Adjuvanted flu shot (65+) cost in Seattle, WA
In Seattle-Tacoma-Bellevue, WA, 13 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $44.10 to $176.65, with a median of $83.47. The lowest listed price is at Valley Medical Center — $39.37 less than the median here. Across Washington, the median is $82.63 at 19 hospitals.
- The median here, $83.47, is 7% below the US median of $90.00.
- Every hospital here lists a cash price below its full list price.
Cash prices at 13 facilities across 11 cities for code 90653, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 11, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Sep 30, 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 |
|---|---|---|---|---|
| Valley Medical Center lowest Renton, WA · (425) 228-3450 Iiv Adjuvanted Vaccine for Intramuscular Use File of Mar 12, 2026 · source file | $44.10 | $63.00 | — | 30% |
| Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC PR RX INFLUENZA INACTIVATED IIV ADJUVANTED IM 0.5 ML File of Apr 1, 2026 · source file | $52.52 | $101.00 | — | 48% |
| Virginia Mason Medical Center Seattle, WA · (206) 223-6600 FLU VAC, INACTIV (IIV), SUBUNIT, ADJUVANT, IM(NON STATE)+1 more line at this price File of Jan 1, 2026 · source file | $53.55 | $105.00 | $63.00–$84.00 | 49% |
| Saint Clare Hospital Lakewood, WA · (253) 588-1711 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE 0.500 ML SYRINGE File of Sep 30, 2026 · source file | $78.29 | $271.43 | $38.01–$203.58 | 71% |
| St Anthony Hospital Gig Harbor, WA · (253) 530-2050 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE 0.500 ML SYRINGE File of Sep 30, 2026 · source file | $82.55 | $271.43 | $43.43–$203.58 | 70% |
| Highline Medical Center Burien, WA · (206) 431-5237 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE 0.500 ML SYRINGE File of Sep 30, 2026 · source file | $82.63 | $271.43 | $78.72–$244.29 | 70% |
| St Francis Community Hospital Federal Way, WA · (253) 944-8100 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE 0.500 ML SYRINGE File of Sep 30, 2026 · source file | $83.47 | $271.43 | $29.86–$203.58 | 69% |
| 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 File of Feb 28, 2026 · source file | $89.91 | $271.45 | $32.58–$203.59 | 67% |
| St Elizabeth Hospital Enumclaw, WA · (360) 825-2505 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE 0.500 ML SYRINGE File of Sep 30, 2026 · source file | $99.67 | $271.43 | $43.43–$244.29 | 63% |
| Swedish Edmonds Edmonds, WA · (425) 640-4000 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML File of Apr 1, 2026 · source file | $176.65 | $368.03 | — | 52% |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML File of Apr 1, 2026 · source file | $176.65 | $368.03 | — | 52% |
| Swedish Medical Center Seattle, WA · (206) 386-6000 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML File of Apr 1, 2026 · source file | $176.65 | $368.03 | — | 52% |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML File of Apr 1, 2026 · source file | $176.65 | $368.03 | — | 52% |
Outpatient: lowest $44.10, median $83.47, highest $176.65 — a 4.0× difference within the same market.
As an inpatient, the same code is billed by 13 facilities here, median $83.47. 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 adjuvanted flu shot (65+) is, what the price covers and why prices differ: Adjuvanted flu shot (65+) explained.