Vaccines CPT 90656 Outpatient

Flu shot cost in Cleveland, OH

In Cleveland, OH, 23 hospitals list a cash price for flu shot, standard dose, preservative-free, for age 6 months and older: from $8.75 to $48.56, with a median of $45.75. The lowest listed price is at Metrohealth System — $37.00 less than the median here. Across Ohio, the median is $45.75 at 64 hospitals.

Cash prices at 23 facilities across 18 cities for code 90656, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 14, 2026.

Lowest$8.75Metrohealth System
Median$45.75half pay less
Highest$48.56in this market
Difference5.5×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 Cleveland, OH.

median
Lowest $8.75Highest $97.11

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Metrohealth System lowest Cleveland, OH · (216) 778-7089 Influenza Vaccine, Trivalent, Split, Preservative Free, 0.5Ml, Im Use $8.75 $25.00 — 65% Apr 1, 2026
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Metrohealth System lowest Cleveland, OH · (216) 778-7089 Beyfortus: 1 Syringe In 1 Carton (49281-574-88) / 1 Ml In 1 Syringe $8.75 $25.00 — 65% Apr 1, 2026
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Metrohealth System lowest Cleveland, OH · (216) 778-7089 Fluzone Trivalent Northern Hemisphere: 10 Syringe, Glass In 1 Package (49281-424-50) / .5 Ml In 1 Syringe, Glass (49281-424-88) $8.75 $25.00 — 65% Apr 1, 2026
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Summa Health System Akron, OH · (330) 375-3000 PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN [127358] $10.75 $10.75 — — Apr 1, 2026
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Metrohealth System Cleveland, OH · (216) 778-7089 Flulaval 2024/2025: 10 Syringe In 1 Carton (19515-810-52) / .5 Ml In 1 Syringe (19515-810-41) $18.20 $52.00 — 65% Apr 1, 2026
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Metrohealth System Cleveland, OH · (216) 778-7089 NDC Description Not Available $18.20 $52.00 — 65% Apr 1, 2026
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Summa Health System Akron, OH · (330) 375-3000 Noncdm Charge Record $18.76 $18.76 — — Apr 1, 2026
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Southwest General Health Center Middleburg Heights, OH · (440) 816-8000 influenza virus vaccine inactivated 0.5 ML Injection $34.50 $46.00 $14.72–$46.00 25% Jul 1, 2026
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Southwest General Health Center Middleburg Heights, OH · (440) 816-8000 influenza virus vaccine inactivated preservative-free Sus $34.50 $46.00 $14.72–$46.00 25% Jul 1, 2026
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Southwest General Health Center Middleburg Heights, OH · (440) 816-8000 influenza virus vaccine inactivated preservative-free Sus $34.50 $46.00 $14.72–$46.00 25% Jul 1, 2026
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Southwest General Health Center Middleburg Heights, OH · (440) 816-8000 influenza virus vaccine inactivated 0.5 ML Injection $34.50 $46.00 $14.72–$46.00 25% Jul 1, 2026
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Metrohealth System Cleveland, OH · (216) 778-7089 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY [139810] $35.10 $54.00 — 35% Apr 1, 2026
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Southwest General Health Center Middleburg Heights, OH · (440) 816-8000 INFLUENZA VACCINE $38.80 $51.73 $16.55–$51.73 25% Jul 1, 2026
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Southwest General Health Center Middleburg Heights, OH · (440) 816-8000 INFLUENZA VACCINE $38.80 $51.73 $16.55–$51.73 25% Jul 1, 2026
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Uhhs Memorial Hospital of Geneva Geneva, OH · (440) 415-0151 HC IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $44.25 $59.00 $11.80–$88.22 25% Jul 14, 2026
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University Hospitals Health System Conneaut, OH · (440) 593-1131 HC IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $44.25 $59.00 $18.29–$95.37 25% Jul 14, 2026
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UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $45.75 $61.00 $16.47–$114.93 25% Jul 14, 2026
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UH St John Medical Center Westlake, OH · (440) 835-8000 HC IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $45.75 $61.00 $14.95–$70.00 25% Jul 14, 2026
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Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $45.75 $61.00 $10.96–$54.90 25% Jul 14, 2026
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UH Regional Hospitals Chardon, OH · (440) 285-6246 HC IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $45.75 $61.00 $15.92–$78.23 25% Jul 14, 2026
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University Hospitals Health System Elyria, OH · (440) 329-7500 HC IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $45.75 $61.00 $21.84–$54.90 25% Jul 14, 2026
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University Hospitals Health System Willoughby, OH HC IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $45.75 $61.00 $13.24–$54.90 25% Jul 14, 2026
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Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $45.75 $61.00 $13.48–$61.62 25% Jul 14, 2026
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UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $45.75 $61.00 $20.37–$88.91 25% Jul 14, 2026
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Parma Community General Hospital Parma, OH · (440) 743-3000 HC IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $45.75 $61.00 $18.54–$54.90 25% Jul 14, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 INFLUENZA VACCINE $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 INFLUENZA VACCINE $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 INFLUENZA VACCINE $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 INFLUENZA VACCINE $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 INFLUENZA VACCINE $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 INFLUENZA VACCINE $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 INFLUENZA VACCINE $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 INFLUENZA VACCINE $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 INFLUENZA VACCINE $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 INFLUENZA VACCINE $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 INFLUENZA VACCINE $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $21.13–$74.70 35% Jun 15, 2026
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Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $21.13–$74.70 35% Jun 15, 2026
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Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 INFLUENZA VACCINE $48.56 $74.70 $21.13–$74.70 35% Jun 15, 2026
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Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 INFLUENZA VACCINE $48.56 $74.70 $21.13–$74.70 35% Jun 15, 2026
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Cleveland Clinic Health System - East Region Euclid, OH FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Cleveland Clinic Health System - East Region Euclid, OH FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Cleveland Clinic Health System - East Region Euclid, OH INFLUENZA VACCINE $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Cleveland Clinic Health System - East Region Euclid, OH INFLUENZA VACCINE $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $16.28–$74.70 35% Jun 16, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $16.28–$74.70 35% Jun 16, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 INFLUENZA VACCINE $48.56 $74.70 $16.28–$74.70 35% Jun 16, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 INFLUENZA VACCINE $48.56 $74.70 $16.28–$74.70 35% Jun 16, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $48.56 $74.70 $18.98–$74.70 35% Jun 16, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 INFLUENZA VACCINE $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 INFLUENZA VACCINE $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 INFLUENZA VACCINE $48.56 $74.70 $16.28–$74.70 35% Jun 15, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $21.13–$74.70 35% Jun 15, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 FLU VACCINE NO PRESERV 0.25 ML $48.56 $74.70 $21.13–$74.70 35% Jun 15, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 INFLUENZA VACCINE $48.56 $74.70 $21.13–$74.70 35% Jun 15, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 INFLUENZA VACCINE $48.56 $74.70 $21.13–$74.70 35% Jun 15, 2026
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Southwest General Health Center Middleburg Heights, OH · (440) 816-8000 influenza virus vaccine inactivated preservative-free trivalent Sus $82.50 $110.00 $35.20–$110.00 25% Jul 1, 2026
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Southwest General Health Center Middleburg Heights, OH · (440) 816-8000 influenza virus vaccine inactivated preservative-free trivalent Sus $82.50 $110.00 $35.20–$110.00 25% Jul 1, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $32.57–$149.40 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $32.57–$149.40 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $32.57–$149.40 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $32.57–$149.40 35% Jun 15, 2026
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Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $42.25–$149.40 35% Jun 15, 2026
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Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $42.25–$149.40 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $32.57–$149.40 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $32.57–$149.40 35% Jun 15, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $42.25–$149.40 35% Jun 15, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $42.25–$149.40 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $32.57–$149.40 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $32.57–$149.40 35% Jun 15, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $32.57–$149.40 35% Jun 15, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $32.57–$149.40 35% Jun 15, 2026
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Cleveland Clinic Health System - East Region Euclid, OH FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $32.57–$149.40 35% Jun 15, 2026
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Cleveland Clinic Health System - East Region Euclid, OH FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $32.57–$149.40 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $32.57–$149.40 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $32.57–$149.40 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $32.57–$149.40 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 FLUZONE 2025-2026 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE $97.11 $149.40 $32.57–$149.40 35% Jun 15, 2026
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Outpatient: lowest $8.75, median $45.75, highest $48.56 — a 5.5× difference within the same market.

As an inpatient, the same code is billed by 23 facilities here, median $45.75. 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 21 of 21 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.