Adjuvanted flu shot (65+) cost in Manchester, NH
In Manchester-Nashua, NH, 2 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $30.45 to $68.03, with a median of $49.24. The lowest listed price is at Monadnock Community Hospital — $18.79 less than the median here. Across New Hampshire, the median is $58.24 at 4 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 22, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 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 Manchester-Nashua, NH.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Monadnock Community Hospital lowest Peterborough, NH · (603) 924-7191 FLUAD 65 YRS AND OVER | $30.45 | $50.75 | — | 40% | Apr 1, 2026 source file |
| Elliot Hospital Manchester, NH · (603) 669-5300 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY | $68.03 | $183.86 | — | 63% | Apr 1, 2026 source file |
Outpatient: lowest $30.45, median $49.24, highest $68.03 — a 2.2× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $49.24. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
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.