Vaccines CPT 90653 Outpatient

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

In Chicago-Naperville-Elgin, IL-IN, 15 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 MacNeal Hospital and 1 other hospital — $56.53 less than the median here. Across Illinois, the median is $120.00 at 39 hospitals.

  • The median here, $89.97, is about the same as the US median of $90.00.
  • 3 of 15 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 15 facilities across 14 cities for code 90653, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 26, 2026; the hospital files themselves were last updated between Jan 1, 2025 and Sep 29, 2026.

Lowest$33.44MacNeal Hospital + 1 more
Median$89.97half of hospitals charge 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 priceList priceInsurers payOff list
MacNeal Hospital lowest Berwyn, IL · (708) 783-9100 Influenza (Fluad) Trivalent 0.5ml >65+ Im (Fc) File of Mar 31, 2026 · source file $33.44 $176.00 $33.44–$243.76 81%
Gottlieb Memorial Hospital lowest Melrose Park, IL · (708) 681-3200 Influenza (Fluad) Trivalent 0.5ml >65+ Im (Fc)+1 more line at this price File of Mar 31, 2026 · source file $33.44 $176.00 $52.98–$147.49 81%
Loyola University Medical Center Maywood, IL · (708) 216-9000 Influenza (Fluad) Trivalent 0.5ml >65+ Im (Fc)+1 more line at this price File of Mar 31, 2026 · source file $40.48 $176.00 $36.28–$185.50 77%
Humboldt Park Health Chicago, IL · (773) 292-8200 Influenza vaccine, inactivated File of Sep 29, 2026 · source file $82.32 $294.00 $97.02–$308.70 72%
NorthShore University HealthSystems Skokie Hospital Skokie, IL Influenza Vac (Iiv) Inactv Subunit Adjuvantd Im File of Jan 1, 2025 · source file $83.20 $128.00 $17.28–$69.89 35%
NorthShore University HealthSystems Glenbrook Hospital Glenview, IL Influenza Vac (Iiv) Inactv Subunit Adjuvantd Im File of Jan 1, 2025 · source file $83.20 $128.00 $17.28–$69.89 35%
Uchicago Medicine AdventHealth Glenoaks Glendale Heights, IL · (630) 545-8000 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY File of Apr 1, 2026 · source file $89.97 $359.90 — 75%
Uchicago Medicine AdventHealth La Grange La Grange, IL · (708) 352-1200 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY File of Apr 1, 2026 · source file $89.97 $359.90 — 75%
Uchicago Medicine AdventHealth Hinsdale Hinsdale, IL · (630) 856-9000 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY File of Apr 1, 2026 · source file $89.97 $359.90 — 75%
Uchicago Medicine AdventHealth Bolingbrook Bolingbrook, IL · (630) 312-5000 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY File of Apr 1, 2026 · source file $89.97 $359.90 — 75%
Swedish Covenant Health Chicago, IL · (773) 878-8200 INFLUENZA VAC (IIV) INACTV SUBUNIT ADJUVANTD IM File of Apr 1, 2026 · source file $180.00 $180.00 — —
Endeavor Health Highland Park Hospital Highland Park, IL INFLUENZA VAC (IIV) INACTV SUBUNIT ADJUVANTD IM File of Apr 1, 2026 · source file $180.00 $180.00 — —
Northshore University Healthsystem - Evanston Hospital Evanston, IL · (847) 570-2000 INFLUENZA VAC (IIV) INACTV SUBUNIT ADJUVANTD IM File of Apr 1, 2026 · source file $180.00 $180.00 — —
Methodist Hospital-Southlake Merrillville, IN · (219) 886-4000 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY [156008] File of Aug 18, 2026 · source file $458.64 $655.20 $0.01–$583.13 30%
The Methodist Hospitals Gary, IN · (219) 886-4000 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY [156008] File of Aug 18, 2026 · source file $458.64 $655.20 $0.01–$583.13 30%
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

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 12 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 6 of 8 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 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 adjuvanted flu shot (65+) is, what the price covers and why prices differ: Adjuvanted flu shot (65+) explained.