Vaccines CPT 90653 Inpatient — admitted to hospital

Adjuvanted flu shot (65+) cost in Pittsburgh, PA — inpatient

In Pittsburgh, PA, 2 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older as an inpatient: from $102.00 to $145.04, with a median of $123.52. The lowest listed price is at Monogahela Valley Hospital — $21.52 less than the median here. Across Pennsylvania, the median is $336.70 at 8 hospitals.

Cash prices at 2 facilities across 2 cities for code 90653, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Apr 14, 2026 and Apr 14, 2026.

Lowest$102.00Monogahela Valley Hospital
Median$123.52half pay less
Highest$145.04in this market
Difference1.4×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 Pittsburgh, PA.

median
Lowest $102.00Highest $162.60

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Monogahela Valley Hospital lowest Monongahela, PA · (724) 258-1000 FLUAD TRIVALENT VACCINE $102.00 $170.00 $76.50 40% —
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AHN Wexford Hospital Wexford, PA · (412) 295-3319 HC FLUAD TRIVALANT-PRESERV FREE .5ML $145.04 $196.00 $82.16–$103.97 26% Apr 14, 2026
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Monogahela Valley Hospital Monongahela, PA · (724) 258-1000 FLUAD 2019 2020 SYRINGE $162.60 $271.00 $121.95 40% —
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Inpatient: lowest $102.00, median $123.52, highest $145.04 — a 1.4× difference within the same market.

As an outpatient, the same code is billed by 3 facilities here, median $102.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 0 of 2 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.