Adjuvanted flu shot (65+) cost in Bismarck, ND — inpatient
In Bismarck, ND, 2 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older as an inpatient: from $17.85 to $45.84, with a median of $31.85. The lowest listed price is at St. Alexius Medical Center — $14.00 less than the median here. Across North Dakota, the median is $87.33 at 11 hospitals.
Cash prices at 2 facilities for code 90653, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Mar 4, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Bismarck, ND.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| St. Alexius Medical Center lowest Bismarck, ND · (701) 530-7000 HC INFLUENZA VACCINE INACT SUBUNIT ADJUVANT IM | $17.85 | $35.00 | $12.95–$31.50 | 49% | Feb 28, 2026 source file |
| Sanford Medical Center Bismarck Bismarck, ND · (701) 323-6000 Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML | $45.84 | $57.30 | $31.52–$51.57 | 20% | Mar 4, 2026 source file |
| St. Alexius Medical Center Bismarck, ND · (701) 530-7000 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCGM(15 MCGMX3)/0.5 ML IM SYRINGME | $65.50 | $128.43 | $47.52–$115.59 | 49% | Feb 28, 2026 source file |
Inpatient: lowest $17.85, median $31.85, highest $45.84 — a 2.6× difference within the same market.
As an outpatient, the same code is billed by 2 facilities here, median $31.85 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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.