Vaccines CPT 90656 Outpatient

Flu shot cost in Omaha, NE

In Omaha, NE-IA, 8 hospitals list a cash price for flu shot, standard dose, preservative-free, for age 6 months and older: from $18.90 to $2,681.10, with a median of $18.90. The lowest listed price is at Alegent Creighton Health and 4 other hospitals. Across Nebraska, the median is $18.90 at 14 hospitals.

Cash prices at 8 facilities across 4 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 Feb 14, 2026 and Feb 28, 2026.

Lowest$18.90Alegent Creighton Health + 4 more
Median$18.90half pay less
Highest$2,681.10in this market
Difference141.9×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 Omaha, NE-IA.

median
Lowest $18.90Highest $2,681.10

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Alegent Creighton Health lowest Omaha, NE · (402) 717-8000 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $18.90 $45.00 $7.20–$42.56 58% Feb 28, 2026
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Alegent Health Immanuel Medical Center lowest Omaha, NE · (402) 572-2121 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $18.90 $45.00 $6.30–$42.56 58% Feb 28, 2026
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CHI Health Mercy Council Bluffs lowest Council Bluffs, IA · (712) 328-5000 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $18.90 $45.00 $6.75–$42.56 58% Feb 28, 2026
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CHI Health Bergan Mercy lowest Omaha, NE · (402) 398-6020 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $18.90 $45.00 $7.65–$38.25 58% Feb 28, 2026
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CHI Health Bergan Mercy lowest Omaha, NE · (402) 398-6020 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $18.90 $45.00 $7.65–$42.56 58% Feb 28, 2026
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Alegent Creighton Health lowest Papillion, NE · (402) 593-3000 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $18.90 $45.00 $8.10–$42.56 58% Feb 28, 2026
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Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley, IA · (712) 642-2784 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $22.05 $45.00 $15.75–$44.10 51% Feb 28, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $2,579.76 $7,166.00 $1,404.54–$5,016.20 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $2,579.76 $7,166.00 $1,404.54–$5,016.20 64% Feb 14, 2026
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Jennie Edmundson Memorial Hospital Council Bluffs, IA · (712) 396-6000 IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $2,681.10 $8,937.00 $1,751.65–$6,255.90 70% Feb 15, 2026
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Outpatient: lowest $18.90, median $18.90, highest $2,681.10 — a 141.9× difference within the same market.

As an inpatient, the same code is billed by 8 facilities here, median $18.90. 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 8 of 8 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.

2 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 90656 ($37.72). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Bellevue Medical Center Bellevue, NEInfluenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage $3.25 file
Nebraska Medical Center Omaha, NEInfluenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage $3.25 file