Vaccines CPT 90653 Inpatient — admitted to hospital

Adjuvanted flu shot (65+) cost in Portland, OR — inpatient

In Portland-Vancouver-Hillsboro, OR-WA, 9 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older as an inpatient: from $14.27 to $349.44, with a median of $14.27. The lowest listed price is at Legacy Salmon Creek Medical Center and 4 other hospitals. Across Oregon, the median is $95.70 at 16 hospitals.

Cash prices at 9 facilities across 7 cities for code 90653, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$14.27Legacy Salmon Creek Medical Center + 4 more
Median$14.27half pay less
Highest$349.44in this market
Difference24.5×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 Portland-Vancouver-Hillsboro, OR-WA.

median
Lowest $14.27Highest $349.44

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Legacy Salmon Creek Medical Center lowest Vancouver, WA · (360) 487-1000 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $14.27 $21.96 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $14.27 $21.96 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $14.27 $21.96 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $14.27 $21.96 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $14.27 $21.96 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $14.27 $21.96 — 35% Apr 1, 2026
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Legacy Mount Hood Medical Center lowest Gresham, OR · (503) 674-1122 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $14.27 $21.96 — 35% Apr 1, 2026
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Legacy Meridian Park Medical Center lowest Tualatin, OR · (503) 692-1212 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $14.27 $21.96 — 35% Apr 1, 2026
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Kaiser Sunnyside Medical Center Clackamas, OR · (503) 652-2880 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $95.70 $112.58 — 15% —
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Kaiser Foundation Hospital - Westside Hillsboro, OR · (971) 310-0100 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $95.70 $112.58 — 15% —
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Providence Portland Medical Center Portland, OR · (503) 215-1111 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML $349.44 $465.92 — 25% Apr 1, 2026
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Providence Milwaukie Hospital Milwaukie, OR · (503) 513-8300 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML $349.44 $465.92 — 25% Apr 1, 2026
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Inpatient: lowest $14.27, median $14.27, highest $349.44 — a 24.5× difference within the same market.

As an outpatient, the same code is billed by 11 facilities here, median $95.70 — that is the price to compare if you are not being admitted.

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.