Vaccines CPT 90656 Outpatient

Flu shot cost in Portland, OR

In Portland-Vancouver-Hillsboro, OR-WA, 10 hospitals list a cash price for flu shot, standard dose, preservative-free, for age 6 months and older: from $16.90 to $65.58, with a median of $19.08. The lowest listed price is at Legacy Salmon Creek Medical Center and 4 other hospitals — $2.18 less than the median here. Across Oregon, the median is $24.00 at 29 hospitals.

Cash prices at 10 facilities across 6 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 Mar 23, 2026 and Apr 1, 2026.

Lowest$16.90Legacy Salmon Creek Medical Center + 4 more
Median$19.08half pay less
Highest$65.58in this market
Difference3.9×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 Portland-Vancouver-Hillsboro, OR-WA.

median
Lowest $16.90Highest $74.07

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Legacy Salmon Creek Medical Center lowest Vancouver, WA · (360) 487-1000 PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $16.90 $26.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $16.90 $26.00 — 35% Apr 1, 2026
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Legacy Mount Hood Medical Center lowest Gresham, OR · (503) 674-1122 PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $16.90 $26.00 — 35% Apr 1, 2026
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Legacy Meridian Park Medical Center lowest Tualatin, OR · (503) 692-1212 PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $16.90 $26.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $16.90 $26.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $16.90 $26.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $16.90 $26.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $16.90 $26.00 — 35% Apr 1, 2026
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PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 Fluzone 2024-2025 Formula PFS $21.26 $32.70 $18.55–$35.98 35% —
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PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 Fluzone 2025-2026 Formula PFS $21.39 $32.90 $18.55–$35.98 35% —
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Kaiser Sunnyside Medical Center Clackamas, OR · (503) 652-2880 IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $26.35 $31.00 — 15% —
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Kaiser Foundation Hospital - Westside Hillsboro, OR · (971) 310-0100 IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $26.35 $31.00 — 15% —
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Kaiser Foundation Hospital - Westside Hillsboro, OR · (971) 310-0100 flu vaccine TS 2025-26 (36 mos up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $30.61 $36.01 — 15% —
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Kaiser Sunnyside Medical Center Clackamas, OR · (503) 652-2880 flu vaccine TS 2025-26 (36 mos up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $30.61 $36.01 — 15% —
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PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 IIV3 VACC NO PRSV 0.5 ML IM $52.59 $80.90 $18.55–$35.98 35% —
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Oregon Health & Science University Portland, OR · (503) 494-9000 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $64.94 $99.90 $19.18–$99.90 35% Mar 23, 2026
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Tuality Healthcare Hillsboro, OR · (503) 681-1111 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $65.58 $100.89 $13.38–$100.89 35% —
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Oregon Health & Science University Portland, OR · (503) 494-9000 Influenza Trivalent(Iiv3) Pf 0.50 Ml $66.99 $103.06 $19.79–$103.06 35% Mar 23, 2026
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Tuality Healthcare Hillsboro, OR · (503) 681-1111 Influenza Trivalent(Iiv3) Pf 0.50 Ml $66.99 $103.06 $13.67–$103.06 35% —
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Kaiser Sunnyside Medical Center Clackamas, OR · (503) 652-2880 flu vaccine TS 2025-26 (6 mos up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $74.07 $87.13 — 15% —
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Kaiser Foundation Hospital - Westside Hillsboro, OR · (971) 310-0100 flu vaccine TS 2025-26 (6 mos up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $74.07 $87.13 — 15% —
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Outpatient: lowest $16.90, median $19.08, highest $65.58 — a 3.9× difference within the same market.

As an inpatient, the same code is billed by 7 facilities here, median $16.90. 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 3 of 3 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.