Vaccines CPT 90653 Outpatient

Adjuvanted flu shot (65+) cost in Wheeling, WV

In Wheeling, WV-OH, 3 hospitals list a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $57.78 to $86.67, with a median of $57.78. The lowest listed price is at Wheeling Hospital and 1 other hospital. Across West Virginia, the median is $73.00 at 18 hospitals.

Cash prices at 3 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 Jul 9, 2026 and Jul 9, 2026.

Lowest$57.78Wheeling Hospital + 1 more
Median$57.78half pay less
Highest$86.67in this market
Difference1.5×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 Wheeling, WV-OH.

median
Lowest $57.78Highest $109.50

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Wheeling Hospital lowest Wheeling, WV · (304) 243-3000 INFLUENZA VACCINE; INACTIVATED $57.78 $115.56 $10.00–$115.56 50% Jul 9, 2026
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Reynolds Memorial Hospital lowest Glen Dale, WV · (304) 843-3230 INFLUENZA VACCINE; INACTIVATED $57.78 $115.56 $10.50–$11.00 50% —
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Reynolds Memorial Hospital Glen Dale, WV · (304) 843-3230 Fluarix 2025-2026 Formula $58.00 $116.00 $10.50–$11.00 50% —
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Reynolds Memorial Hospital Glen Dale, WV · (304) 843-3230 Fluad 2024-2025 Formula $67.46 $134.92 $10.50–$11.00 50% —
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Reynolds Memorial Hospital Glen Dale, WV · (304) 843-3230 Fluad 2025-2026 Formula $67.50 $135.00 $10.50–$11.00 50% —
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Wheeling Hospital Wheeling, WV · (304) 243-3000 Fluad 2025-2026 Formula $67.50 $135.00 $10.00–$135.00 50% Jul 9, 2026
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Reynolds Memorial Hospital Glen Dale, WV · (304) 843-3230 IIV ADJUVANT VACCINE IM $73.00 $146.00 $10.50–$11.00 50% —
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Wheeling Hospital Wheeling, WV · (304) 243-3000 IIV ADJUVANT VACCINE IM $73.00 $146.00 $10.00–$146.00 50% Jul 9, 2026
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Barnesville Hospital Association Barnesville, OH · (740) 425-3941 Fluad 2025-2026 Formula $86.67 $173.34 $4,748.00 50% —
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Barnesville Hospital Association Barnesville, OH · (740) 425-3941 IIV ADJUVANT VACCINE IM $109.50 $219.00 $4,748.00 50% —
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Outpatient: lowest $57.78, median $57.78, highest $86.67 — a 1.5× difference within the same market.

Cash or insurance?

At 2 of 3 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.