Vaccines CPT 90653 Outpatient

Adjuvanted flu shot (65+) cost in Los Angeles, CA

In Los Angeles-Long Beach-Anaheim, CA, 16 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $141.28 to $336.65, with a median of $141.28. The lowest listed price is at Kaiser Foundation Hospital - South Bay and 8 other hospitals. Across California, the median is $141.28 at 92 hospitals.

  • The median here, $141.28, is 57% above the US median of $90.00.
  • Los Angeles, CA ranks 2nd of 3 metro areas in California by median, cheapest first.
  • 2 of 16 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 16 facilities across 13 cities for code 90653, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 3, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Sep 30, 2026.

Lowest$141.28Kaiser Foundation Hospital - South Bay + 8 more
Median$141.28half of hospitals charge less
Highest$336.65in this market
Difference2.4×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 Los Angeles-Long Beach-Anaheim, CA.

median
Lowest $141.28Highest $336.65

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Kaiser Foundation Hospital - South Bay lowest Harbor City, CA · (310) 325-5111 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file $141.28 $271.70 — 48%
Kaiser Fnd Hospital - Irvine lowest Irvine, CA · (714) 279-4000 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file $141.28 $271.70 — 48%
Kaiser Foundation Hospital - Downey lowest Downey, CA · (562) 461-6007 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file $141.28 $271.70 — 48%
Kaiser Foundation Hospital - Panorama City lowest Panorama City, CA · (818) 375-2000 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file $141.28 $271.70 — 48%
Kaiser Foundation Hospital - Los Angeles lowest Los Angeles, CA · (323) 783-4011 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file $141.28 $271.70 — 48%
Kaiser Foundation Hospital - West LA lowest Los Angeles, CA · (213) 857-2201 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file $141.28 $271.70 — 48%
Kaiser Foundation Hospital - Woodland Hills lowest Woodland Hills, CA · (818) 719-3800 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file $141.28 $271.70 — 48%
Kaiser Foundation Hospital - Orange County - Anaheim lowest Anaheim, CA · (714) 279-4000 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file $141.28 $271.70 — 48%
Kaiser Foundation Hospital - Baldwin Park lowest Baldwin Park, CA · (626) 851-1011 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file $141.28 $271.70 — 48%
Saint John's Health Center Santa Monica, CA · (310) 829-5511 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML File of Apr 1, 2026 · source file $249.17 $711.91 — 65%
Providence Little Company of Mary Medical Center Torrance Torrance, CA · (310) 540-7676 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML File of Apr 1, 2026 · source file $249.17 $711.91 — 65%
Providence Little Co of Mary Medical Center San Pedro San Pedro, CA · (310) 832-3311 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML File of Apr 1, 2026 · source file $249.17 $711.91 — 65%
Providence Cedars Sinai Tarzana Medical Center Tarzana, CA · (818) 881-0800 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML File of Apr 1, 2026 · source file $277.66 $793.30 — 65%
Keck Hospital of USC Los Angeles, CA · (323) 442-8656 Fluad: 10 Syringe, Glass In 1 Carton (70461-024-03) / .5 Ml In 1 Syringe, Glass (70461-024-04)+1 more line at this price File of Apr 1, 2026 · source file $307.59 $307.59 — —
USC Kenneth Norris Jr Cancer Hospital Los Angeles, CA Influenza Virus Vaccine, Inactivated Trivalent Pf (Fluad) 2024-2025+1 more line at this price File of Apr 1, 2026 · source file $307.59 $307.59 — —
Glendale Memorial Hospital & Health Center Glendale, CA · (818) 502-1900 FLU VAC TR ADJ 0.5MLPFS File of Sep 30, 2026 · source file $336.65 $1,070.00 $7.65–$1,070.00 69%
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $141.28, median $141.28, highest $336.65 — a 2.4× difference within the same market.

As an inpatient, the same code is billed by 16 facilities here, median $141.28. 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 the one hospital here that publishes insurer rates for this code, the cash price is 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 adjuvanted flu shot (65+) is, what the price covers and why prices differ: Adjuvanted flu shot (65+) explained.