Vaccines CPT 90656 Outpatient

Flu shot cost in Bismarck, ND

In Bismarck, ND, 1 hospital lists a cash price for flu shot, standard dose, preservative-free, for age 6 months and older: from $12.75 to $12.75, with a median of $12.75. Across North Dakota, the median is $27.59 at 8 hospitals.

Cash prices at 1 facility 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 Feb 28, 2026 and Feb 28, 2026.

Lowest$12.75St. Alexius Medical Center
Median$12.75half pay less
Highest$12.75in 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 Bismarck, ND.

median
Lowest $12.75Highest $15.36

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St. Alexius Medical Center lowest Bismarck, ND · (701) 530-7000 HC INFLUENZA VIRUS VACC SPLIT PRSRV FREE 3 YRS/> IM $12.75 $25.00 $9.25–$22.50 49% Feb 28, 2026
source file
St. Alexius Medical Center Bismarck, ND · (701) 530-7000 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCGM(15MCGM X3)/0.5 ML IM SYRINGME $15.36 $30.10 $11.14–$27.09 49% Feb 28, 2026
source file

Outpatient: lowest $12.75, median $12.75, highest $12.75.

As an inpatient, the same code is billed by 1 facility here, median $12.75. 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. 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.