Vaccines CPT 90653 Outpatient

Adjuvanted flu shot (65+) cost in Athens, TX

In Athens, TX, 1 hospital lists a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $103.98 to $103.98, with a median of $103.98. Across Texas, the median is $81.00 at 68 hospitals.

Cash prices at 1 facility for code 90653, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between — and —.

Lowest$103.98UT Health East Texas Athens Hospital
Median$103.98half pay less
Highest$103.98in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
UT Health East Texas Athens Hospital Athens, TX · (903) 676-1000 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE $103.98 $1,039.85 $108.54–$694.83 90% —
source file

Outpatient: lowest $103.98, median $103.98, highest $103.98.

As an inpatient, the same code is billed by 1 facility here, median $103.98. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated and below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

The adjuvanted flu shot contains an added ingredient (MF59) that strengthens the immune response. It is one of three flu vaccines the CDC prefers for people 65 and older.

What the price covers

The price is for the vaccine dose. Giving the shot is usually a separate line (code 90471 for the first vaccine of the visit); Medicare bills use G0008 instead.