Vaccines CPT 90653 Outpatient

Adjuvanted flu shot (65+) cost in Key West, FL

In Key West-Key Largo, FL, 2 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $81.90 to $81.90, with a median of $81.90. The lowest listed price is at Fishermens Health and 1 other hospital. Across Florida, the median is $249.65 at 37 hospitals.

Cash prices at 2 facilities across 2 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 Mar 30, 2026 and Mar 30, 2026.

Lowest$81.90Fishermens Health + 1 more
Median$81.90half pay less
Highest$81.90in 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 Key West-Key Largo, FL.

median
Lowest $81.90Highest $81.90

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Fishermens Health lowest Marathon, FL · (305) 434-1000 Vacc Fluad>/=65 0.5 mL IM $81.90 $126.00 $15.65–$126.00 35% Mar 30, 2026
source file
Mariners Hospital lowest Tavernier, FL · (305) 434-3000 Vacc Fluad>/=65 0.5 mL IM $81.90 $126.00 $15.65–$126.00 35% Mar 30, 2026
source file

Outpatient: lowest $81.90, median $81.90, highest $81.90.

As an inpatient, the same code is billed by 2 facilities here, median $81.90. 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 2 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 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.