Vaccines CPT 90656 Outpatient

Flu shot cost in Mount Vernon, WA

In Mount Vernon-Anacortes, WA, 2 hospitals list a cash price for flu shot, standard dose, preservative-free, for age 6 months and older: from $14.40 to $52.59, with a median of $33.50. The lowest listed price is at Skagit Valley Hospital — $19.10 less than the median here. Across Washington, the median is $21.26 at 22 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 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$14.40Skagit Valley Hospital
Median$33.50half pay less
Highest$52.59in this market
Difference3.7×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 Mount Vernon-Anacortes, WA.

median
Lowest $14.40Highest $103.32

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Skagit Valley Hospital lowest Mount Vernon, WA HC IIV3 VACC NO PRESV 0.5 ML IM (WVA) $14.40 $18.00 $2.60–$86.93 20% —
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PeaceHealth United General Medical Center Sedro Woolley, WA · (360) 856-6021 IIV3 VACC NO PRSV 0.5 ML IM $52.59 $80.90 $23.22 35% —
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Skagit Valley Hospital Mount Vernon, WA HC IIV3 VACC NO PRESV 0.5 ML IM ADULT $53.60 $67.00 $9.67–$63.65 20% —
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Skagit Valley Hospital Mount Vernon, WA HC INFLUENZA VACCINE 3 & OLDER $53.60 $67.00 $9.67–$63.65 20% —
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Skagit Valley Hospital Mount Vernon, WA FLU VACC TS2024-25 6MOS UP(PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRG [191712] $103.32 $129.15 $18.64–$122.69 20% —
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Outpatient: lowest $14.40, median $33.50, highest $52.59 — a 3.7× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $103.32. 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 1 of 2 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.