Adjuvanted flu shot (65+) cost in Rapid City, SD
In Rapid City, SD, 3 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $96.00 to $136.00, with a median of $136.00. The lowest listed price is at Monument Health Rapid City Hospital — $40.00 less than the median here. Across South Dakota, the median is $67.61 at 14 hospitals.
Cash prices at 3 facilities across 3 cities for code 90653, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Sep 1, 2026 and Sep 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 Rapid City, SD.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Monument Health Rapid City Hospital lowest Rapid City, SD · (605) 755-1000 Influenza vaccine, inactivated | $96.00 | $120.00 | $29.52–$137.76 | 20% | Sep 1, 2026 source file |
| Monument Health Custer Hospital Custer, SD · (605) 673-9400 Influenza vaccine, inactivated | $136.00 | $170.00 | $42.50–$170.00 | 20% | Sep 1, 2026 source file |
| Monument Health Sturgis Hospital Sturgis, SD · (605) 720-2400 Influenza vaccine, inactivated | $136.00 | $170.00 | $40.80–$170.00 | 20% | Sep 1, 2026 source file |
Outpatient: lowest $96.00, median $136.00, highest $136.00 — a 1.4× difference within the same market.
Cash or insurance?
At 3 of 3 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.