90687
CPTMedicine & Other ServicesIiv4 vaccine splt 0.25 ml IM
As billed by one hospital: “PR FLU VACCINE QIV IM PED 6-35MTHS 0.25ML”
Based on the latest published hospital price files, code 90687 (Iiv4 vaccine splt 0.25 ml IM) appears at 5 hospitals across 5 cities in 5 states with disclosed cash prices from $4.18 to $24.00. This is public hospital price transparency data, not a guaranteed estimate of your bill.
New to this? Read How to compare hospital prices by CPT code.
What this is
This is a non-surgical medical service — an injection or infusion, a therapy, a specialty test, or another treatment delivered by clinical staff.
What affects the price
Drugs and supplies used during the service are frequently billed on their own separate lines, so the total can exceed the price shown here. Ask which additional codes are expected.
Category: Medicine & Other Services
What the published prices show
Across the 2 hospitals that disclose a cash price for code 90687, the median is $14.09, and disclosed prices run from $4.18 to $24.00.
Published-price availability
A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.
Compare 90687 prices
Filter by hospital, city, setting, or payer — the summary and charts update with your filters.
Published cash prices for code 90687 vary by about 5.7× across the 2 hospitals with disclosed prices here — from $4.18 to $24.00. Shopping around can matter.
Cash price by city
Reflects your current filters.
- New Orleans · 1 hospital$4.18
- Hood River · 1 hospital$24.00
5 prices shown.
| Service | Hospital | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|---|
| Flu vaccine qiv IM ped 6-35mths 0.25ml Outpatient | Ochsner Medical Center - (This file encompasses multiple facilities, including OMC – Jeff Hwy, OMC – Baptist, OMC – Clearview, Ochsner Hospital for Orthopedics & Sports Medicine, and OMC – West Bank Campus) | 90687 CPT | $19.00 | $4.18 | $2.87 – $17.10 | — | |
| Rx influenza quadrivalent (iiv4) IM 0.25 ml Inpatient & outpatient | Providence Hood River Memorial Hospital | 90687 HCPCS | $32.00 | $24.00 | — | — | |
| Flu vaccine iiv4 split virus 0.25 ml dose Outpatient | IU Health Frankfort Hospital | 90687 CPT | — | — | — | — | |
| Iiv4 vaccine splt 0.25 ml IM Outpatient | University of Chicago Medical Center | 90687 HCPCS | — | — | — | — | |
| Iiv4 vaccine splt 0.25 ml IM Outpatient | Van Wert Hospital | 90687 HCPCS | — | — | $59.93 – $59.93 | — |
How to read these prices
- Cash price
- The discounted self-pay price for paying directly, without insurance.
- List price
- The hospital’s full undiscounted charge — rarely what anyone pays.
- Negotiated rate
- A rate for a specific insurer and plan; your share depends on your benefits.
- Allowed amount
- A historical reference for what was actually allowed, where disclosed.
Hospitals that publish 90687 prices
Open a hospital to see this code in the context of its full published prices.
Code 90687: frequently asked
- What does code 90687 cost?
- Across the published hospital price files, the disclosed cash price for 90687 ranges from $4.18 to $24.00. This is public hospital price transparency data, not a guaranteed estimate of your bill.
- Will this be my final bill?
- Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
- What is code 90687?
- 90687 is the billing code hospitals use to identify "Iiv4 vaccine splt 0.25 ml IM" on their published price files. We use it to line up the same service across different hospitals.
- Why do 90687 prices differ between hospitals?
- 5 hospitals across 5 states publish a price for 90687 here. Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
- What this page is not
- It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.