Vaccines CPT 90653 Outpatient

Adjuvanted flu shot (65+) cost in Ashley, ND

In Ashley, ND, 1 hospital lists a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $185.50 to $185.50, with a median of $185.50. Across North Dakota, the median is $129.19 at 15 hospitals.

Cash prices at 1 facility for code 90653, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.

Lowest$185.50Ashley Medical Center
Median$185.50half pay less
Highest$185.50in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Ashley Medical Center Ashley, ND · (701) 288-3433 SNF FLUAD VACCINE 2025-2026 $185.50 $185.50 — — —
source file

Outpatient: lowest $185.50, median $185.50, highest $185.50.

As an inpatient, the same code is billed by 1 facility here, median $185.50. 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.