Vaccines CPT 90653 Outpatient

Adjuvanted flu shot (65+) cost in Miami, FL

In Miami-Fort Lauderdale-West Palm Beach, FL, 15 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $30.15 to $249.65, with a median of $81.90. The lowest listed price is at Hialeah Hospital — $51.75 less than the median here. Across Florida, the median is $219.71 at 41 hospitals.

  • The median here, $81.90, is 9% below the US median of $90.00.
  • 1 of 15 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 15 facilities across 10 cities for code 90653, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 4, 2026; the hospital files themselves were last updated between Mar 13, 2026 and Sep 29, 2026.

Lowest$30.15Hialeah Hospital
Median$81.90half of hospitals charge less
Highest$249.65in this market
Difference8.3×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 Miami-Fort Lauderdale-West Palm Beach, FL.

median
Lowest $30.15Highest $249.65

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Hialeah Hospital lowest Hialeah, FL · (305) 693-6100 INFLU (FLUAD TRIV 65 )PF 0.5ML File of Sep 1, 2026 · source file $30.15 $512.88 $21.10–$512.88 94%
North Shore Medical Center Miami, FL · (305) 835-6000 INFLU (FLUAD TRIV 65 )PF 0.5ML+1 more line at this price File of Sep 16, 2026 · source file $35.18 $512.88 $24.63–$512.88 93%
Palmetto General Hospital Hialeah, FL · (305) 823-5000 INFLU (FLUAD TRIV 65 )PF 0.5ML File of Sep 1, 2026 · source file $40.21 $512.88 $28.15–$512.88 92%
Coral Gables Hospital Coral Gables, FL · (305) 445-8461 INFLU (FLUAD TRIV 65 )PF 0.5ML File of Aug 31, 2026 · source file $55.29 $512.88 $38.70–$384.66 89%
West Kendall Baptist Hospital Miami, FL · (786) 467-2000 Vacc Fluad>/=65 0.5 mL IM File of Mar 30, 2026 · source file $81.90 $126.00 $15.65–$126.00 35%
Homestead Hospital Homestead, FL · (786) 243-8000 Vacc Fluad>/=65 0.5 mL IM File of Mar 30, 2026 · source file $81.90 $126.00 $15.65–$126.00 35%
Doctors Hospital Coral Gables, FL · (786) 308-3000 Vacc Fluad>/=65 0.5 mL IM File of Mar 30, 2026 · source file $81.90 $126.00 $15.65–$126.00 35%
Baptist Hospital of Miami Miami, FL · (786) 596-1960 Vacc Fluad>/=65 0.5 mL IM File of Mar 30, 2026 · source file $81.90 $126.00 $16.14–$126.00 35%
South Miami Hospital South Miami, FL · (786) 662-4000 Vacc Fluad>/=65 0.5 mL IM File of Mar 30, 2026 · source file $81.90 $126.00 $15.65–$126.00 35%
Bethesda Hospital Boynton Beach, FL · (561) 737-7733 Vacc Fluad>/=65 0.5 mL IM File of Mar 30, 2026 · source file $81.90 $126.00 $16.14–$126.00 35%
South Miami Hospital South Miami, FL · (786) 662-4000 Vacc Fluad>/=65 0.5 mL IM UCP File of Mar 30, 2026 · source file $120.25 $185.00 $15.65–$185.00 35%
Baptist Hospital of Miami Miami, FL · (786) 596-1960 Vacc Fluad>/=65 0.5 mL IM UCP File of Mar 30, 2026 · source file $120.25 $185.00 $16.14–$185.00 35%
Mount Sinai Medical Center of Florida Miami Beach, FL · (305) 674-2121 FLU VACC 20242565YR UPMF59CPF 45 MCG15 MCGX30.5 ML File of Mar 13, 2026 · source file $219.71 $219.71 $52.73–$1,016.00 —
Memorial Hospital West Pembroke Pines, FL · (954) 436-5000 influenza vaccine 65 yr+ latex-free p/f 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe File of May 27, 2026 · source file $249.65 $356.64 $82.03–$717.95 30%
Memorial Hospital Miramar Miramar, FL · (954) 538-5000 influenza vaccine 65 yr+ latex-free p/f 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe File of Sep 29, 2026 · source file $249.65 $356.64 $52.78–$717.95 30%
Memorial Regional Hospital Hollywood, FL · (954) 987-2000 influenza vaccine 65 yr+ latex-free p/f 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe File of Sep 29, 2026 · source file $249.65 $356.64 $52.78–$717.95 30%
Memorial Hospital Pembroke Pembroke Pines, FL · (954) 962-9650 influenza vaccine 65 yr+ latex-free p/f 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe File of Sep 29, 2026 · source file $249.65 $356.64 $52.78–$717.95 30%
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 $30.15, median $81.90, highest $249.65 — a 8.3× difference within the same market.

As an inpatient, the same code is billed by 11 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 15 of 15 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 adjuvanted flu shot (65+) is, what the price covers and why prices differ: Adjuvanted flu shot (65+) explained.