Flu shot cost without insurance
The median cash price for Flu shot is $37.00 per dose across 2,057 US hospitals that publish a self-pay price. Most hospitals (the middle 80%) charge between $14.30 and $119.60.
The flu vaccine is billed by product: the standard-dose shot is one code, the high-dose and adjuvanted shots made for adults 65 and older have their own, and giving the shot is a separate administration fee. Hospitals rarely offer flu shots to walk-in patients, so their cash price is mostly a benchmark; pharmacies, health departments and community health centers are where most uninsured people get one.
Collected Oct 26, 2026 One price per hospital, from each hospital's own price file
Flu shot prices by type
Standard-dose shots are the cheapest; the high-dose, adjuvanted and recombinant vaccines cost several times more because the product costs more, not because the hospital charges more for the visit. Ask which vaccine the quoted price is for, and whether the administration fee is included.
| Procedure | Hospitals | Middle 80% | Median | Medicare |
|---|---|---|---|---|
| Flu shot Flu shot, standard dose, preservative-free, for age 6 months and older · code 90656 | 2,057 | $14.30–$119.60 | $37.00 | — |
| High-dose flu shot (65+) High-dose flu shot, preservative-free, mainly for age 65 and older · code 90662 | 1,677 | $33.80–$361.15 | $100.96 | — |
| Adjuvanted flu shot (65+) Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older · code 90653 | 826 | $37.94–$408.34 | $96.33 | — |
| Flu shot, recombinant (Flublok) Flu shot, recombinant, egg-free (Flublok) · code 90673 | 596 | $27.95–$275.69 | $80.45 | — |
| Nasal flu vaccine (FluMist) Nasal spray flu vaccine, live (FluMist) · code 90660 | 412 | $15.50–$74.80 | $38.19 | — |
“Most charge” is the middle 80% of hospitals (10th to 90th percentile), so one mistyped line in a hospital file cannot stretch it. Each hospital counts once, at its lowest outpatient cash price for the code. “Medicare” is Medicare's 2026 national base rate for the same service outside a hospital stay, including the patient's share (the hospital outpatient, lab or hospital clinic rate); “median 3×” means the median cash price is three times that rate.
Flu shot: median by state
States with at least 5 hospitals, cheapest median first. Pick a state for its flu shot prices and cheapest hospitals.
- West Virginia$19.50
- Minnesota$22.17
- New Hampshire$22.23
- Montana$22.31
- Iowa$22.40
- South Carolina$22.72
- Michigan$22.82
- Maine$23.15
- Wyoming$23.77
- Arkansas$26.61
- New York$28.38
- Washington$28.83
- South Dakota$29.66
- Louisiana$30.04
- North Dakota$30.50
- Hawaii$31.50
- Nebraska$31.90
- Wisconsin$31.92
- Tennessee$31.94
- Kentucky$34.28
- Illinois$34.41
- Virginia$34.70
- Kansas$35.90
- Idaho$36.00
- Vermont$36.89
- California$37.25
- Oregon$39.15
- Indiana$40.64
- Texas$42.58
- Oklahoma$45.00
- Ohio$45.75
- New Mexico$46.09
- Missouri$46.84
- North Carolina$47.52
- Georgia$48.00
- Maryland$50.79
- Massachusetts$52.25
- Alabama$54.00
- Mississippi$58.58
- Connecticut$61.50
- Alaska$61.80
- Utah$64.03
- Nevada$65.59
- Pennsylvania$65.69
- Colorado$65.75
- Florida$74.05
- Arizona$74.33
- New Jersey$74.43
- Delaware$82.45
Flu shot: median by metro area
Metro areas with at least 10 hospitals.
- Atlanta, GA$72.10
- Austin, TX$33.50
- Boston, MA$68.52
- Charlotte, NC$20.00
- Chicago, IL$21.00
- Cleveland, OH$45.75
- Columbus, OH$56.00
- Dallas, TX$37.50
- Denver, CO$78.93
- Detroit, MI$39.00
- Houston, TX$51.70
- Indianapolis, IN$46.53
- Kansas City, MO$95.84
- Los Angeles, CA$37.53
- Louisville, KY$24.00
- Miami, FL$60.00
- Minneapolis, MN$13.69
- Nashville, TN$52.75
- New York, NY$42.56
- Omaha, NE$18.90
- Orlando, FL$65.30
- Philadelphia, PA$74.43
- Phoenix, AZ$158.50
- Pittsburgh, PA$35.42
- Riverside, CA$27.04
- Sacramento, CA$33.60
- San Antonio, TX$112.95
- San Francisco, CA$77.00
- Seattle, WA$15.70
- St. Louis, MO$64.15
- Tampa, FL$100.19
- Washington, DC$36.02
Paying cash: what to do
- Ask whether the price is for the standard-dose vaccine or one of the 65-and-older versions, and whether the injection fee (90471) is included.
- Compare with a pharmacy's posted cash price and your local health department before booking at a hospital; many health departments give flu shots free or at a reduced fee.
- Children under 19 without insurance can get the flu vaccine free through the Vaccines for Children program at participating clinics.
Questions
How much does a flu shot cost without insurance?
The median hospital cash price for Flu shot (code 90656) is $37.00 per dose across 2,057 US hospitals that publish a self-pay price; most charge $14.30 to $119.60. By state, the median runs from $19.50 in West Virginia to $82.45 in Delaware.
Where can I get a flu shot without insurance?
Pharmacies post a cash price for walk-in flu shots, local health departments and community health centers often give them free or on a sliding scale, and some employers and community events offer free clinics in the fall.
Why do some flu shots cost more than others?
Each vaccine product has its own billing code. The high-dose, adjuvanted and recombinant vaccines recommended for adults 65 and older cost more per dose than the standard-dose shot most younger adults get.
Does Medicare cover the flu shot?
Yes. Medicare Part B covers one flu shot each flu season with nothing to pay if the provider accepts Medicare's payment.