Adjuvanted flu shot (65+) cost in Buffalo, NY
In Buffalo-Cheektowaga, NY, 4 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $53.00 to $186.00, with a median of $70.60. The lowest listed price is at Sisters of Charity Hospital and 1 other hospital — $17.60 less than the median here. Across New York, the median is $141.00 at 33 hospitals.
Cash prices at 4 facilities across 3 cities for code 90653, as an outpatient — the setting a self-pay patient normally buys. 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 Buffalo-Cheektowaga, NY.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Sisters of Charity Hospital lowest Buffalo, NY · (716) 862-1000 Iiv Adjuvanted Vaccine for Intramuscular Use | $53.00 | $53.00 | $19.82–$182.69 | — | — source file |
| Mercy Hospital of Buffalo lowest Buffalo, NY · (716) 826-7000 Iiv Adjuvanted Vaccine for Intramuscular Use | $53.00 | $53.00 | $19.82–$182.69 | — | — source file |
| Niagara Falls Memorial Medical Center Niagara Falls, NY · (716) 278-4000 INFLUENZA VACCINE; INACTIVATED | $88.20 | $126.00 | $53.27–$54.02 | 30% | — source file |
| Niagara Falls Memorial Medical Center Niagara Falls, NY · (716) 278-4000 IIV ADJUVANT VACCINE IM | $88.98 | $127.12 | $53.27–$54.02 | 30% | — source file |
| Niagara Falls Memorial Medical Center Niagara Falls, NY · (716) 278-4000 Fluad 2025-2026 Formula | $88.98 | $127.12 | $53.27–$54.02 | 30% | — source file |
| Mount St. Mary's Hospital Lewiston, NY · (716) 297-4800 Iiv Adjuvanted Vaccine for Intramuscular Use | $186.00 | $186.00 | $19.82–$182.69 | — | — source file |
Outpatient: lowest $53.00, median $70.60, highest $186.00 — a 3.5× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $53.00. 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 2 of 4 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.