Vaccines CPT 90656 Outpatient

Flu shot cost in Birmingham, AL

In Birmingham, AL, 5 hospitals list a cash price for flu shot, standard dose, preservative-free, for age 6 months and older: from $15.05 to $217.00, with a median of $43.00. The lowest listed price is at The Children's Hospital of Alabama — $27.95 less than the median here. Across Alabama, the median is $43.00 at 11 hospitals.

Cash prices at 5 facilities across 3 cities for code 90656, 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$15.05The Children's Hospital of Alabama
Median$43.00half pay less
Highest$217.00in this market
Difference14.4×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 Birmingham, AL.

median
Lowest $15.05Highest $217.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
The Children's Hospital of Alabama lowest Birmingham, AL · (205) 939-9100 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $15.05 $35.00 $23.80–$31.50 57% —
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The Children's Hospital of Alabama lowest Birmingham, AL · (205) 939-9100 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $15.05 $35.00 $21.00 57% —
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The Children's Hospital of Alabama lowest Birmingham, AL · (205) 939-9100 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $15.05 $35.00 $23.80–$35.00 57% —
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The Children's Hospital of Alabama lowest Birmingham, AL · (205) 939-9100 HC Flu Vaccine Ts 2024-25(6mos Up)(Pf) 45 Mcg(15mcg X3)/0.5 Ml Im Syringe $15.05 $35.00 $21.00 57% —
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The Children's Hospital of Alabama lowest Birmingham, AL · (205) 939-9100 HC Flu Vaccine Ts 2024-25(6mos Up)(Pf) 45 Mcg(15mcg X3)/0.5 Ml Im Syringe $15.05 $35.00 $23.80–$35.00 57% —
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The Children's Hospital of Alabama lowest Birmingham, AL · (205) 939-9100 HC Flu Vaccine Ts 2024-25(6mos Up)(Pf) 45 Mcg(15mcg X3)/0.5 Ml Im Syringe $15.05 $35.00 $23.80–$31.50 57% —
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Baptist Health Shelby Hospital Alabaster, AL · (205) 620-8100 NDC Description Not Available $43.00 $43.00 — — Apr 1, 2026
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Baptist Health Princeton Hospital Birmingham, AL · (205) 783-3800 NDC Description Not Available $43.00 $43.00 — — Apr 1, 2026
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Baptist Health Walker Hospital Jasper, AL · (205) 387-4000 NDC Description Not Available $43.00 $43.00 — — Apr 1, 2026
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Baptist Health Brookwood Hospital Birmingham, AL · (205) 877-1000 Fluvac>3Yr Pfij ! $217.00 $217.00 — — Apr 1, 2026
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Baptist Health Brookwood Hospital Birmingham, AL · (205) 877-1000 Fluarix 2025/2026: 10 Syringe In 1 Carton (58160-912-52) / .5 Ml In 1 Syringe (58160-912-41) $217.00 $217.00 — — Apr 1, 2026
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Baptist Health Brookwood Hospital Birmingham, AL · (205) 877-1000 Fluarix 2024/2025: 10 Syringe In 1 Carton (58160-884-52) / .5 Ml In 1 Syringe (58160-884-41) $217.00 $217.00 — — Apr 1, 2026
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Baptist Health Brookwood Hospital Birmingham, AL · (205) 877-1000 Fluzone Trivalent Northern Hemisphere: 10 Syringe, Glass In 1 Package (49281-425-50) / .5 Ml In 1 Syringe, Glass (49281-425-88) $217.00 $217.00 — — Apr 1, 2026
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Baptist Health Brookwood Hospital Birmingham, AL · (205) 877-1000 Fluzone Trivalent Northern Hemisphere: 10 Syringe, Glass In 1 Package (49281-424-50) / .5 Ml In 1 Syringe, Glass (49281-424-88) $217.00 $217.00 — — Apr 1, 2026
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Outpatient: lowest $15.05, median $43.00, highest $217.00 — a 14.4× difference within the same market.

As an inpatient, the same code is billed by 5 facilities here, median $43.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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 and 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

A standard-dose flu shot protects against the influenza strains expected in the coming season, and the formula changes every year. This code is the preservative-free version given to most people.

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.