Vaccines CPT 90653 Inpatient — admitted to hospital

Adjuvanted flu shot (65+) cost in Webster City, IA — inpatient

In Webster City, IA, 1 hospital lists a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older as an inpatient: from $97.34 to $97.34, with a median of $97.34. Across Iowa, the median is $56.55 at 31 hospitals.

Cash prices at 1 facility for code 90653, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Feb 5, 2026 and Feb 5, 2026.

Lowest$97.34Van Diest Medical Center
Median$97.34half pay less
Highest$97.34in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Van Diest Medical Center Webster City, IA · (515) 832-9400 influenza HD virus vaccine, inactivated adjuvanted preservative-free trivalent Sus UD[VDMC] $97.34 $121.68 $85.18–$109.51 20% Feb 5, 2026
source file

Inpatient: lowest $97.34, median $97.34, highest $97.34.

As an outpatient, the same code is billed by 1 facility here, median $97.34 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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.