Vaccines CPT 90660 North Dakota Outpatient

Nasal flu vaccine (FluMist) cost in North Dakota

In North Dakota, 6 hospitals publish a cash price for nasal spray flu vaccine, live (FluMist): from $10.73 to $66.00, with a median of $19.71. The lowest price is at CHI St Alexius Health (Bismarck). The highest price is 6.2× 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$10.73CHI St Alexius Health

Median$19.71half of hospitals charge less

Highest$66.00in North Dakota

Lowest saves$8.98vs the median

Hospitals in North Dakota, cheapest first

Hospital	Cash price	List price	File date
CHI St Alexius Health lowest Bismarck · Bismarck, ND FLU VAC TV LIVE 24-25(2-49YRS) 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY	$10.73	$21.03	Feb 28, 2026 source file
Garrison Memorial Hospital Garrison · Garrison, ND FLU VAC TV LIVE 24-25(2-49YRS) 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY	$17.31	$25.45	Feb 28, 2026 source file
CHI St Alexius Health Turtle Lake Turtle Lake · Turtle Lake, ND FLU VAC TV LIVE 24-25(2-49YRS) 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY	$18.07	$25.45	Feb 28, 2026 source file
Altru Hospital Grand Forks · Grand Forks, ND-MN Influenza Virus Vaccine Live Intranasal Liquid	$21.35	$35.00	Mar 1, 2026 source file
Altru Hospital Devils Lake Devils Lake · Devils Lake, ND Influenza Virus Vaccine Live Intranasal Liquid	$21.35	$35.00	Mar 1, 2026 source file
Towner County Medical Center Cando · Cando, ND Pr Laiv3 Vaccine Live For Intranasal Use	$66.00	$66.00	— 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 area	Hospitals	Lowest	Median
Bismarck, ND	1	$10.73	$10.73
Cando, ND	1	$66.00	$66.00
Devils Lake, ND	1	$21.35	$21.35
Garrison, ND	1	$17.31	$17.31
Grand Forks, ND-MN	1	$21.35	$21.35
Turtle Lake, ND	1	$18.07	$18.07

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.