Adjuvanted flu shot (65+) cost in San Francisco, CA
In San Francisco-Oakland-Fremont, CA, 23 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $125.44 to $671.62, with a median of $529.30. The lowest listed price is at Kaiser Foundation Hospital - San Francisco and 9 other hospitals — $403.86 less than the median here. Across California, the median is $141.28 at 92 hospitals.
- The median here, $529.30, is 488% above the US median of $90.00.
- San Francisco, CA ranks 3rd of 3 metro areas in California by median, cheapest first.
- 12 of 23 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 23 facilities across 16 cities for code 90653, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.
Lowest$125.44Kaiser Foundation Hospital - San Francisco + 9 more
Median$529.30half of hospitals charge less
Highest$671.62in this market
Difference5.4×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 San Francisco-Oakland-Fremont, CA.
median
Lowest $125.44Highest $671.62
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Kaiser Foundation Hospital - San Francisco lowest San Francisco, CA · (415) 833-2646 IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $125.44 | $224.00 | — | 44% |
| Kaiser Foundation Hospital - South San Francisco lowest South San Francisco, CA · (650) 742-3200 IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $125.44 | $224.00 | — | 44% |
| Kaiser Foundation Hospital - Redwood City lowest Redwood City, CA · (650) 299-2000 IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $125.44 | $224.00 | — | 44% |
| Kaiser Foundation Hospital - Oakland/Richmond lowest Oakland, CA · (510) 752-1000 IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $125.44 | $224.00 | — | 44% |
| Kaiser Foundation Hospital - San Leandro lowest San Leandro, CA · (510) 454-1000 IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $125.44 | $224.00 | — | 44% |
| Kaiser Foundation Hospital - Walnut Creek lowest Walnut Creek, CA · (925) 295-4000 IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $125.44 | $224.00 | — | 44% |
| Kaiser Foundation Hospital - Antioch lowest Antioch, CA · (925) 813-6500 IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $125.44 | $224.00 | — | 44% |
| Kaiser Foundation Hospital - Fremont lowest Fremont, CA · (510) 784-4000 IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $125.44 | $224.00 | — | 44% |
| Kaiser Foundation Hospital - San Rafael lowest San Rafael, CA · (415) 444-2000 IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $125.44 | $224.00 | — | 44% |
| Kaiser Fnd Hospital - Richmond Campus lowest Richmond, CA · (510) 752-1000 IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE File of Apr 1, 2026 · source file | $125.44 | $224.00 | — | 44% |
| Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file | $152.15 | $271.70 | — | 44% |
| Kaiser Foundation Hospital - San Rafael San Rafael, CA · (415) 444-2000 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file | $152.15 | $271.70 | — | 44% |
| Kaiser Foundation Hospital - San Leandro San Leandro, CA · (510) 454-1000 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file | $152.15 | $271.70 | — | 44% |
| Kaiser Foundation Hospital - San Francisco San Francisco, CA · (415) 833-2646 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file | $152.15 | $271.70 | — | 44% |
| Kaiser Foundation Hospital - South San Francisco South San Francisco, CA · (650) 742-3200 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file | $152.15 | $271.70 | — | 44% |
| Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file | $152.15 | $271.70 | — | 44% |
| Kaiser Foundation Hospital - Redwood City Redwood City, CA · (650) 299-2000 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file | $152.15 | $271.70 | — | 44% |
| Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA · (925) 295-4000 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file | $152.15 | $271.70 | — | 44% |
| Kaiser Fnd Hospital - Richmond Campus Richmond, CA · (510) 752-1000 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file | $152.15 | $271.70 | — | 44% |
| Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE File of Apr 1, 2026 · source file | $152.15 | $271.70 | — | 44% |
| Stanford Health Care Tri-Valley Pleasanton, CA · (925) 847-3000 Influenza Vac Splt Pf, Tri 0.5ml Dose,65 Yrs+ File of Apr 1, 2026 · source file | $419.20 | $1,048.00 | — | 60% |
| Stanford Health Care Tri-Valley Pleasanton, CA · (925) 847-3000 FLU VAC 2025 65UP-ADJMF59C(PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRG File of Apr 1, 2026 · source file | $491.00 | $1,227.49 | — | 60% |
| Mills Health Center San Mateo, CA · (650) 696-5400 INFLUENZA VAC A&B SA ADJ QUAD 0.5 ML IM PRSY File of Apr 1, 2026 · source file | $529.30 | $529.30 | — | — |
| Mills-Peninsula Medical Center Burlingame, CA · (650) 696-5400 INFLUENZA VAC A&B SA ADJ QUAD 0.5 ML IM PRSY File of Apr 1, 2026 · source file | $529.30 | $529.30 | — | — |
| Sutter Delta Medical Center Antioch, CA · (925) 779-7200 INFLUENZA VAC A&B SA ADJ QUAD 0.5 ML IM PRSY File of Apr 1, 2026 · source file | $529.30 | $529.30 | — | — |
| California Pacific Medical Center- Van Ness Campus San Francisco, CA · (415) 600-6000 INFLUENZA VAC A&B SA ADJ QUAD 0.5 ML IM PRSY File of Apr 1, 2026 · source file | $529.30 | $529.30 | — | — |
| Alta Bates Summit Medical Center Oakland, CA · (510) 655-4000 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY File of Apr 1, 2026 · source file | $571.25 | $571.25 | — | — |
| Eden Medical Center Castro Valley, CA · (510) 537-1234 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY File of Apr 1, 2026 · source file | $571.25 | $571.25 | — | — |
| California Pacific Medical Ctr-Davies Campus Hospital San Francisco, CA · (415) 600-6000 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY File of Apr 1, 2026 · source file | $571.25 | $571.25 | — | — |
| California Pacific Medical Center- Van Ness Campus San Francisco, CA · (415) 600-6000 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY File of Apr 1, 2026 · source file | $571.25 | $571.25 | — | — |
| Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA · (510) 655-4000 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY File of Apr 1, 2026 · source file | $571.25 | $571.25 | — | — |
| Alta Bates Summit Medical Center - Alta Bates Camp Berkeley, CA · (510) 204-4444 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY File of Apr 1, 2026 · source file | $571.25 | $571.25 | — | — |
| Novato Community Hospital Novato, CA · (415) 209-1300 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY File of Apr 1, 2026 · source file | $571.25 | $571.25 | — | — |
| Alta Bates Summit Medical Center - Herrick Campus Berkeley, CA · (510) 204-4444 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY File of Apr 1, 2026 · source file | $571.25 | $571.25 | — | — |
| Alta Bates Summit Medical Center Oakland, CA · (510) 655-4000 INFLUENZA VAC A&B SA ADJ QUAD 0.5 ML IM PRSY File of Apr 1, 2026 · source file | $616.55 | $616.55 | — | — |
| Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA · (510) 655-4000 INFLUENZA VAC A&B SA ADJ QUAD 0.5 ML IM PRSY File of Apr 1, 2026 · source file | $616.55 | $616.55 | — | — |
| Mills-Peninsula Medical Center Burlingame, CA · (650) 696-5400 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY File of Apr 1, 2026 · source file | $663.75 | $663.75 | — | — |
| Mills Health Center San Mateo, CA · (650) 696-5400 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY File of Apr 1, 2026 · source file | $663.75 | $663.75 | — | — |
| California Pacific Medical Center - Mission Bernal San Francisco, CA · (415) 641-6562 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY File of Apr 1, 2026 · source file | $671.62 | $671.62 | — | — |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
Outpatient: lowest $125.44, median $529.30, highest $671.62 — a 5.4× difference within the same market.
As an inpatient, the same code is billed by 22 facilities here, median $474.25. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
What adjuvanted flu shot (65+) is, what the price covers and why prices differ: Adjuvanted flu shot (65+) explained.