Vaccines CPT 90653 Outpatient

Adjuvanted flu shot (65+) cost in Rochester, NY

In Rochester, NY, 4 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $56.53 to $64.00, with a median of $58.58. The lowest listed price is at Strong Memorial Hospital — $2.05 less than the median here. Across New York, the median is $141.00 at 33 hospitals.

Cash prices at 4 facilities across 3 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 — and —.

Lowest$56.53Strong Memorial Hospital
Median$58.58half pay less
Highest$64.00in this market
Difference1.1×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 Rochester, NY.

median
Lowest $56.53Highest $119.85

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Strong Memorial Hospital lowest Rochester, NY · (585) 275-2121 INFLUENZA VAC A&B SURF ANT (FLUAD) ADJ 0.5 ML IM SUSY *I* $56.53 $141.32 — 60% —
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Highland Hospital Rochester, NY · (585) 341-6711 INFLUENZA VAC A&B SURF ANT (FLUAD) ADJ 0.5 ML IM SUSY *I* $56.64 $141.60 — 60% —
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F.F. Thompson Hospital Canandaigua, NY · (585) 396-6000 INFLUENZA VAC A&B SURF ANT (FLUAD) ADJ 0.5 ML IM SUSY *I* $60.52 — — — —
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Nicholas H. Noyes Memorial Hospital Dansville, NY · (585) 335-6001 HB Influenza Vaccine Inact Subunit Adjuvant Im $64.00 — — — —
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F.F. Thompson Hospital Canandaigua, NY · (585) 396-6000 HB Influenza Vaccine Inact Subunit Adjuvant Im $68.00 — — — —
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Nicholas H. Noyes Memorial Hospital Dansville, NY · (585) 335-6001 INFLUENZA VAC A&B SURF ANT (FLUAD) ADJ 0.5 ML IM SUSY *I* $71.14 — — — —
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Nicholas H. Noyes Memorial Hospital Dansville, NY · (585) 335-6001 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $76.33 $128.00 — 40% —
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F.F. Thompson Hospital Canandaigua, NY · (585) 396-6000 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $76.92 $129.00 — 40% —
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Strong Memorial Hospital Rochester, NY · (585) 275-2121 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $87.50 $175.00 $83.49–$171.78 50% —
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Highland Hospital Rochester, NY · (585) 341-6711 HB Influenza Vaccine Inact Subunit Adjuvant Im $119.85 — $15.20–$129.00 — —
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Strong Memorial Hospital Rochester, NY · (585) 275-2121 HB Influenza Vaccine Inact Subunit Adjuvant Im $119.85 — $17.80–$129.00 — —
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Outpatient: lowest $56.53, median $58.58, highest $64.00 — a 1.1× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $66.49. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.