Cash prices Maryland Outpatient

Flu shot cost in Maryland without insurance

In Maryland, the median cash price for Flu shot is $50.79 across 10 hospitals, from $27.54 to $83.48. The lowest is at MedStar Franklin Square Medical Center (Baltimore). The US median is $37.64.

Why Maryland prices look low: Maryland is the only state where a commission (the HSCRC) sets hospital rates for every payer, so its hospitals publish prices far below the rest of the country. A separate physician fee may still apply.

Maryland law (Health-General §19-214.1) requires hospitals to give free medically necessary care to patients with family income at or below 200% of the federal poverty level and to cut the bill by 75% up to 250% and 60% up to 300%. With medical debt above 25% of family income in a year, discounts reach up to 500%. Immigration status does not count. Ask the hospital for its financial assistance application. Other states' laws.

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 Sep 29, 2026 One price per hospital: its lowest outpatient cash price for the code

Flu shot prices in Maryland 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	Range	Median	US median
Flu shot Flu shot, standard dose, preservative-free, for age 6 months and older · code 90656	10	$27.54–$83.48	$50.79	$37.64
High-dose flu shot (65+) High-dose flu shot, preservative-free, mainly for age 65 and older · code 90662	9	$76.00–$266.14	$120.72	$100.00
Adjuvanted flu shot (65+) Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older · code 90653	1	$75.00	$75.00	$95.40
Flu shot, recombinant (Flublok) Flu shot, recombinant, egg-free (Flublok) · code 90673	1	$75.60	$75.60	$83.00
Nasal flu vaccine (FluMist) Nasal spray flu vaccine, live (FluMist) · code 90660	1	$25.00	$25.00	$38.25

Procedure The service and its billing code (CPT or HCPCS). Opens the comparison of every hospital that prices it. More

Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.

Middle 80% Cash prices of most hospitals: a tenth of hospitals charge less than the first number (P10), a tenth charge more than the second (P90). More

Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

US median The median cash price across all US hospitals that publish one for this code.

Outpatient cash prices in Maryland. Each hospital counts once, at its lowest cash price for the code; prices for both sides of the body and inpatient prices are not mixed in. Pick a procedure to compare every hospital in the state.

Lowest Flu shot prices in Maryland

Flu shot cost in other states

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.