Vaccines CPT 90653 Outpatient

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

In Miami-Fort Lauderdale-West Palm Beach, FL, 11 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $81.90 to $249.65, with a median of $81.90. The lowest listed price is at South Miami Hospital and 5 other hospitals. Across Florida, the median is $249.65 at 37 hospitals.

Cash prices at 11 facilities across 9 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 Jun 15, 2026.

Lowest$81.90South Miami Hospital + 5 more
Median$81.90half pay less
Highest$249.65in this market
Difference3.0×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 Miami-Fort Lauderdale-West Palm Beach, FL.

median
Lowest $81.90Highest $249.65

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
South Miami Hospital lowest South Miami, FL · (786) 662-4000 Vacc Fluad>/=65 0.5 mL IM $81.90 $126.00 $15.65–$126.00 35% Mar 30, 2026
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Homestead Hospital lowest Homestead, FL · (786) 243-8000 Vacc Fluad>/=65 0.5 mL IM $81.90 $126.00 $15.65–$126.00 35% Mar 30, 2026
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West Kendall Baptist Hospital lowest Miami, FL · (786) 467-2000 Vacc Fluad>/=65 0.5 mL IM $81.90 $126.00 $15.65–$126.00 35% Mar 30, 2026
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Baptist Hospital of Miami lowest Miami, FL · (786) 596-1960 Vacc Fluad>/=65 0.5 mL IM $81.90 $126.00 $16.14–$126.00 35% Mar 30, 2026
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Bethesda Hospital lowest Boynton Beach, FL · (561) 737-7733 Vacc Fluad>/=65 0.5 mL IM $81.90 $126.00 $16.14–$126.00 35% Mar 30, 2026
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Doctors Hospital lowest Coral Gables, FL · (786) 308-3000 Vacc Fluad>/=65 0.5 mL IM $81.90 $126.00 $15.65–$126.00 35% Mar 30, 2026
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South Miami Hospital South Miami, FL · (786) 662-4000 Vacc Fluad>/=65 0.5 mL IM UCP $120.25 $185.00 $15.65–$185.00 35% Mar 30, 2026
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Baptist Hospital of Miami Miami, FL · (786) 596-1960 Vacc Fluad>/=65 0.5 mL IM UCP $120.25 $185.00 $16.14–$185.00 35% Mar 30, 2026
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Cleveland Clinic Weston Hospital Nonprofit Weston, FL IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $158.60 $244.00 $122.00–$244.00 35% Jun 15, 2026
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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 $249.65 $356.64 $82.03–$717.95 30% May 27, 2026
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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 $249.65 $356.64 $82.03–$717.95 30% May 27, 2026
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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 $249.65 $356.64 $82.03–$717.95 30% May 27, 2026
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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 $249.65 $356.64 $60.63–$717.95 30% May 27, 2026
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Outpatient: lowest $81.90, median $81.90, highest $249.65 — a 3.0× difference within the same market.

As an inpatient, the same code is billed by 10 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 11 of 11 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.