Vaccines CPT 90656 Outpatient

Flu shot cost in Houston, TX

In Houston-Pasadena-The Woodlands, TX, 24 hospitals list a cash price for flu shot, standard dose, preservative-free, for age 6 months and older: from $5.18 to $184.35, with a median of $51.26. The lowest listed price is at The Community Hospital of Brazosport — $46.08 less than the median here. Across Texas, the median is $37.50 at 154 hospitals.

  • The median here, $51.26, is 40% above the US median of $36.65.
  • Houston, TX ranks 3rd of 4 metro areas in Texas by median, cheapest first.
  • 13 of 24 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 24 facilities across 11 cities for code 90656, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 3, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Sep 1, 2026.

Lowest$5.18The Community Hospital of Brazosport
Median$51.26half of hospitals charge less
Highest$184.35in this market
Difference35.6×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 Houston-Pasadena-The Woodlands, TX.

median
Lowest $5.18Highest $184.35

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
The Community Hospital of Brazosport lowest Lake Jackson, TX · (979) 297-4411 FLUARIX TRIVALENT 2024-2025SYR File of Feb 28, 2026 · source file $5.18 $14.80 $1.63–$25.42 65%
Hsa St. Joseph Houston, TX · (713) 757-1000 INFLU (FLUZONE TRIV) PF 0.5ML File of Sep 1, 2026 · source file $15.40 $104.70 $9.05–$104.70 85%
Hsa St. Joseph Houston, TX · (713) 757-1000 INFLU (AFLURIA TRIVAL)PF 0.5ML File of Sep 1, 2026 · source file $16.58 $112.80 $9.75–$112.80 85%
Harris Health Houston, TX · (713) 873-2000 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE File of Mar 24, 2026 · source file $16.59 $35.08 $8.84–$46.17 53%
Harris Health Taub Loop Houston, TX · (713) 873-2000 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE File of Mar 24, 2026 · source file $16.59 $35.08 $8.84–$46.17 53%
Harris Health Taub Loop Houston, TX · (713) 873-2000 CHG FLU VACCINE TRIVALENT (IIV3) SPLIT/PF 0.5ML 3YRS & OLDER (AFLURIA/FLUVIRIN) File of Mar 24, 2026 · source file $19.87 $42.00 $10.58–$46.17 53%
Harris Health Houston, TX · (713) 873-2000 CHG FLU VACCINE TRIVALENT (IIV3) SPLIT/PF 0.5ML 3YRS & OLDER (AFLURIA/FLUVIRIN) File of Mar 24, 2026 · source file $19.87 $42.00 $10.58–$46.17 53%
St Luke's the Woodlands Hospital The Woodlands, TX · (936) 266-4050 FLU VACC TS2024-25 6MOS UP(PF) 45 MCG (15 MCG X 3)/0.5 ML SYRG 0.5 ML SYRINGE File of Feb 28, 2026 · source file $29.48 $84.21 $6.67–$84.21 65%
St Luke's Lakeside Hospital The Woodlands, TX · (936) 266-4055 FLU VACC TS2024-25 6MOS UP(PF) 45 MCG (15 MCG X 3)/0.5 ML SYRG 0.5 ML SYRINGE File of Feb 28, 2026 · source file $29.48 $84.21 $6.67–$84.21 65%
CHI St. Luke's Health Baylor College of Medicine Medical Center Houston, TX · (832) 355-1000 FLU VACC TS2024-25 6MOS UP(PF) 45 MCG (15 MCG X 3)/0.5 ML SYRG 0.5 ML SYRINGE File of Feb 28, 2026 · source file $29.48 $84.21 $9.71–$84.21 65%
St Luke's Sugar Land Hospital Sugar Land, TX · (281) 637-7000 FLU VACC TS2024-25 6MOS UP(PF) 45 MCG (15 MCG X 3)/0.5 ML SYRG 0.5 ML SYRINGE File of Feb 28, 2026 · source file $29.48 $84.21 $13.48–$93.06 65%
St. Lukes Hospital at the Vintage Houston, TX · (832) 534-5000 FLU VACC TS2024-25 6MOS UP(PF) 45 MCG (15 MCG X 3)/0.5 ML SYRG 0.5 ML SYRINGE File of Feb 28, 2026 · source file $29.48 $84.21 $5.46–$84.21 65%
CHI St. Luke's Health Springwood Village Spring, TX · (936) 266-4050 FLU VACC TS2024-25 6MOS UP(PF) 45 MCG (15 MCG X 3)/0.5 ML SYRG 0.5 ML SYRINGE File of Feb 28, 2026 · source file $29.48 $84.21 $6.67–$84.21 65%
Texas Children's Hospital Houston, TX · (832) 824-1000 influenza seasonal IIV3 0.5 ML Susy 0.5 mL Syringe+2 more lines at this price File of Mar 5, 2026 · source file $33.50 $50.00 $13.50–$47.50 33%
HCA Houston Healthcare Pearland Houston, TX · (713) 770-7000 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $51.26 $51.26 $3.08–$68.95 —
HCA Houston Healthcare Conroe Conroe, TX · (936) 539-1111 FLUZONE TRI 0.5 ML PF IM+1 more line at this price File of Sep 1, 2026 · source file $51.26 $51.26 $3.08–$46.13 —
HCA Houston Mainland Texas City, TX · (281) 332-2511 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $51.70 $51.70 $3.10–$46.53 —
HCA Houston Healthcare Clear Lake Alvin, TX · (281) 332-2511 FLUZONE TRI 0.5 ML PF IM+1 more line at this price File of Sep 1, 2026 · source file $51.70 $51.70 $3.10–$68.95 —
HCA Houston Healthcare Southeast Pasadena, TX · (713) 359-1000 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $57.77 $57.77 $3.47–$68.95 —
HCA Houston Healthcare Medical Center Houston, TX · (713) 527-5019 FLUZONE TRI 0.5 ML PF IM+1 more line at this price File of Sep 1, 2026 · source file $67.80 $67.80 $4.07–$68.95 —
HCA Houston Healthcare Tomball Houston, TX · (281) 351-7500 FLUZONE TRI 0.5 ML PF IM+1 more line at this price File of Sep 1, 2026 · source file $67.80 $67.80 $4.07–$68.95 —
The Womans Hospital of Texas Houston, TX · (713) 790-1234 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $125.00 $125.00 $7.50–$106.25 —
HCA Houston Healthcare West Houston, TX · (281) 588-8080 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $141.50 $141.50 $8.49–$127.35 —
HCA Houston Healthcare North Cypress Houston, TX · (281) 359-7500 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $154.86 $154.86 $9.29–$131.63 —
HCA Houston Healthcare Northwest Houston, TX · (281) 440-1000 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $156.11 $156.11 $9.37–$132.69 —
Texas Orthopedic Hospital Houston, TX · (713) 799-8600 FLUZONE TRI 0.5 ML PF IM+1 more line at this price File of Sep 1, 2026 · source file $177.00 $177.00 $10.62–$159.30 —
HCA Houston Healthcare Kingwood Humble, TX · (281) 359-7500 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $184.35 $184.35 $11.06–$165.91 —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $5.18, median $51.26, highest $184.35 — a 35.6× difference within the same market.

As an inpatient, the same code is billed by 10 facilities here, median $29.48. 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 13 of 24 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 flu shot is, what the price covers and why prices differ: Flu shot explained.