High-dose flu shot (65+) cost in Blacksburg, VA
In Blacksburg-Christiansburg-Radford, VA, 2 hospitals list a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $217.00 to $258.00, with a median of $237.50. The lowest listed price is at Lewisgale Hospital Pulaski — $20.50 less than the median here. Across Virginia, the median is $217.30 at 20 hospitals.
Cash prices at 2 facilities across 2 cities for code 90662, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Sep 1, 2026 and Sep 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Blacksburg-Christiansburg-Radford, VA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Lewisgale Hospital Pulaski lowest Pulaski, VA · (540) 994-8100 Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $217.00 | $217.00 | $260.12 | — | Sep 1, 2026 source file |
| Lewisgale Hospital Pulaski lowest Pulaski, VA · (540) 994-8100 FLUZONE HD PF IM | $217.00 | $217.00 | $72.48–$195.30 | — | Sep 1, 2026 source file |
| Lewisgale Hospital Montgomery Christiansburg, VA Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $258.00 | $258.00 | $260.12 | — | Sep 1, 2026 source file |
| Lewisgale Hospital Montgomery Christiansburg, VA FLUZONE HD PF IM | $258.00 | $258.00 | $44.89–$232.20 | — | Sep 1, 2026 source file |
Outpatient: lowest $217.00, median $237.50, highest $258.00 — a 1.2× difference within the same market.
Cash or insurance?
At 2 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 2 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 it is
The high-dose flu shot contains four times the antigen of a standard shot, which gives older adults a stronger immune response. It is one of three flu vaccines the CDC prefers for people 65 and older.
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.