Nasal flu vaccine (FluMist) cost in South Dakota
In South Dakota, 8 hospitals publish a cash price for nasal spray flu vaccine, live (FluMist): from $29.52 to $59.00, with a median of $52.80. The lowest price is at Sanford Vermillion Hospital (Vermillion). The highest price is 2.0× 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 27, 2026. See them on a map
Hospitals in South Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Sanford Vermillion Hospital lowest Vermillion · Vermillion, SD Influenza Virus Vaccine Live Intranasal Liquid | $29.52 | $36.90 | Mar 4, 2026 source file |
| Pioneer Memorial Hospital - Cah Viborg · Sioux Falls, SD-MN CDMR FLU VACCINE TRIVALENT LIVE INTRANASAL USE | $48.00 | $48.00 | Apr 30, 2026 source file |
| Monument Health Custer Hospital Custer · Rapid City, SD Influenza vaccine, trivalent for nasal administration | $52.80 | $66.00 | Sep 1, 2026 source file |
| Monument Health Lead-Deadwood Hospital Deadwood · Spearfish, SD Influenza vaccine, trivalent for nasal administration | $52.80 | $66.00 | Sep 1, 2026 source file |
| Monument Health Rapid City Hospital Rapid City · Rapid City, SD Influenza vaccine, trivalent for nasal administration | $52.80 | $66.00 | Sep 1, 2026 source file |
| Monument Health Spearfish Hospital Spearfish · Spearfish, SD Influenza vaccine, trivalent for nasal administration | $52.80 | $66.00 | Sep 1, 2026 source file |
| Monument Health Sturgis Hospital Sturgis · Rapid City, SD Influenza vaccine, trivalent for nasal administration | $52.80 | $66.00 | Sep 1, 2026 source file |
| Winner Regional Healthcare Center Winner · Winner, SD CDMR FLU VACCINE TRIVALENT LIVE INTRANASAL USE | $59.00 | $59.00 | May 7, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Rapid City, SD | 3 | $52.80 | $52.80 |
| Spearfish, SD | 2 | $52.80 | $52.80 |
| Sioux Falls, SD-MN | 1 | $48.00 | $48.00 |
| Vermillion, SD | 1 | $29.52 | $29.52 |
| Winner, SD | 1 | $59.00 | $59.00 |
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
- 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$34.73
- 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
- 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
Median cash price across the state's hospitals.