Vaccines CPT 90656 Outpatient

Flu shot cost in Buffalo, NY

In Buffalo-Cheektowaga, NY, 4 hospitals list a cash price for flu shot, standard dose, preservative-free, for age 6 months and older: from $19.38 to $23.00, with a median of $23.00. The lowest listed price is at Niagara Falls Memorial Medical Center — $3.62 less than the median here. Across New York, the median is $31.49 at 49 hospitals.

Cash prices at 4 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 — and —.

Lowest$19.38Niagara Falls Memorial Medical Center
Median$23.00half pay less
Highest$23.00in this market
Difference1.2×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 Buffalo-Cheektowaga, NY.

median
Lowest $19.38Highest $65.82

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Niagara Falls Memorial Medical Center lowest Niagara Falls, NY · (716) 278-4000 IIV3 VACC NO PRSV 0.5 ML IM $19.38 $27.69 $17.69 30% —
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Sisters of Charity Hospital Buffalo, NY · (716) 862-1000 Iiv3 Vacc Preservative Free 3 Yrs & Older Im Use $23.00 $23.00 $8.60–$90.06 — —
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Mercy Hospital of Buffalo Buffalo, NY · (716) 826-7000 Iiv3 Vacc Preservative Free 3 Yrs & Older Im Use $23.00 $23.00 $8.60–$98.72 — —
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Mount St. Mary's Hospital Lewiston, NY · (716) 297-4800 Iiv3 Vacc Preservative Free 3 Yrs & Older Im Use $23.00 $23.00 $8.60–$90.06 — —
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Niagara Falls Memorial Medical Center Niagara Falls, NY · (716) 278-4000 Fluarix 2025-2026 Formula $28.69 $40.98 $17.69 30% —
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Mercy Hospital of Buffalo Buffalo, NY · (716) 826-7000 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use $44.00 $44.00 $8.60–$98.72 — —
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Mount St. Mary's Hospital Lewiston, NY · (716) 297-4800 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use $44.00 $44.00 $8.60–$90.06 — —
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Sisters of Charity Hospital Buffalo, NY · (716) 862-1000 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use $44.00 $158.00 $8.60–$90.06 72% —
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Sisters of Charity Hospital Buffalo, NY · (716) 862-1000 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use $44.00 $158.00 $8.60–$90.06 72% —
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Mercy Hospital of Buffalo Buffalo, NY · (716) 826-7000 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use $44.00 $44.00 $8.60–$98.72 — —
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Mercy Hospital of Buffalo Buffalo, NY · (716) 826-7000 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $65.82 $65.82 $8.60–$98.72 — —
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Mount St. Mary's Hospital Lewiston, NY · (716) 297-4800 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $65.82 $65.82 $8.60–$90.06 — —
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Sisters of Charity Hospital Buffalo, NY · (716) 862-1000 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $65.82 $65.82 $8.60–$90.06 — —
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Outpatient: lowest $19.38, median $23.00, highest $23.00 — a 1.2× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $23.00. 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 3 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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.