Adjuvanted flu shot (65+) cost in Seattle, WA
In Seattle-Tacoma-Bellevue, WA, 11 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $52.52 to $176.65, with a median of $85.19. The lowest listed price is at Providence Regional Medical Center Everett — $32.67 less than the median here. Across Washington, the median is $84.04 at 14 hospitals.
Cash prices at 11 facilities across 10 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 Feb 28, 2026 and Apr 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 Seattle-Tacoma-Bellevue, WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Providence Regional Medical Center Everett lowest Everett, WA · (425) 261-2000 HC PR RX INFLUENZA INACTIVATED IIV ADJUVANTED IM 0.5 ML | $52.52 | $101.00 | — | 48% | Apr 1, 2026 source file |
| Virginia Mason Medical Center Seattle, WA · (206) 223-6600 FLU VAC, INACTIV (IIV), SUBUNIT, ADJUVANTED, IM(NON STATE) | $53.55 | $105.00 | $63.00–$84.00 | 49% | — source file |
| Virginia Mason Medical Center Seattle, WA · (206) 223-6600 FLU VAC, INACTIV (IIV), SUBUNIT, ADJUVANT, IM(NON STATE) | $53.55 | $105.00 | $63.00–$84.00 | 49% | — source file |
| Saint Clare Hospital Lakewood, WA · (253) 588-1711 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $78.25 | $271.45 | $32.58–$203.59 | 71% | Feb 28, 2026 source file |
| St Anthony Hospital Gig Harbor, WA · (253) 530-2050 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $82.57 | $271.45 | $46.15–$203.59 | 70% | Feb 28, 2026 source file |
| Highline Medical Center Burien, WA · (206) 431-5237 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $82.89 | $271.45 | $41.70–$244.31 | 69% | Feb 28, 2026 source file |
| St Francis Community Hospital Federal Way, WA · (253) 944-8100 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $85.19 | $271.45 | $29.86–$203.59 | 69% | Feb 28, 2026 source file |
| St Joseph Medical Center Tacoma, WA · (253) 627-4101 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $89.91 | $271.45 | $32.58–$203.59 | 67% | Feb 28, 2026 source file |
| Enumclaw Regional Hospital Association Enumclaw, WA FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $95.93 | $271.45 | $46.15–$244.31 | 65% | Feb 28, 2026 source file |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML | $176.65 | $368.03 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML | $176.65 | $368.03 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML | $176.65 | $368.03 | — | 52% | Apr 1, 2026 source file |
| Swedish Edmonds Edmonds, WA · (425) 640-4000 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML | $176.65 | $368.03 | — | 52% | Apr 1, 2026 source file |
Outpatient: lowest $52.52, median $85.19, highest $176.65 — a 3.4× difference within the same market.
As an inpatient, the same code is billed by 11 facilities here, median $85.19. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 7 of 7 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is 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.