Vaccines CPT 90653 Outpatient

Adjuvanted flu shot (65+) cost in New York, NY

In New York-Newark-Jersey City, NY-NJ, 29 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $28.98 to $492.48, with a median of $141.00. The lowest listed price is at Brookdale Hospital Medical Center and 2 other hospitals — $112.02 less than the median here. Across New York, the median is $106.03 at 48 hospitals.

  • The median here, $141.00, is 57% above the US median of $90.00.
  • 9 of 29 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 29 facilities across 20 cities for code 90653, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 8, 2026; the hospital files themselves were last updated between Oct 28, 2025 and Aug 1, 2026.

Lowest$28.98Brookdale Hospital Medical Center + 2 more
Median$141.00half of hospitals charge less
Highest$492.48in this market
Difference17.0×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 New York-Newark-Jersey City, NY-NJ.

median
Lowest $28.98Highest $492.48

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Brookdale Hospital Medical Center lowest Brooklyn, NY · (718) 240-5966 HC IIV ADJUVANT VACCINE IM File of Aug 1, 2026 · source file $28.98 $382.48 $28.98–$65.20 92%
Kingsbrook Jewish Medical Center lowest Brooklyn, NY HC IIV ADJUVANT VACCINE IM File of Aug 1, 2026 · source file $28.98 $382.48 $27.53–$65.20 92%
Interfaith Medical Center lowest Brooklyn, NY influenza vaccine A&B 0.5 ML Susy 0.5 mL Syringe+1 more line at this price File of Aug 1, 2026 · source file $28.98 $56.95 $28.98–$65.20 49%
Nassau University Medical Center East Meadow, NY · (516) 572-0123 Flu Vaccine Adjuvant Im File of Oct 28, 2025 · source file $37.68 $53.82 $13.46–$87.66 30%
Maimonides Medical Center Brooklyn, NY · (718) 283-6000 FLU VAC AIIV3 0.5ML>64YR-FLAUD File of Apr 1, 2026 · source file $57.00 $57.00 — —
Maimonides Medical Center Brooklyn, NY · (718) 283-6000 INFLUENZA AIIV3 >65YR(FLUAD) File of Apr 1, 2026 · source file $65.00 $65.00 — —
St Joseph's Hospital, Yonkers Yonkers, NY · (914) 378-7000 INFLUENZA VACCINE INACT SUBUNIT ADJUVANT IM+2 more lines at this price File of Jul 13, 2026 · source file $98.16 — $71.18–$345.38 —
St. Catherine of Siena Medical Center Smithtown, NY · (631) 862-3000 XRX (NICU) BEVACIZUMAB INTRAVITREAL INJECTION 25 MG/ML File of Feb 19, 2026 · source file $106.03 $595.00 $37.73–$595.00 82%
Good Samaritan Hospital Medical Center West Islip, NY · (631) 376-3000 XRX ABATACEPT 250 MG IV SOLR File of Feb 19, 2026 · source file $106.03 $595.00 $37.73–$595.00 82%
Chsli St Joseph Hospital Bethpage, NY · (516) 759-6000 XRX ABATACEPT 250 MG IV SOLR File of Feb 19, 2026 · source file $106.03 $595.00 $37.73–$595.00 82%
St. Francis Hospital Roslyn, NY XRX ABATACEPT 250 MG IV SOLR File of Feb 19, 2026 · source file $106.03 $595.00 $37.73–$595.00 82%
Mercy Medical Center Rockville Centre, NY · (516) 705-2525 XRX ABATACEPT 250 MG IV SOLR File of Feb 19, 2026 · source file $106.03 $595.00 $37.73–$595.00 82%
Mount Sinai Brooklyn Brooklyn, NY · (212) 420-2000 HC Influenza Vaccine Fluad Tri 0.5ml Pfs File of Apr 1, 2026 · source file $123.02 $136.69 — 10%
St Johns Episcopal Hospital Far Rockaway, NY · (718) 869-7000 IIV ADJUVANT VACCINE IM File of Apr 7, 2026 · source file $140.01 $164.72 $83.49 15%
NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 IIV ADJUVANT VACCINE IM File of Jan 1, 2026 · source file $141.00 $742.09 $7.42–$1,484.18 81%
NYU Langone Brooklyn, NY IIV ADJUVANT VACCINE IM File of Jan 1, 2026 · source file $141.00 $742.09 $7.42–$1,484.18 81%
NYU Langone – Tisch Hospital New York, NY · (212) 263-7300 IIV ADJUVANT VACCINE IM File of Jan 1, 2026 · source file $141.00 $742.09 $7.42–$1,484.18 81%
NYU Langone – Orthopedic Hospital New York, NY IIV ADJUVANT VACCINE IM File of Jan 1, 2026 · source file $141.00 $742.09 $7.42–$1,484.18 81%
NYU Langone Mineola, NY IIV ADJUVANT VACCINE IM File of Jan 1, 2026 · source file $141.00 $742.09 $7.42–$1,484.18 81%
Memorial Hospital for Cancer and Allied Diseases West Harrison, NY FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE File of Dec 1, 2025 · source file $150.83 $150.83 $38.94–$163.64 —
Memorial Hospital for Cancer and Allied Diseases New York, NY FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE File of Dec 1, 2025 · source file $150.83 $150.83 $38.94–$163.64 —
Memorial Hospital for Cancer and Allied Diseases Basking Ridge, NJ FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE File of Dec 1, 2025 · source file $150.83 $150.83 $56.00–$163.64 —
Memorial Hospital for Cancer and Allied Diseases Middletown, NJ FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE File of Dec 1, 2025 · source file $150.83 $150.83 $56.00–$163.64 —
Mount Sinai Queens Long Island, NY influenza vaccine 2024-25 (65 YEARS+) (PF) 45 mcg/0.5 mL syringe 0.5 mL Syringe File of Apr 1, 2026 · source file $160.16 $177.96 — 10%
The Mount Sinai Hospital New York, NY · (212) 241-7981 influenza vaccine 2024-25 (65 YEARS+) (PF) 45 mcg/0.5 mL syringe 0.5 mL Syringe File of Apr 1, 2026 · source file $160.16 $177.96 — 10%
Mount Sinai Brooklyn Brooklyn, NY · (212) 420-2000 HC Fluad Flu Vacc Trivalen 0.5ml File of Apr 1, 2026 · source file $165.20 $183.55 — 10%
Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 IIV ADJUVANT VACCINE IM+1 more line at this price File of Mar 25, 2026 · source file $173.00 $173.00 $44.50–$1,912.00 —
Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 IIV ADJUVANT VACCINE IM File of Mar 25, 2026 · source file $173.00 $173.00 $44.50–$1,912.00 —
Mount Sinai Morningside New York, NY influenza vaccine 2024-25 (65 YEARS+) (PF) 45 mcg/0.5 mL syringe 0.5 mL Syringe File of Apr 1, 2026 · source file $260.10 $289.00 — 10%
Mount Sinai Brooklyn Brooklyn, NY · (212) 420-2000 influenza vaccine 2024-25 (65 YEARS+) (PF) 45 mcg/0.5 mL syringe 0.5 mL Syringe File of Apr 1, 2026 · source file $260.10 $289.00 — 10%
Westchester Medical Center Valhalla, NY · (914) 493-7000 INFLUENZA VACCINE(FLUAD)0.5SYR File of Jul 28, 2026 · source file $311.00 $311.00 $32.65–$311.00 —
Hackensack Meridian Mountainside Medical Center Montclair, NJ · (973) 429-6000 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE File of Feb 12, 2026 · source file $492.48 $492.48 $51.71–$492.48 —
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 $28.98, median $141.00, highest $492.48 — a 17.0× difference within the same market.

As an inpatient, the same code is billed by 16 facilities here, median $210.13. 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 20 of 23 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.

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 90653 ($98.62). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

HospitalCash priceFile
Maimonides Medical Center Brooklyn, NYFlu vacc,IIV, inactive,IM $0.01 file
File Link to the hospital's own price file.