Vaccines CPT 90653 Inpatient — admitted to hospital

Adjuvanted flu shot (65+) cost in Winner, SD — inpatient

In Winner, SD, 1 hospital lists a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older as an inpatient: from $69.23 to $69.23, with a median of $69.23. Across South Dakota, the median is $67.61 at 14 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 May 7, 2026 and May 7, 2026.

Lowest$69.23Winner Regional Healthcare Center
Median$69.23half pay less
Highest$69.23in 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 Winner, SD.

median
Lowest $69.23Highest $99.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Winner Regional Healthcare Center lowest Winner, SD · (605) 842-7100 Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML $69.23 $69.23 $41.54–$58.85 — May 7, 2026
source file
Winner Regional Healthcare Center Winner, SD · (605) 842-7100 CDMR FLU VACCINE ADJUVANT IM $99.00 $99.00 $59.40–$84.15 — May 7, 2026
source file

Inpatient: lowest $69.23, median $69.23, highest $69.23.

As an outpatient, the same code is billed by 1 facility here, median $69.23 — 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 not 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.