Adjuvanted flu shot (65+) cost in Cleveland, OH
In Cleveland, OH, 8 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $15.75 to $345.75, with a median of $50.25. The lowest listed price is at Metrohealth System — $34.50 less than the median here. Across Ohio, the median is $77.95 at 21 hospitals.
Cash prices at 8 facilities across 8 cities for code 90653, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 14, 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 Cleveland, OH.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Metrohealth System lowest Cleveland, OH · (216) 778-7089 Influenza Vaccine, Inactivated, Subunit, Adjuvanted (Im,Once) | $15.75 | $45.00 | — | 65% | Apr 1, 2026 source file |
| University Hospitals Health System Willoughby, OH HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $50.25 | $67.00 | $26.80–$176.69 | 25% | Jul 14, 2026 source file |
| Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $50.25 | $67.00 | $26.80–$176.69 | 25% | Jul 14, 2026 source file |
| Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $50.25 | $67.00 | $14.81–$230.18 | 25% | Jul 14, 2026 source file |
| UH St John Medical Center Westlake, OH · (440) 835-8000 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $50.25 | $67.00 | $16.42–$261.45 | 25% | Jul 14, 2026 source file |
| Parma Community General Hospital Parma, OH · (440) 743-3000 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $50.25 | $67.00 | $20.37–$193.86 | 25% | Jul 14, 2026 source file |
| UH Regional Hospitals Chardon, OH · (440) 285-6246 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $50.25 | $67.00 | $17.49–$292.22 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Elyria, OH · (440) 329-7500 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $50.25 | $67.00 | $23.99–$198.96 | 25% | Jul 14, 2026 source file |
| Summa Health System Akron, OH · (330) 375-3000 LECANEMAB-IRMB 200 MG/2ML IV SOLN [186721] | $345.75 | $345.75 | — | — | Apr 1, 2026 source file |
Outpatient: lowest $15.75, median $50.25, highest $345.75 — a 22.0× difference within the same market.
As an inpatient, the same code is billed by 8 facilities here, median $50.25. 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 6 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.