Adjuvanted flu shot (65+) cost in Omaha, NE
In Omaha, NE-IA, 6 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $37.80 to $44.10, with a median of $37.80. The lowest listed price is at Alegent Health Immanuel Medical Center and 4 other hospitals. Across Nebraska, the median is $69.91 at 12 hospitals.
Cash prices at 6 facilities across 4 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 Feb 28, 2026 and Feb 28, 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 Omaha, NE-IA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Alegent Health Immanuel Medical Center lowest Omaha, NE · (402) 572-2121 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $37.80 | $90.00 | $12.60–$137.76 | 58% | Feb 28, 2026 source file |
| CHI Health Mercy Council Bluffs lowest Council Bluffs, IA · (712) 328-5000 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $37.80 | $90.00 | $13.50–$137.76 | 58% | Feb 28, 2026 source file |
| CHI Health Bergan Mercy lowest Omaha, NE · (402) 398-6020 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $37.80 | $90.00 | $15.30–$137.76 | 58% | Feb 28, 2026 source file |
| CHI Health Bergan Mercy lowest Omaha, NE · (402) 398-6020 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $37.80 | $90.00 | $15.30–$137.76 | 58% | Feb 28, 2026 source file |
| Alegent Creighton Health lowest Papillion, NE · (402) 593-3000 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $37.80 | $90.00 | $16.20–$137.76 | 58% | Feb 28, 2026 source file |
| Alegent Creighton Health lowest Omaha, NE · (402) 717-8000 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $37.80 | $90.00 | $14.40–$137.76 | 58% | Feb 28, 2026 source file |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley, IA · (712) 642-2784 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $44.10 | $90.00 | $31.50–$88.20 | 51% | Feb 28, 2026 source file |
Outpatient: lowest $37.80, median $37.80, highest $44.10 — a 1.2× difference within the same market.
As an inpatient, the same code is billed by 6 facilities here, median $37.80. 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 6 of 6 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.
2 rows held back from this comparison
They are 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.
| Bellevue Medical Center Bellevue, NEInfluenza vaccine, inactivated | $3.25 | file |
| Nebraska Medical Center Omaha, NEInfluenza vaccine, inactivated | $3.25 | file |