Adjuvanted flu shot (65+) cost in Duluth, MN
In Duluth, MN-WI, 7 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $128.48 to $151.18, with a median of $135.02. The lowest listed price is at Essentia Health Virginia — $6.54 less than the median here. Across Minnesota, the median is $67.93 at 33 hospitals.
Cash prices at 7 facilities across 5 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 Jan 1, 2026 and Jan 1, 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 Duluth, MN-WI.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Essentia Health Virginia lowest Virginia, MN · (218) 741-3340 INFLUENZA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $128.48 | $204.58 | $47.05–$184.94 | 37% | Jan 1, 2026 source file |
| Essentia Health Virginia Virginia, MN · (218) 741-3340 INFLUENZA VACCINE ADJ (65+ YRS) 0.5 ML SUSPENSION PREFILLED SYRINGE | $130.00 | $207.00 | $47.61–$187.13 | 37% | Jan 1, 2026 source file |
| Essentia Health St. Mary's Children's Hospital Duluth, MN INFLUENZA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $135.02 | $204.58 | $67.72–$175.94 | 34% | Jan 1, 2026 source file |
| Essentia Health Duluth Duluth, MN · (218) 786-2652 INFLUENZA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $135.02 | $204.58 | $67.72–$175.94 | 34% | Jan 1, 2026 source file |
| Essentia Health St. Mary's Medical Center Duluth, MN · (218) 786-3574 INFLUENZA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $135.02 | $204.58 | $67.72–$175.94 | 34% | Jan 1, 2026 source file |
| Essentia Health St. Mary's Children's Hospital Duluth, MN INFLUENZA VACCINE ADJ (65+ YRS) 0.5 ML SUSPENSION PREFILLED SYRINGE | $136.62 | $207.00 | $68.52–$178.02 | 34% | Jan 1, 2026 source file |
| Essentia Health St. Mary's Medical Center Duluth, MN · (218) 786-3574 INFLUENZA VACCINE ADJ (65+ YRS) 0.5 ML SUSPENSION PREFILLED SYRINGE | $136.62 | $207.00 | $68.52–$178.02 | 34% | Jan 1, 2026 source file |
| Essentia Health Duluth Duluth, MN · (218) 786-2652 INFLUENZA VACCINE ADJ (65+ YRS) 0.5 ML SUSPENSION PREFILLED SYRINGE | $136.62 | $207.00 | $68.52–$178.02 | 34% | Jan 1, 2026 source file |
| Essentia Health St Marys Hospital-Superior Superior, WI · (715) 817-7000 INFLUENZA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $151.18 | $204.58 | $65.47–$185.14 | 26% | Jan 1, 2026 source file |
| Essentia Health Moose Lake Moose Lake, MN · (218) 786-1367 INFLUENZA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $151.18 | $204.58 | $81.42–$185.14 | 26% | Jan 1, 2026 source file |
| Essentia Health Northern Pines Aurora, MN · (218) 229-4222 INFLUENZA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $151.18 | $204.58 | $78.54–$204.58 | 26% | Jan 1, 2026 source file |
| Essentia Health St Marys Hospital-Superior Superior, WI · (715) 817-7000 INFLUENZA VACCINE ADJ (65+ YRS) 0.5 ML SUSPENSION PREFILLED SYRINGE | $152.97 | $207.00 | $66.24–$187.34 | 26% | Jan 1, 2026 source file |
| Essentia Health Moose Lake Moose Lake, MN · (218) 786-1367 INFLUENZA VACCINE ADJ (65+ YRS) 0.5 ML SUSPENSION PREFILLED SYRINGE | $152.97 | $207.00 | $82.39–$187.34 | 26% | Jan 1, 2026 source file |
| Essentia Health Northern Pines Aurora, MN · (218) 229-4222 INFLUENZA VACCINE ADJ (65+ YRS) 0.5 ML SUSPENSION PREFILLED SYRINGE | $152.97 | $207.00 | $79.47–$207.00 | 26% | Jan 1, 2026 source file |
Outpatient: lowest $128.48, median $135.02, highest $151.18 — a 1.2× difference within the same market.
As an inpatient, the same code is billed by 7 facilities here, median $135.02. 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 7 of 7 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.