Vaccines CPT 90653 Outpatient

Adjuvanted flu shot (65+) cost in Hagerstown, MD

In Hagerstown-Martinsburg, MD-WV, 1 hospital lists a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $57.78 to $57.78, with a median of $57.78.

Cash prices at 1 facility 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 —.

Lowest$57.78Berkeley Medical Center
Median$57.78half pay less
Highest$57.78in this market
Difference1.0×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 Hagerstown-Martinsburg, MD-WV.

median
Lowest $57.78Highest $73.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Berkeley Medical Center lowest Martinsburg, WV · (304) 264-1000 INFLUENZA VACCINE; INACTIVATED $57.78 $115.56 $10.70 50% —
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Berkeley Medical Center Martinsburg, WV · (304) 264-1000 Fluarix 2025-2026 Formula $58.00 $116.00 $10.70 50% —
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Berkeley Medical Center Martinsburg, WV · (304) 264-1000 Fluad 2025-2026 Formula $67.50 $135.00 $10.70 50% —
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Berkeley Medical Center Martinsburg, WV · (304) 264-1000 IIV ADJUVANT VACCINE IM $73.00 $146.00 $10.70 50% —
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Outpatient: lowest $57.78, median $57.78, highest $57.78.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. 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.