Vaccines CPT 90660 California Outpatient

Nasal flu vaccine (FluMist) cost in California

In California, 50 hospitals publish a cash price for nasal spray flu vaccine, live (FluMist): from $11.60 to $152.80, with a median of $50.96. The lowest price is at UCI Health-Orange (Orange). The highest price is 13.2× the lowest.

Outpatient cash prices, one line per hospital — its lowest listed price for code 90660. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 29, 2026. See them on a map

Lowest$11.60UCI Health-Orange
Median$50.96half of hospitals charge less
Highest$152.80in California
Lowest saves$39.36vs the median

Hospitals in California, cheapest first

HospitalCash priceList priceFile date
UCI Health-Orange lowest Orange · Los Angeles-Long Beach-Anaheim, CA HB VACCINE INFLUENZA VIRUS TRIVALENT LIVE INTRANASAL $11.60 $29.00 Apr 1, 2026
source file
Lucile Salter Packard Children's Hospital at Stanford Palo Alto · San Jose-Sunnyvale-Santa Clara, CA HC Flumist Admin Vfc $21.50 $43.00 Mar 31, 2026
source file
Riverside University Medical Center Moreno Valley · Riverside-San Bernardino-Ontario, CA HC Vfc Vacc Adm Influ Liv in Triv $23.10 $23.10 Mar 30, 2026
source file
Loma Linda University Childrens Hospital Loma Linda · Riverside-San Bernardino-Ontario, CA HC ADMIN VACCINE LAIV3 VACCINE LIVE FOR INTRANASAL USE $39.60 $88.00 Sep 2, 2026
source file
NorthBay Medical Center Fairfield · Vallejo, CA *Flumist Nasal Trivalent $42.98 $42.98 Apr 1, 2026
source file
Kaiser Foundation Hospital & Rehab Center - Vallejo Vallejo · Vallejo, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - Antioch Antioch · San Francisco-Oakland-Fremont, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - Fremont Fremont · San Francisco-Oakland-Fremont, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - Fresno Fresno · Fresno, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - Manteca Manteca · Stockton-Lodi, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - Modesto Modesto · Modesto, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - Oakland/Richmond Oakland · San Francisco-Oakland-Fremont, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - Redwood City Redwood City · San Francisco-Oakland-Fremont, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - Roseville Roseville · Sacramento-Roseville-Folsom, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - Sacramento Sacramento · Sacramento-Roseville-Folsom, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - San Francisco San Francisco · San Francisco-Oakland-Fremont, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - San Jose San Jose · San Jose-Sunnyvale-Santa Clara, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - San Leandro San Leandro · San Francisco-Oakland-Fremont, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - San Rafael San Rafael · San Francisco-Oakland-Fremont, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - Santa Clara Santa Clara · San Jose-Sunnyvale-Santa Clara, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - Santa Rosa Santa Rosa · Santa Rosa-Petaluma, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - South Sacramento Sacramento · Sacramento-Roseville-Folsom, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - South San Francisco South San Francisco · San Francisco-Oakland-Fremont, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - Vacaville Vacaville · Vallejo, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - Walnut Creek Walnut Creek · San Francisco-Oakland-Fremont, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Kaiser Fnd Hospital - Richmond Campus Richmond · San Francisco-Oakland-Fremont, CA LAIV3 VACCINE LIVE FOR INTRANASAL USE $50.96 $91.00 Apr 1, 2026
source file
Mills Health Center San Mateo · San Francisco-Oakland-Fremont, CA HCHG TS INFLUENZA VIRUS VACCINE LIVE INTRANASAL $55.00 $55.00 Apr 1, 2026
source file
Mills-Peninsula Medical Center Burlingame · San Francisco-Oakland-Fremont, CA HCHG TS INFLUENZA VIRUS VACCINE LIVE INTRANASAL $55.00 $55.00 Apr 1, 2026
source file
Kaiser Foundation Hospital - Baldwin Park Baldwin Park · Los Angeles-Long Beach-Anaheim, CA flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE $56.58 $108.80 Apr 1, 2026
source file
Kaiser Foundation Hospital - Downey Downey · Los Angeles-Long Beach-Anaheim, CA flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE $56.58 $108.80 Apr 1, 2026
source file
Kaiser Foundation Hospital - Fontana Fontana · Riverside-San Bernardino-Ontario, CA flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE $56.58 $108.80 Apr 1, 2026
source file
Kaiser Foundation Hospital - Los Angeles Los Angeles · Los Angeles-Long Beach-Anaheim, CA flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE $56.58 $108.80 Apr 1, 2026
source file
Kaiser Foundation Hospital - Moreno Valley Moreno Valley · Riverside-San Bernardino-Ontario, CA flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE $56.58 $108.80 Apr 1, 2026
source file
Kaiser Foundation Hospital - Orange County - Anaheim Anaheim · Los Angeles-Long Beach-Anaheim, CA flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE $56.58 $108.80 Apr 1, 2026
source file
Kaiser Foundation Hospital - Panorama City Panorama City · Los Angeles-Long Beach-Anaheim, CA flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE $56.58 $108.80 Apr 1, 2026
source file
Kaiser Foundation Hospital - Riverside Riverside · Riverside-San Bernardino-Ontario, CA flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE $56.58 $108.80 Apr 1, 2026
source file
Kaiser Foundation Hospital - San Diego - Clairemont Mesa San Diego · San Diego-Chula Vista-Carlsbad, CA flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE $56.58 $108.80 Apr 1, 2026
source file
Kaiser Foundation Hospital - San Diego - Zion San Diego · San Diego-Chula Vista-Carlsbad, CA flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE $56.58 $108.80 Apr 1, 2026
source file
Kaiser Foundation Hospital - San Marcos San Marcos · San Diego-Chula Vista-Carlsbad, CA flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE $56.58 $108.80 Apr 1, 2026
source file
Kaiser Foundation Hospital - South Bay Harbor City · Los Angeles-Long Beach-Anaheim, CA flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE $56.58 $108.80 Apr 1, 2026
source file
Kaiser Foundation Hospital - West LA Los Angeles · Los Angeles-Long Beach-Anaheim, CA flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE $56.58 $108.80 Apr 1, 2026
source file
Kaiser Foundation Hospital - Woodland Hills Woodland Hills · Los Angeles-Long Beach-Anaheim, CA flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE $56.58 $108.80 Apr 1, 2026
source file
Kaiser Fnd Hospital - Irvine Irvine · Los Angeles-Long Beach-Anaheim, CA flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE $56.58 $108.80 Apr 1, 2026
source file
Kaiser Ontario Medical Center Campus Ontario · Riverside-San Bernardino-Ontario, CA flu vaccine TV live 2025-26 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Spry syrg 1 Each SYRINGE $56.58 $108.80 Apr 1, 2026
source file
Chinese Hospital San Francisco · San Francisco-Oakland-Fremont, CA Influenza vaccine, trivalent for nasal administration $58.00 $58.00 Jul 22, 2026
source file
Coast Plaza Doctors Hospital Norwalk · Los Angeles-Long Beach-Anaheim, CA FLU VACCINE NASAL $109.07 $109.07 Feb 4, 2026
source file
Community Hospital of Huntington Park Huntington Park · Los Angeles-Long Beach-Anaheim, CA FLU VACCINE NASAL $109.07 $109.07 Feb 4, 2026
source file
East Los Angeles Doctors Hospital Los Angeles · Los Angeles-Long Beach-Anaheim, CA FLU VACCINE NASAL $109.07 $109.07 Feb 4, 2026
source file
Memorial Hospital of Gardena Gardena · Los Angeles-Long Beach-Anaheim, CA FLU VACCINE NASAL $109.07 $109.07 Feb 4, 2026
source file
Plumas District Hospital Quincy · Quincy, CA Influenza vaccine, trivalent for nasal administration $152.80 $191.00 Aug 5, 2026
source file
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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Los Angeles-Long Beach-Anaheim, CA 14 $11.60 $56.58
San Francisco-Oakland-Fremont, CA 13 $50.96 $50.96
Riverside-San Bernardino-Ontario, CA 6 $23.10 $56.58
Sacramento-Roseville-Folsom, CA 3 $50.96 $50.96
San Diego-Chula Vista-Carlsbad, CA 3 $56.58 $56.58
San Jose-Sunnyvale-Santa Clara, CA 3 $21.50 $50.96
Vallejo, CA 3 $42.98 $50.96
Fresno, CA 1 $50.96 $50.96
Modesto, CA 1 $50.96 $50.96
Quincy, CA 1 $152.80 $152.80
Santa Rosa-Petaluma, CA 1 $50.96 $50.96
Stockton-Lodi, CA 1 $50.96 $50.96
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

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.

Nasal spray flu vaccine, live (FluMist) in other states

Median cash price across the state's hospitals.