Vaccines CPT 90653 Outpatient

Adjuvanted flu shot (65+) cost in Chicago, IL

In Chicago-Naperville-Elgin, IL-IN, 16 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $33.44 to $458.64, with a median of $89.97. The lowest listed price is at Gottlieb Memorial Hospital — $56.53 less than the median here. Across Illinois, the median is $83.20 at 20 hospitals.

Cash prices at 16 facilities across 14 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 Mar 31, 2026 and Aug 24, 2026.

Lowest$33.44Gottlieb Memorial Hospital
Median$89.97half pay less
Highest$458.64in this market
Difference13.7×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Chicago-Naperville-Elgin, IL-IN.

median
Lowest $33.44Highest $458.64

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Gottlieb Memorial Hospital lowest Melrose Park, IL · (708) 681-3200 Influenza (Fluad) Trivalent 0.5ml >65+ Im (Fc) $33.44 $176.00 $52.98–$147.49 81% Mar 31, 2026
source file
Gottlieb Memorial Hospital lowest Melrose Park, IL · (708) 681-3200 Influenza (Fluad) Trivalent 0.5ml >65+ Im (Fc) $33.44 $176.00 $52.98–$147.49 81% Mar 31, 2026
source file
Loyola University Medical Center Maywood, IL · (708) 216-9000 Influenza (Fluad) Trivalent 0.5ml >65+ Im (Fc) $40.48 $176.00 $36.28 77% Mar 31, 2026
source file
Loyola University Medical Center Maywood, IL · (708) 216-9000 Influenza (Fluad) Trivalent 0.5ml >65+ Im (Fc) $40.48 $176.00 $61.07–$185.50 77% Mar 31, 2026
source file
Humboldt Park Health Chicago, IL · (773) 292-8200 Influenza vaccine, inactivated $82.32 $294.00 $294.00 72% Aug 24, 2026
source file
NorthShore University HealthSystems Highland Park Hospital Highland Park, IL Influenza Vac (Iiv) Inactv Subunit Adjuvantd Im $83.20 $128.00 $17.28–$69.89 35% —
source file
NorthShore University HealthSystems Evanston Hospital Evanson, IL · (847) 570-2000 Influenza Vac (Iiv) Inactv Subunit Adjuvantd Im $83.20 $128.00 $17.28–$69.89 35% —
source file
NorthShore University HealthSystems Skokie Hospital Skokie, IL Influenza Vac (Iiv) Inactv Subunit Adjuvantd Im $83.20 $128.00 $17.28–$69.89 35% —
source file
NorthShore University HealthSystems Glenbrook Hospital Glenview, IL Influenza Vac (Iiv) Inactv Subunit Adjuvantd Im $83.20 $128.00 $17.28–$69.89 35% —
source file
Uchicago Medicine AdventHealth Bolingbrook Bolingbrook, IL · (630) 312-5000 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY $89.97 $359.90 — 75% Apr 1, 2026
source file
Uchicago Medicine AdventHealth La Grange La Grange, IL · (708) 352-1200 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY $89.97 $359.90 — 75% Apr 1, 2026
source file
Uchicago Medicine AdventHealth La Grange La Grange, IL · (708) 352-1200 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY $89.97 $359.90 — 75% Apr 1, 2026
source file
Uchicago Medicine AdventHealth Bolingbrook Bolingbrook, IL · (630) 312-5000 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY $89.97 $359.90 — 75% Apr 1, 2026
source file
Uchicago Medicine AdventHealth Glenoaks Glendale Heights, IL · (630) 545-8000 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY $89.97 $359.90 — 75% Apr 1, 2026
source file
Uchicago Medicine AdventHealth Glenoaks Glendale Heights, IL · (630) 545-8000 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY $89.97 $359.90 — 75% Apr 1, 2026
source file
Uchicago Medicine AdventHealth Hinsdale Hinsdale, IL · (630) 856-9000 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY $89.97 $359.90 — 75% Apr 1, 2026
source file
Uchicago Medicine AdventHealth Hinsdale Hinsdale, IL · (630) 856-9000 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY $89.97 $359.90 — 75% Apr 1, 2026
source file
Endeavor Health Clinical Operations Highland Park, IL INFLUENZA VAC (IIV) INACTV SUBUNIT ADJUVANTD IM $180.00 $180.00 — — Apr 1, 2026
source file
Swedish Covenant Health Chicago, IL · (773) 878-8200 INFLUENZA VAC (IIV) INACTV SUBUNIT ADJUVANTD IM $180.00 $180.00 — — Apr 1, 2026
source file
Northshore University Healthsystem - Evanston Hospital Evanston, IL · (847) 570-2000 INFLUENZA VAC (IIV) INACTV SUBUNIT ADJUVANTD IM $180.00 $180.00 — — Apr 1, 2026
source file
The Methodist Hospitals Gary, IN · (219) 886-4000 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY [156008] $458.64 $655.20 $0.01–$583.13 30% —
source file
The Methodist Hospitals Merrillville, IN INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY [156008] $458.64 $655.20 $0.01–$583.13 30% —
source file

Outpatient: lowest $33.44, median $89.97, highest $458.64 — a 13.7× difference within the same market.

As an inpatient, the same code is billed by 13 facilities here, median $89.97. 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 4 of 9 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 it is 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.