30.51
- Kansas$36.90
- Kentucky$31.96
- Louisiana$12.60
- Maine$47.57
- Maryland$25.00
- Massachusetts$29.25
- Michigan$27.20
- Minnesota$31.70
- Mississippi$16.40
- Missouri$47.94
- Montana$40.95
- Nebraska$18.90
- Nevada$141.75
- New Jersey$57.60
- New Mexico$14.87
- New York$43.17
- North Carolina$45.08
- North Dakota$19.71
- Ohio$39.69
- Oklahoma$24.63
- Oregon$31.06
- Pennsylvania$83.00
- Rhode Island$31.90
- South Carolina$34.08
- South Dakota$52.80
- Tennessee$11.36
- Texas$8.70
- Utah$21.35
- Vermont$28.25
- Virginia$92.00
- Washington$21.05
- West Virginia$24.50
- Wisconsin$38.81
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Anna, IL single city | 1 | $25.16 | $25.16 | $25.16 | 1.0× |
| Atlantic, IA single city | 1 | $30.51 | $30.51 | $30.51 | 1.0× |
| Aberdeen, WA | 1 | $11.88 | $11.88 | $11.88 | 1.0× |
| Akron, OH | 2 | $35.06 | $37.38 | $39.69 | 1.1× |
| Albany, OR | 1 | $17.60 | $17.60 | $17.60 | 1.0× |
| Albemarle, NC | 1 | $15.00 | $15.00 | $15.00 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 8 | $83.00 | $83.00 | $90.00 | 1.1× |
| Ames, IA | 1 | $39.20 | $39.20 | $39.20 | 1.0× |
| Anchorage, AK | 2 | $36.42 | $78.21 | $120.00 | 3.3× |
| Ann Arbor, MI | 1 | $20.80 | $20.80 | $20.80 | 1.0× |
| Appleton, WI | 3 | $30.78 | $38.81 | $38.81 | 1.3× |
| Astoria, OR | 1 | $49.08 | $49.08 | $49.08 | 1.0× |
| Athens-Clarke County, GA | 1 | $15.60 | $15.60 | $15.60 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 1 | $30.00 | $30.00 | $30.00 | 1.0× |
| Atlantic City-Hammonton, NJ | 1 | $25.19 | $25.19 | $25.19 | 1.0× |
| Augusta-Richmond County, GA-SC | 1 | $15.60 | $15.60 | $15.60 | 1.0× |
| Bar Harbor, ME single city | 1 | $40.50 | $40.50 | $40.50 | 1.0× |
| Belmond, IA single city | 1 | $46.20 | $46.20 | $46.20 | 1.0× |
| Berlin, WI single city | 1 | $38.81 | $38.81 | $38.81 | 1.0× |
| Britt, IA single city | 1 | $33.75 | $33.75 | $33.75 | 1.0× |
| Buckhannon, WV single city | 1 | $36.50 | $36.50 | $36.50 | 1.0× |
| Batavia, NY | 1 | $51.68 | $51.68 | $51.68 | 1.0× |
| Baton Rouge, LA | 1 | $63.00 | $63.00 | $63.00 | 1.0× |
| Beatrice, NE | 1 | $50.00 | $50.00 | $50.00 | 1.0× |
| Beckley, WV | 1 | $27.04 | $27.04 | $27.04 | 1.0× |
| Bend, OR | 1 | $41.60 | $41.60 | $41.60 | 1.0× |
| Birmingham, AL | 1 | $54.75 | $54.75 | $54.75 | 1.0× |
| Bismarck, ND | 1 | $10.73 | $10.73 | $10.73 | 1.0× |
| Bloomington, IL | 1 | $27.29 | $27.29 | $27.29 | 1.0× |
| Bluefield, WV-VA | 1 | $24.50 | $24.50 | $24.50 | 1.0× |
| Boston-Cambridge-Newton, MA-NH | 1 | $29.25 | $29.25 | $29.25 | 1.0× |
| Brainerd, MN | 1 | $18.02 | $18.02 | $18.02 | 1.0× |
| Brattleboro, VT | 1 | $34.00 | $34.00 | $34.00 | 1.0× |
| Buffalo-Cheektowaga, NY | 4 | $22.00 | $22.00 | $77.00 | 3.5× |
| Cadiz, OH single city | 1 | $36.50 | $36.50 | $36.50 | 1.0× |
| Cando, ND single city | 1 | $66.00 | $66.00 | $66.00 | 1.0× |
| Cheraw, SC single city | 1 | $34.08 | $34.08 | $34.08 | 1.0× |
| Clarion, IA single city | 1 | $46.20 | $46.20 | $46.20 | 1.0× |
| Conrad, MT single city | 1 | $52.00 | $52.00 | $52.00 | 1.0× |
| Corning, IA single city | 1 | $21.60 | $21.60 | $21.60 | 1.0× |
| Coudersport, PA single city | 1 | $42.60 | $42.60 | $42.60 | 1.0× |
| Cuba, NY single city | 1 | $36.00 | $36.00 | $36.00 | 1.0× |
| Cadillac, MI | 1 | $28.05 | $28.05 | $28.05 | 1.0× |
| Canton-Massillon, OH | 1 | $39.69 | $39.69 | $39.69 | 1.0× |
| Carroll, IA | 2 | $36.00 | $45.34 | $54.67 | 1.5× |
| Champaign-Urbana, IL | 1 | $27.29 | $27.29 | $27.29 | 1.0× |
| Charleston, WV | 1 | $24.50 | $24.50 | $24.50 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 12 | $9.59 | $39.75 | $64.00 | 6.7× |
| Cincinnati, OH-KY-IN | 1 | $15.95 | $15.95 | $15.95 | 1.0× |
| Clarksburg, WV | 1 | $24.50 | $24.50 | $24.50 | 1.0× |
| Cleveland, OH | 13 | $11.20 | $39.69 | $40.89 | 3.7× |
| Clinton, IA | 1 | $23.81 | $23.81 | $23.81 | 1.0× |
| Coeur d'Alene, ID | 1 | $41.00 | $41.00 | $41.00 | 1.0× |
| Columbus, GA-AL | 1 | $15.60 | $15.60 | $15.60 | 1.0× |
| Columbus, NE | 1 | $38.25 | $38.25 | $38.25 | 1.0× |
| Columbus, OH | 1 | $9.00 | $9.00 | $9.00 | 1.0× |
| Cumberland, MD-WV | 1 | $36.50 | $36.50 | $36.50 | 1.0× |
| Dawson, MN single city | 1 | $47.19 | $47.19 | $47.19 | 1.0× |
| Decorah, IA single city | 1 | $44.52 | $44.52 | $44.52 | 1.0× |
| DeKalb, MS single city | 1 | $33.12 | $33.12 | $33.12 | 1.0× |
| Devils Lake, ND single city | 1 | $21.35 | $21.35 | $21.35 | 1.0× |
| Dillon, SC single city | 1 | $34.08 | $34.08 | $34.08 | 1.0× |
| Danville, IL | 1 | $27.29 | $27.29 | $27.29 | 1.0× |
| Danville, VA | 1 | $92.00 | $92.00 | $92.00 | 1.0× |
| Davenport-Moline-Rock Island, IA-IL | 3 | $23.81 | $23.81 | $23.81 | 1.0× |
| Dayton-Kettering-Beavercreek, OH | 1 | $35.00 | $35.00 | $35.00 | 1.0× |
| Denver-Aurora-Centennial, CO | 1 | $9.92 | $9.92 | $9.92 | 1.0× |
| Des Moines-West Des Moines, IA | 1 | $28.00 | $28.00 | $28.00 | 1.0× |
| Durant, OK | 1 | $38.85 | $38.85 | $38.85 | 1.0× |
| East Amery, WI single city | 1 | $26.07 | $26.07 | $26.07 | 1.0× |
| Emmetsburg, IA single city | 1 | $30.75 | $30.75 | $30.75 | 1.0× |
| East Stroudsburg, PA | 1 | $83.00 | $83.00 | $83.00 | 1.0× |
| Ellensburg, WA | 1 | $72.25 | $72.25 | $72.25 | 1.0× |
| Erie, PA | 1 | $47.56 | $47.56 | $47.56 | 1.0× |
| Evansville, IN | 2 | $22.44 | $31.99 | $41.53 | 1.9× |
| Fredericktown, MO single city | 1 | $65.00 | $65.00 | $65.00 | 1.0× |
| Faribault-Northfield, MN | 1 | $31.70 | $31.70 | $31.70 | 1.0× |
| Fayetteville-Springdale-Rogers, AR | 1 | $15.20 | $15.20 | $15.20 | 1.0× |
| Fergus Falls, MN | 1 | $26.00 | $26.00 | $26.00 | 1.0× |
| Florence, SC | 1 | $34.08 | $34.08 | $34.08 | 1.0× |
| Fond du Lac, WI | 1 | $38.81 | $38.81 | $38.81 | 1.0× |
| Fort Wayne, IN | 5 | $38.36 | $53.10 | $68.59 | 1.8× |
| Fresno, CA | 1 | $50.96 | $50.96 | $50.96 | 1.0× |
| Garrison, ND single city | 1 | $17.31 | $17.31 | $17.31 | 1.0× |
| Gassaway, WV single city | 1 | $36.50 | $36.50 | $36.50 | 1.0× |
| Gaylord, MI single city | 1 | $27.20 | $27.20 | $27.20 | 1.0× |
| Gordon, NE single city | 1 | $12.00 | $12.00 | $12.00 | 1.0× |
| Grayling, MI single city | 1 | $28.05 | $28.05 | $28.05 | 1.0× |
| Greenfield, IA single city | 1 | $22.50 | $22.50 | $22.50 | 1.0× |
| Gainesville, FL | 1 | $74.80 | $74.80 | $74.80 | 1.0× |
| Grand Forks, ND-MN | 2 | $21.35 | $40.68 | $60.00 | 2.8× |
| Grand Island, NE | 1 | $15.02 | $15.02 | $15.02 | 1.0× |
| Grand Rapids-Wyoming-Kentwood, MI | 1 | $15.50 | $15.50 | $15.50 | 1.0× |
| Green Bay, WI | 1 | $34.73 | $34.73 | $34.73 | 1.0× |
| Greensburg, IN | 1 | $120.75 | $120.75 | $120.75 | 1.0× |
| Hampton, IA single city | 1 | $36.90 | $36.90 | $36.90 | 1.0× |
| Hermann, MO single city | 1 | $13.50 | $13.50 | $13.50 | 1.0× |
| Honesdale, PA single city | 1 | $98.00 | $98.00 | $98.00 | 1.0× |
| Houlton, ME single city | 1 | $54.63 | $54.63 | $54.63 | 1.0× |
| Hagerstown-Martinsburg, MD-WV | 1 | $24.50 | $24.50 | $24.50 | 1.0× |
| Henderson, KY | 1 | $20.40 | $20.40 | $20.40 | 1.0× |
| Hood River, OR | 1 | $49.08 | $49.08 | $49.08 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 6 | $8.70 | $8.70 | $8.70 | 1.0× |
| Huntington-Ashland, WV-KY-OH | 1 | $4.99 | $4.99 | $4.99 | 1.0× |
| Hutchinson, MN | 1 | $23.00 | $23.00 | $23.00 | 1.0× |
| Imperial, NE single city | 1 | $44.00 | $44.00 | $44.00 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 1 | $4.06 | $4.06 | $4.06 | 1.0× |
| Johnson, KS single city | 1 | $44.00 | $44.00 | $44.00 | 1.0× |
| Jackson, MS | 2 | $16.00 | $16.00 | $16.00 | 1.0× |
| Jacksonville, FL | 1 | $75.43 | $75.43 | $75.43 | 1.0× |
| Jamestown-Dunkirk, NY | 1 | $36.00 | $36.00 | $36.00 | 1.0× |
| Johnstown, PA | 1 | $67.51 | $67.51 | $67.51 | 1.0× |
| Knox, IN single city | 1 | $68.45 | $68.45 | $68.45 | 1.0× |
| Kotzebue, AK single city | 1 | $98.00 | $98.00 | $98.00 | 1.0× |
| Kankakee, IL | 1 | $22.36 | $22.36 | $22.36 | 1.0× |
| Kearney, NE | 1 | $15.53 | $15.53 | $15.53 | 1.0× |
| Kenosha, WI | 1 | $20.43 | $20.43 | $20.43 | 1.0× |
| Lovelock, NV single city | 1 | $141.75 | $141.75 | $141.75 | 1.0× |
| La Crosse-Onalaska, WI-MN | 1 | $39.45 | $39.45 | $39.45 | 1.0× |
| Lake Charles, LA | 1 | $12.60 | $12.60 | $12.60 | 1.0× |
| Lake Havasu City-Kingman, AZ | 1 | $61.56 | $61.56 | $61.56 | 1.0× |
| Lansing-East Lansing, MI | 2 | $15.50 | $15.50 | $15.50 | 1.0× |
| Lexington-Fayette, KY | 1 | $38.12 | $38.12 | $38.12 | 1.0× |
| Lincoln, NE | 2 | $11.71 | $12.22 | $12.73 | 1.1× |
| Los Angeles-Long Beach-Anaheim, CA | 14 | $11.60 | $56.58 | $109.07 | 9.4× |
| Madison, MN single city | 1 | $25.50 | $25.50 | $25.50 | 1.0× |
| Manning, SC single city | 1 | $34.08 | $34.08 | $34.08 | 1.0× |
| Moab, UT single city | 1 | $21.35 | $21.35 | $21.35 | 1.0× |
| Monroeville, AL single city | 1 | $12.00 | $12.00 | $12.00 | 1.0× |
| Mora, MN single city | 1 | $53.19 | $53.19 | $53.19 | 1.0× |
| Morehead, KY single city | 1 | $37.50 | $37.50 | $37.50 | 1.0× |
| Morganfield, KY single city | 1 | $31.96 | $31.96 | $31.96 | 1.0× |
| Marietta, OH | 2 | $12.75 | $12.75 | $12.75 | 1.0× |
| Marion-Herrin, IL | 1 | $12.92 | $12.92 | $12.92 | 1.0× |
| Massena-Ogdensburg, NY | 3 | $38.74 | $38.74 | $38.74 | 1.0× |
| Meridian, MS | 2 | $16.80 | $24.48 | $32.16 | 1.9× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 1 | $39.69 | $39.69 | $39.69 | 1.0× |
| Michigan City-La Porte, IN | 1 | $83.66 | $83.66 | $83.66 | 1.0× |
| Milwaukee-Waukesha, WI | 1 | $71.78 | $71.78 | $71.78 | 1.0× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 6 | $26.30 | $31.70 | $126.70 | 4.8× |
| Modesto, CA | 1 | $50.96 | $50.96 | $50.96 | 1.0× |
| Monroe, LA | 1 | $28.50 | $28.50 | $28.50 | 1.0× |
| Morgantown, WV | 1 | $23.50 | $23.50 | $23.50 | 1.0× |
| Moscow, ID | 1 | $32.00 | $32.00 | $32.00 | 1.0× |
| Mount Vernon, IL | 1 | $14.96 | $14.96 | $14.96 | 1.0× |
| Mount Vernon-Anacortes, WA | 1 | $48.00 | $48.00 | $48.00 | 1.0× |
| Myrtle Beach-Conway-North Myrtle Beach, SC | 3 | $34.08 | $34.08 | $34.08 | 1.0× |
| Nebraska City, NE single city | 1 | $21.13 | $21.13 | $21.13 | 1.0× |
| New Hampton, IA single city | 1 | $24.70 | $24.70 | $24.70 | 1.0× |
| New London, WI single city | 1 | $38.81 | $38.81 | $38.81 | 1.0× |
| New Martinsville, WV single city | 1 | $24.50 | $24.50 | $24.50 | 1.0× |
| Nome, AK single city | 1 | $41.50 | $41.50 | $41.50 | 1.0× |
| New Orleans-Metairie, LA | 3 | $8.26 | $10.34 | $15.93 | 1.9× |
| New Philadelphia-Dover, OH | 1 | $39.69 | $39.69 | $39.69 | 1.0× |
| New Ulm, MN | 1 | $44.09 | $44.09 | $44.09 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 22 | $22.54 | $46.49 | $271.59 | 12.0× |
| Newport, OR | 2 | $17.60 | $17.60 | $17.60 | 1.0× |
| Norfolk, NE | 1 | $37.80 | $37.80 | $37.80 | 1.0× |
| Okeene, OK single city | 1 | $10.40 | $10.40 | $10.40 | 1.0× |
| Olivia, MN single city | 1 | $30.50 | $30.50 | $30.50 | 1.0× |
| Olney, IL single city | 1 | $27.29 | $27.29 | $27.29 | 1.0× |
| Ortonville, MN single city | 1 | $33.15 | $33.15 | $33.15 | 1.0× |
| Ocean Pines, MD | 1 | $25.00 | $25.00 | $25.00 | 1.0× |
| Omaha, NE-IA | 7 | $18.90 | $18.90 | $22.05 | 1.2× |
| Orlando-Kissimmee-Sanford, FL | 3 | $74.80 | $74.80 | $164.25 | 2.2× |
| Oshkosh-Neenah, WI | 2 | $38.81 | $38.81 | $38.81 | 1.0× |
| Owatonna, MN | 1 | $31.70 | $31.70 | $31.70 | 1.0× |
| Owosso, MI | 1 | $27.20 | $27.20 | $27.20 | 1.0× |
| Perryton, TX single city | 1 | $27.00 | $27.00 | $27.00 | 1.0× |
| Petersburg, WV single city | 1 | $58.40 | $58.40 | $58.40 | 1.0× |
| Pinckneyville, IL single city | 1 | $42.00 | $42.00 | $42.00 | 1.0× |
| Princeton, IN single city | 1 | $36.04 | $36.04 | $36.04 | 1.0× |
| Parkersburg-Vienna, WV | 1 | $24.50 | $24.50 | $24.50 | 1.0× |
| Pella, IA | 1 | $24.60 | $24.60 | $24.60 | 1.0× |
| Pensacola-Ferry Pass-Brent, FL | 1 | $10.50 | $10.50 | $10.50 | 1.0× |
| Peoria, IL | 4 | $27.29 | $27.29 | $27.29 | 1.0× |
| Peru, IN | 1 | $290.33 | $290.33 | $290.33 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 3 | $90.00 | $90.00 | $492.00 | 5.5× |
| Phoenix-Mesa-Chandler, AZ | 1 | $92.77 | $92.77 | $92.77 | 1.0× |
| Pittsburgh, PA | 2 | $24.50 | $33.42 | $42.34 | 1.7× |
| Poplar Bluff, MO | 1 | $32.12 | $32.12 | $32.12 | 1.0× |
| Port St. Lucie, FL | 1 | $39.69 | $39.69 | $39.69 | 1.0× |
| Port Townsend, WA | 1 | $17.60 | $17.60 | $17.60 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $31.06 | $31.06 | $31.06 | 1.0× |
| Portsmouth, OH | 1 | $4.99 | $4.99 | $4.99 | 1.0× |
| Pottsville, PA | 2 | $90.00 | $90.00 | $90.00 | 1.0× |
| Prescott Valley-Prescott, AZ | 1 | $28.20 | $28.20 | $28.20 | 1.0× |
| Providence-Warwick, RI-MA | 2 | $13.80 | $31.90 | $50.00 | 3.6× |
| Pullman, WA | 1 | $18.70 | $18.70 | $18.70 | 1.0× |
| Quincy, CA single city | 1 | $152.80 | $152.80 | $152.80 | 1.0× |
| Ripley, WV single city | 1 | $36.50 | $36.50 | $36.50 | 1.0× |
| Ruleville, MS single city | 1 | $5.00 | $5.00 | $5.00 | 1.0× |
| Raleigh-Cary, NC | 3 | $45.08 | $45.08 | $45.08 | 1.0× |
| Rapid City, SD | 3 | $52.80 | $52.80 | $52.80 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 6 | $23.10 | $56.58 | $56.58 | 2.4× |
| Rochester, NY | 6 | $47.60 | $51.68 | $63.60 | 1.3× |
| Roswell, NM | 1 | $14.87 | $14.87 | $14.87 | 1.0× |
| Saint Francis, KS single city | 1 | $33.00 | $33.00 | $33.00 | 1.0× |
| Seneca, KS single city | 1 | $36.90 | $36.90 | $36.90 | 1.0× |
| Shelby, MT single city | 1 | $40.95 | $40.95 | $40.95 | 1.0× |
| Sidney, MT single city | 1 | $33.44 | $33.44 | $33.44 | 1.0× |
| Soda Springs, ID single city | 1 | $21.90 | $21.90 | $21.90 | 1.0× |
| St. Johnsbury, VT single city | 1 | $22.50 | $22.50 | $22.50 | 1.0× |
| Staples, MN single city | 1 | $20.99 | $20.99 | $20.99 | 1.0× |
| Ste. Genevieve, MO single city | 1 | $17.00 | $17.00 | $17.00 | 1.0× |
| Summersville, WV single city | 1 | $36.50 | $36.50 | $36.50 | 1.0× |
| Sweetwater, TN single city | 1 | $11.36 | $11.36 | $11.36 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 3 | $50.96 | $50.96 | $50.96 | 1.0× |
| Safford, AZ | 1 | $81.00 | $81.00 | $81.00 | 1.0× |
| San Diego-Chula Vista-Carlsbad, CA | 3 | $56.58 | $56.58 | $56.58 | 1.0× |
| San Francisco-Oakland-Fremont, CA | 13 | $50.96 | $50.96 | $58.00 | 1.1× |
| San Jose-Sunnyvale-Santa Clara, CA | 3 | $21.50 | $50.96 | $50.96 | 2.4× |
| Santa Rosa-Petaluma, CA | 1 | $50.96 | $50.96 | $50.96 | 1.0× |
| Seattle-Tacoma-Bellevue, WA | 2 | $11.22 | $15.41 | $19.60 | 1.7× |
| Sebastian-Vero Beach-West Vero Corridor, FL | 1 | $39.69 | $39.69 | $39.69 | 1.0× |
| Shawano, WI | 1 | $38.81 | $38.81 | $38.81 | 1.0× |
| Sioux Falls, SD-MN | 1 | $48.00 | $48.00 | $48.00 | 1.0× |
| Snyder, TX | 1 | $35.00 | $35.00 | $35.00 | 1.0× |
| Spearfish, SD | 2 | $52.80 | $52.80 | $52.80 | 1.0× |
| St. Joseph, MO-KS | 2 | $63.75 | $63.75 | $63.75 | 1.0× |
| Stockton-Lodi, CA | 1 | $50.96 | $50.96 | $50.96 | 1.0× |
| Turtle Lake, ND single city | 1 | $18.07 | $18.07 | $18.07 | 1.0× |
| Texarkana, TX-AR | 1 | $290.33 | $290.33 | $290.33 | 1.0× |
| Toledo, OH | 1 | $24.00 | $24.00 | $24.00 | 1.0× |
| Traverse City, MI | 1 | $27.20 | $27.20 | $27.20 | 1.0× |
| Urban Honolulu, HI | 3 | $39.00 | $39.00 | $81.60 | 2.1× |
| Vallejo, CA | 3 | $42.98 | $50.96 | $50.96 | 1.2× |
| Vermillion, SD | 1 | $29.52 | $29.52 | $29.52 | 1.0× |
| Visalia, CA | 1 | $72.00 | $72.00 | $72.00 | 1.0× |
| Waupaca, WI single city | 1 | $38.81 | $38.81 | $38.81 | 1.0× |
| Wild Rose, WI single city | 1 | $38.81 | $38.81 | $38.81 | 1.0× |
| Winner, SD single city | 1 | $59.00 | $59.00 | $59.00 | 1.0× |
| Winnsboro, LA single city | 1 | $5.67 | $5.67 | $5.67 | 1.0× |
| Wahpeton, ND-MN | 1 | $31.01 | $31.01 | $31.01 | 1.0× |
| Warren, PA | 1 | $33.00 | $33.00 | $33.00 | 1.0× |
| Warsaw, IN | 1 | $41.76 | $41.76 | $41.76 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 1 | $36.50 | $36.50 | $36.50 | 1.0× |
| Weirton-Steubenville, WV-OH | 1 | $24.50 | $24.50 | $24.50 | 1.0× |
| Wenatchee-East Wenatchee, WA | 3 | $22.50 | $25.00 | $58.80 | 2.6× |
| Wheeling, WV-OH | 3 | $23.50 | $23.50 | $36.50 | 1.6× |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
Highest The highest cash price among those hospitals. A single very high price can be an error in the file; check the median too.
Highest ÷ lowest How many times the highest cash price is above the lowest in the same market.
Common questions
What is CPT code 90660?
CPT 90660 is the billing code for nasal spray flu vaccine, live (FluMist). FluMist is a live flu vaccine sprayed into the nose instead of injected, for healthy people aged 2 to 49 who are not pregnant.
Who should not get FluMist?
Pregnant people, people with weakened immune systems, children 2 to 4 with asthma, and people who care for severely immunocompromised patients should get a flu shot instead.
Does insurance cover it?
Most health plans must cover vaccines the CDC recommends for your age with nothing to pay when you use an in-network provider.
What does a dose of the nasal flu vaccine (FluMist) cost a clinic or pharmacy?
$26.20 (FluMist) per dose is the manufacturer's private-sector price in the CDC vaccine price list: what a clinic or pharmacy pays for the vaccine itself. The median hospital cash price, $37.50 across 407 hospitals, is 1.4× that. Giving the shot is billed separately (CPT 90471).
Other vaccine prices
Median hospital cash price, one per hospital.