Vaccines CPT 90656 Outpatient

Flu shot cost in Nashville, TN

In Nashville-Davidson--Murfreesboro--Franklin, TN, 17 hospitals list a cash price for flu shot, standard dose, preservative-free, for age 6 months and older: from $17.67 to $207.00, with a median of $52.75. The lowest listed price is at Sumner Regional Medical Center — $35.08 less than the median here. Across Tennessee, the median is $34.30 at 59 hospitals.

  • The median here, $52.75, is 44% above the US median of $36.75.
  • 9 of 17 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 17 facilities across 14 cities for code 90656, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Oct 1, 2026.

Lowest$17.67Sumner Regional Medical Center
Median$52.75half of hospitals charge less
Highest$207.00in this market
Difference11.7×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 Nashville-Davidson--Murfreesboro--Franklin, TN.

median
Lowest $17.67Highest $207.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Sumner Regional Medical Center lowest Gallatin, TN · (615) 328-8888 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use File of Jul 10, 2026 · source file $17.67 $75.83 $22.11 77%
Stones River Hospital Woodbury, TN · (615) 563-4001 INFLUENZA VACC (FLULAVAL)+1 more line at this price File of Jul 1, 2026 · source file $18.36 $61.20 $6.19–$35.26 70%
Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 INFLUENZA VACC (FLULAVAL)+1 more line at this price File of Jan 1, 2026 · source file $18.36 $61.20 $15.84–$35.26 70%
Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 INFLUENZA VACC (FLULAVAL)+1 more line at this price File of Jan 1, 2026 · source file $18.36 $61.20 $15.84–$35.26 70%
Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE+2 more lines at this price File of Oct 1, 2026 · source file $18.85 $65.00 — 71%
Riverview Regional Medical Center Carthage, TN · (615) 735-9815 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use File of Jul 10, 2026 · source file $26.31 $80.70 $12.91–$80.70 67%
Tristar Horizon Medical Center Dickson, TN · (615) 446-0446 FLUZONE TRI 0.5 ML PF IM+1 more line at this price File of Sep 1, 2026 · source file $33.39 $33.39 $6.15–$61.53 —
Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE+1 more line at this price File of Oct 1, 2026 · source file $35.10 $65.00 — 46%
Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 INFLUENZA VIRUS VACC (FLUZONE)+1 more line at this price File of Jan 1, 2026 · source file $44.18 $147.25 $15.84–$35.26 70%
Stones River Hospital Woodbury, TN · (615) 563-4001 INFLUENZA VIRUS VACC (FLUZONE)+1 more line at this price File of Jul 1, 2026 · source file $44.18 $147.25 $6.19–$35.26 70%
Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 INFLUENZA VIRUS VACC (FLUZONE)+1 more line at this price File of Jan 1, 2026 · source file $44.18 $147.25 $15.84–$35.26 70%
Tristar Skyline Medical Center Nashville, TN · (615) 769-2000 FLUZONE TRI 0.5 ML PF IM+1 more line at this price File of Sep 1, 2026 · source file $52.75 $52.75 $9.71–$51.70 —
Tristar Hendersonville Medical Center Hendersonville, TN · (615) 338-1000 FLUZONE TRI 0.5 ML PF IM+1 more line at this price File of Sep 1, 2026 · source file $85.50 $85.50 $15.74–$78.66 —
Tristar Summit Medical Center Mt Juliet, TN · (615) 316-3000 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 $95.87 $95.87 $17.65–$84.37 —
Tristar Northcrest Medical Center Springfield, TN · (615) 384-2411 FLUZONE TRI 0.5 ML PF IM+1 more line at this price File of Sep 1, 2026 · source file $110.81 $110.81 $7.76–$90.86 —
Metro Nashville General Hospital Nashville, TN · (615) 341-4000 AMB influenza vacc Charge -> 90656 no prsv 3+> File of Sep 1, 2026 · source file $141.93 $236.55 — 40%
Tristar Stonecrest Medical Center Smyrna, TN · (615) 768-2000 FLUZONE TRI 0.5 ML PF IM+1 more line at this price File of Sep 1, 2026 · source file $166.75 $166.75 $25.97–$153.41 —
Tristar Southern Hills Medical Center Antioch, TN · (615) 781-4000 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 $179.00 $179.00 $25.97–$157.52 —
Tristar Ashland City Medical Center Ashland City, TN · (615) 792-3030 FLUZONE TRI 0.5 ML PF IM+1 more line at this price File of Sep 1, 2026 · source file $207.00 $207.00 $25.97–$2,000.00 —
Tristar Centennial Medical Center Nashville, TN · (615) 342-1000 FLUZONE TRI 0.5 ML PF IM+1 more line at this price File of Sep 1, 2026 · source file $207.00 $207.00 $25.97–$207.00 —
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 $17.67, median $52.75, highest $207.00 — a 11.7× difference within the same market.

As an inpatient, the same code is billed by 6 facilities here, median $18.61. 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 6 of 14 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is 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.