Vaccines CPT 90653 Inpatient — admitted to hospital

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

In New York-Newark-Jersey City, NY-NJ, 11 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older as an inpatient: from $37.68 to $281.99, with a median of $260.10. The lowest listed price is at Nassau University Medical Center — $222.42 less than the median here. Across New York, the median is $141.00 at 33 hospitals.

Cash prices at 11 facilities across 6 cities for code 90653, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Oct 28, 2025 and Apr 1, 2026.

Lowest$37.68Nassau University Medical Center
Median$260.10half pay less
Highest$281.99in this market
Difference7.5×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 $37.68Highest $281.99

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Nassau University Medical Center lowest East Meadow, NY · (516) 572-0123 Flu Vaccine Adjuvant Im $37.68 $53.82 $21.53–$26.91 30% Oct 28, 2025
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 FLU VAC AIIV3 0.5ML>64YR-FLAUD $57.00 $57.00 — — Apr 1, 2026
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 INFLUENZA AIIV3 >65YR(FLUAD) $65.00 $65.00 — — Apr 1, 2026
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 INFLUENZA INACTIVATE (IIV) ADJUVANTED TRIVALENT PF $100.00 $100.00 — — Apr 1, 2026
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Mount Sinai Brooklyn Brooklyn, NY HC Influenza Vaccine Fluad Tri 0.5ml Pfs $123.02 $136.69 — 10% Apr 1, 2026
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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
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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
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Mount Sinai Brooklyn Brooklyn, NY HC Fluad Flu Vacc Trivalen 0.5ml $165.20 $183.55 — 10% Apr 1, 2026
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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
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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
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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
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NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 IIV ADJUVANT VACCINE IM $281.99 $1,484.18 $7.42–$1,484.18 81% Jan 1, 2026
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NYU Langone Brooklyn, NY IIV ADJUVANT VACCINE IM $281.99 $1,484.18 $7.42–$1,484.18 81% Jan 1, 2026
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NYU Langone Mineola, NY IIV ADJUVANT VACCINE IM $281.99 $1,484.18 $7.42–$1,484.18 81% Jan 1, 2026
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NYU Langone New York, NY · (212) 263-7300 IIV ADJUVANT VACCINE IM $281.99 $1,484.18 $7.42–$1,484.18 81% Jan 1, 2026
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NYU Langone New York, NY · (212) 263-7300 IIV ADJUVANT VACCINE IM $281.99 $1,484.18 $7.42–$1,484.18 81% Jan 1, 2026
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Inpatient: lowest $37.68, median $260.10, highest $281.99 — a 7.5× difference within the same market.

As an outpatient, the same code is billed by 18 facilities here, median $150.83 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 4 of 5 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