Vaccines CPT 90656 Outpatient

Flu shot cost in Manchester, NH

In Manchester-Nashua, NH, 2 hospitals list a cash price for flu shot, standard dose, preservative-free, for age 6 months and older: from $18.32 to $22.23, with a median of $20.28. The lowest listed price is at Elliot Hospital — $1.96 less than the median here. Across New Hampshire, the median is $18.32 at 5 hospitals.

Cash prices at 2 facilities across 2 cities for code 90656, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$18.32Elliot Hospital
Median$20.28half pay less
Highest$22.23in 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 Manchester-Nashua, NH.

median
Lowest $18.32Highest $22.23

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Elliot Hospital lowest Manchester, NH · (603) 669-5300 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY $18.32 $49.52 — 63% Apr 1, 2026
source file
St Joseph Hospital of Nashua Nashua, NH · (603) 882-3000 HC IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $22.23 $57.00 — 61% —
source file

Outpatient: lowest $18.32, median $20.28, highest $22.23 — a 1.2× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $20.28. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.