Vaccines CPT 90653 Outpatient

Adjuvanted flu shot (65+) cost in Spokane, WA

In Spokane-Spokane Valley, WA, 1 hospital lists a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $77.00 to $77.00, with a median of $77.00. Across Washington, the median is $84.04 at 14 hospitals.

Cash prices at 1 facility 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$77.00Providence Holy Family Hospital
Median$77.00half pay less
Highest$77.00in this market
Difference1.0×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 Spokane-Spokane Valley, WA.

median
Lowest $77.00Highest $77.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Providence Holy Family Hospital lowest Spokane, WA · (509) 482-0111 HC PR RX INFLUENZA INACTIVATED IIV ADJUVANTED IM 0.5 ML $77.00 $110.00 — 30% Apr 1, 2026
source file
Providence Holy Family Hospital lowest Spokane, WA · (509) 482-0111 HC PR RX INFLUENZA INACTIVATED IIV ADJUVANTED IM 0.5 ML $77.00 $110.00 — 30% Apr 1, 2026
source file

Outpatient: lowest $77.00, median $77.00, highest $77.00.

As an inpatient, the same code is billed by 1 facility here, median $77.00. 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.