SelfPayRates
Vaccines CPT 90656 Outpatient

Flu shot cost in Washington, DC

In Washington-Arlington-Alexandria, DC-VA-MD-WV, 13 hospitals list a cash price for flu shot, standard dose, preservative-free, for age 6 months and older: from $10.36 to $259.38, with a median of $36.02. The lowest listed price is at Inova Mount Vernon Hospital and 4 other hospitals — $25.66 less than the median here. Across District of Columbia, the median is $55.55 at 2 hospitals.

  • The median here, $36.02, is about the same as the US median of $36.75.
  • 3 of 13 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 13 facilities across 12 cities for code 90656, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Sep 1, 2026.

Lowest$10.36Inova Mount Vernon Hospital + 4 more
Median$36.02half of hospitals charge less
Highest$259.38in this market
Difference25.0×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 Washington-Arlington-Alexandria, DC-VA-MD-WV.

median
Lowest $10.36Highest $259.38

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Inova Mount Vernon Hospital lowest Alexandria, VA · (703) 664-7105 influenza trivalent 2025-2026 inactivated vaccine 0.5 ML Susy 0.5 mL Syringe File of Apr 1, 2026 · source file $10.36 $20.72 $11.77–$41.03 50%
Inova Loudoun Hospital lowest Leesburg, VA · (703) 858-6600 influenza trivalent 2025-2026 inactivated vaccine 0.5 ML Susy 0.5 mL Syringe File of Apr 1, 2026 · source file $10.36 $20.72 $11.77–$41.03 50%
Inova Fair Oaks Hospital lowest Fairfax, VA · (703) 391-4170 influenza trivalent 2025-2026 inactivated vaccine 0.5 ML Susy 0.5 mL Syringe File of Apr 1, 2026 · source file $10.36 $20.72 $11.77–$41.03 50%
Inova Fairfax Hospital lowest Falls Church, VA · (703) 698-1110 influenza trivalent 2025-2026 inactivated vaccine 0.5 ML Susy 0.5 mL Syringe File of Apr 1, 2026 · source file $10.36 $20.72 $11.77–$41.03 50%
Inova Alexandria Hospital lowest Alexandria, VA · (703) 504-3167 influenza trivalent 2025-2026 inactivated vaccine 0.5 ML Susy 0.5 mL Syringe File of Apr 1, 2026 · source file $10.36 $20.72 $11.77–$41.03 50%
Jefferson Medical Center Ranson, WV · (304) 728-1600 IIV3 VACC NO PRSV 0.5 ML IM File of Jul 12, 2026 · source file $29.00 $58.00 $21.07 50%
MedStar Montgomery Medical Center Olney, MD · (301) 774-8882 INFLUTRIPFLF0.5ML FLULAVAL File of Apr 1, 2026 · source file $36.02 $36.76 $36.02–$36.76 2%
MedStar Washington Hospital Center Washington, DC · (202) 877-7000 MC INFLUTRIPFL 0.5ML FLULAVAL File of Apr 1, 2026 · source file $50.50 $77.69 $22.53–$72.30 35%
MedStar Southern Hospital Center Clinton, MD · (301) 868-8000 INFLUTRIPFLF0.5ML FLULAVAL File of Apr 1, 2026 · source file $51.58 $52.63 $51.58–$52.63 2%
MedStar Georgetown Hospital Northwest Washington, DC · (202) 784-3000 MC INFLUTRIPFL 0.5ML FLULAVAL File of Apr 1, 2026 · source file $60.60 $93.23 $22.38–$83.91 35%
Reston Hospital Center Reston, VA · (703) 689-9000 FLUZONE TRI 0.5 ML PF IM+1 more line at this price File of Sep 1, 2026 · source file $210.50 $210.50 $58.94–$189.45 —
Stonesprings Hospital Center Dulles, VA · (571) 349-4000 FLUZONE TRI 0.5 ML PF IM+1 more line at this price File of Sep 1, 2026 · source file $210.50 $210.50 $61.53–$178.93 —
Spotsylvania Regional Medical Center Fredericksburg, VA · (540) 498-4000 FLUZONE TRI 0.5 ML PF IM+1 more line at this price File of Sep 1, 2026 · source file $259.38 $259.38 $22.52–$233.44 —
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 $10.36, median $36.02, highest $259.38 — a 25.0× difference within the same market.

As an inpatient, the same code is billed by 7 facilities here, median $10.36. 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 9 of 13 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 5 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.