Adjuvanted flu shot (65+) cost in New York, NY
In New York-Newark-Jersey City, NY-NJ, 18 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $37.68 to $260.10, with a median of $150.83. The lowest listed price is at Nassau University Medical Center — $113.15 less than the median here. Across New York, the median is $141.00 at 33 hospitals.
Cash prices at 18 facilities across 12 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 Oct 28, 2025 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 New York-Newark-Jersey City, NY-NJ.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Nassau University Medical Center lowest East Meadow, NY · (516) 572-0123 Flu Vaccine Adjuvant Im | $37.68 | $53.82 | $13.46–$87.66 | 30% | Oct 28, 2025 source file |
| Maimonides Medical Center Brooklyn, NY · (718) 283-6000 FLU VAC AIIV3 0.5ML>64YR-FLAUD | $57.00 | $57.00 | — | — | Apr 1, 2026 source file |
| Maimonides Medical Center Brooklyn, NY · (718) 283-6000 INFLUENZA AIIV3 >65YR(FLUAD) | $65.00 | $65.00 | — | — | Apr 1, 2026 source file |
| Maimonides Medical Center Brooklyn, NY · (718) 283-6000 INFLUENZA INACTIVATE (IIV) ADJUVANTED TRIVALENT PF | $100.00 | $100.00 | — | — | Apr 1, 2026 source file |
| Mount Sinai Brooklyn Brooklyn, NY HC Influenza Vaccine Fluad Tri 0.5ml Pfs | $123.02 | $136.69 | — | 10% | Apr 1, 2026 source file |
| NYU Langone New York, NY · (212) 263-7300 IIV ADJUVANT VACCINE IM | $141.00 | $742.09 | $7.42–$1,484.18 | 81% | Jan 1, 2026 source file |
| NYU Langone Brooklyn, NY IIV ADJUVANT VACCINE IM | $141.00 | $742.09 | $7.42–$1,484.18 | 81% | Jan 1, 2026 source file |
| NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 IIV ADJUVANT VACCINE IM | $141.00 | $742.09 | $7.42–$1,484.18 | 81% | Jan 1, 2026 source file |
| NYU Langone Mineola, NY IIV ADJUVANT VACCINE IM | $141.00 | $742.09 | $7.42–$1,484.18 | 81% | Jan 1, 2026 source file |
| NYU Langone New York, NY · (212) 263-7300 IIV ADJUVANT VACCINE IM | $141.00 | $742.09 | $7.42–$1,484.18 | 81% | Jan 1, 2026 source file |
| 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 | $150.83 | $150.83 | $38.94–$163.64 | — | Dec 1, 2025 source file |
| 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 | $150.83 | $150.83 | $56.00–$163.64 | — | Dec 1, 2025 source file |
| 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 | $150.83 | $150.83 | $38.94–$163.64 | — | Dec 1, 2025 source file |
| 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 | $150.83 | $150.83 | $56.00–$163.64 | — | Dec 1, 2025 source file |
| The Mount Sinai Hospital New York, NY · (212) 241-7981 influenza vaccine 2024-25 (65YR UP) syringe 0.5 mL Syringe | $160.16 | $177.96 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Queens Long Island, NY influenza vaccine 2024-25 (65YR UP) syringe 0.5 mL Syringe | $160.16 | $177.96 | — | 10% | Apr 1, 2026 source file |
| St Johns Episcopal Hospital Far Rockaway, NY · (718) 869-7000 IIV ADJUVANT VACCINE IM | $164.72 | $164.72 | $83.49 | — | — source file |
| Mount Sinai Brooklyn Brooklyn, NY HC Fluad Flu Vacc Trivalen 0.5ml | $165.20 | $183.55 | — | 10% | Apr 1, 2026 source file |
| Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 IIV ADJUVANT VACCINE IM | $173.00 | $173.00 | $44.50–$1,912.00 | — | — source file |
| Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 IIV ADJUVANT VACCINE IM | $173.00 | $173.00 | $44.50–$1,912.00 | — | — source file |
| Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 Fluad 2025-2026 Formula | $173.00 | $173.00 | $44.50–$1,912.00 | — | — source file |
| Mount Sinai Morningside New York, NY influenza vaccine 2024-25 (65YR UP) syringe 0.5 mL Syringe | $260.10 | $289.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Brooklyn Brooklyn, NY influenza vaccine 2024-25 (65 YEARS+) (PF) 45 mcg/0.5 mL syringe 0.5 mL Syringe | $260.10 | $289.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Behavioral Health Center New York, NY influenza vaccine 2024-25 (65YR UP) syringe 0.5 mL Syringe | $260.10 | $289.00 | — | 10% | Apr 1, 2026 source file |
Outpatient: lowest $37.68, median $150.83, highest $260.10 — a 6.9× difference within the same market.
As an inpatient, the same code is billed by 11 facilities here, median $260.10. 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 12 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.
1 row held back from this comparison
It is priced below $1 or below a tenth of the national median for code 90653 ($94.20). 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.
| Maimonides Medical Center Brooklyn, NYFlu vacc,IIV, inactive,IM | $0.01 | file |