Vaccines CPT 90653 Inpatient — admitted to hospital

Adjuvanted flu shot (65+) cost in Huntington, WV — inpatient

In Huntington-Ashland, WV-KY-OH, 2 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older as an inpatient: from $49.71 to $475.40, with a median of $262.56. The lowest listed price is at King's Daughters' Medical Center — $212.85 less than the median here. Across West Virginia, the median is $73.00 at 18 hospitals.

Cash prices at 2 facilities across 2 cities for code 90653, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Oct 14, 2025 and Oct 14, 2025.

Lowest$49.71King's Daughters' Medical Center
Median$262.56half pay less
Highest$475.40in this market
Difference9.6×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 Huntington-Ashland, WV-KY-OH.

median
Lowest $49.71Highest $475.40

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
King's Daughters' Medical Center lowest Ashland, KY · (606) 408-4401 HCHG FLU IIV ADJUVANT VACCINE $49.71 $124.26 $58.03–$111.83 60% Oct 14, 2025
source file
Cabell Huntington Hospital Huntington, WV · (304) 526-2000 Influenza vaccine, (Fluad PFS) Age 65 and over Trivalent $475.40 $475.40 $356.55–$475.40 — —
source file

Inpatient: lowest $49.71, median $262.56, highest $475.40 — a 9.6× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $262.56 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 1 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 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.