Adjuvanted flu shot (65+) cost in Boston, MA — inpatient
In Boston-Cambridge-Newton, MA-NH, 5 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older as an inpatient: from $63.00 to $141.23, with a median of $141.23. The lowest listed price is at Boston Medical Center Brighton and 1 other hospital — $78.23 less than the median here. Across Massachusetts, the median is $206.01 at 13 hospitals.
Cash prices at 5 facilities across 3 cities for code 90653, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Boston-Cambridge-Newton, MA-NH.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Boston Medical Center Brighton lowest Boston, MA · (617) 789-3000 HC Iiv Adjuvanted Vaccine for Intramuscular Use | $63.00 | $140.00 | $62.51–$475.07 | 55% | — source file |
| Boston Medical Center lowest Boston, MA · (617) 638-8000 HC Iiv Adjuvanted Vaccine for Intramuscular Use | $63.00 | $140.00 | $50.40–$512.54 | 55% | — source file |
| Boston Medical Center Brighton Boston, MA · (617) 789-3000 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $121.61 | $270.24 | $62.51–$475.07 | 55% | — source file |
| Boston Medical Center Boston, MA · (617) 638-8000 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $121.61 | $270.24 | $57.10–$512.54 | 55% | — source file |
| Melrosewakefield Healthcare Melrose, MA · (781) 979-3000 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX | $141.23 | $201.75 | $57.54–$530.75 | 30% | — source file |
| Tufts Medical Center Boston, MA · (617) 636-5000 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX | $141.23 | $201.75 | $52.98–$201.75 | 30% | — source file |
| Lowell General Hospital Lowell, MA · (978) 937-6000 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX | $141.23 | $201.75 | $54.62–$201.75 | 30% | — source file |
| Lowell General Hospital Lowell, MA · (978) 937-6000 HC Pbb Iiv Adjuvanted Vaccine for Intramuscular Us | $295.16 | $421.65 | $54.62–$421.65 | 30% | — source file |
| Melrosewakefield Healthcare Melrose, MA · (781) 979-3000 HC Pbb Iiv Adjuvanted Vaccine for Intramuscular Us | $295.16 | $421.65 | $57.54–$530.75 | 30% | — source file |
| Tufts Medical Center Boston, MA · (617) 636-5000 HC Pbb Iiv Adjuvanted Vaccine for Intramuscular Us | $295.16 | $421.65 | $0.01–$421.65 | 30% | — source file |
Inpatient: lowest $63.00, median $141.23, highest $141.23 — a 2.2× difference within the same market.
As an outpatient, the same code is billed by 5 facilities here, median $141.23 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 5 of 5 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.