Vaccines CPT 90662 Outpatient

High-dose flu shot (65+) cost in Boston, MA

In Boston-Cambridge-Newton, MA-NH, 14 hospitals list a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $58.05 to $663.00, with a median of $203.16. The lowest listed price is at Boston Medical Center — $145.11 less than the median here. Across Massachusetts, the median is $219.00 at 15 hospitals.

  • The median here, $203.16, is 105% above the US median of $99.00.
  • 9 of 14 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 14 facilities across 13 cities for code 90662, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 3, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Sep 1, 2026.

Lowest$58.05Boston Medical Center
Median$203.16half of hospitals charge less
Highest$663.00in this market
Difference11.4×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 Boston-Cambridge-Newton, MA-NH.

median
Lowest $58.05Highest $663.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Boston Medical Center lowest Boston, MA · (617) 638-8000 HC Flu Vaccine, Increase Antigen Presv Free File of Mar 13, 2026 · source file $58.05 $129.00 $36.12–$512.54 55%
Signature Healthcare Brockton Hospital Brockton, MA · (508) 941-7000 VACC; FLUZONE HIGH DOSE 0.7 mL File of Jan 28, 2026 · source file $67.90 $97.00 $35.89–$120.25 30%
Lahey Hospital & Medical Center, Burlington Burlington, MA · (781) 744-5100 HC RX HIGH DOSE FLU VACCINE (FLUZONE) File of Apr 1, 2026 · source file $72.00 $72.00 — —
Cambridge Health Alliance Cambridge, MA · (617) 665-1000 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY File of Mar 20, 2026 · source file $79.30 $79.30 $50.43–$187.45 —
Portsmouth Regional Hospital Portsmouth, NH · (603) 436-5110 FLUZONE HD PF IM+1 more line at this price File of Sep 1, 2026 · source file $111.00 $111.00 $4.57–$423.56 —
Dover Emergency Room Dover, NH · (603) 436-5110 Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $111.00 $111.00 $4.57–$423.56 —
Seabrook Emergency Seabrook, NH · (603) 436-5110 Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $111.00 $111.00 $4.57–$423.56 —
Cambridge Health Alliance Cambridge, MA · (617) 665-1000 HC PR Iiv Vaccine Preserv Free Increased Ag Count Im File of Mar 20, 2026 · source file $120.00 $120.00 $66.25–$187.45 —
Exeter Hospital Exeter, NH · (603) 778-7311 HC RX HIGH DOSE FLU VACCINE (FLUZONE) File of Apr 1, 2026 · source file $295.32 $295.32 — —
Lowell General Hospital Lowell, MA · (978) 937-6000 HC Pbb Iiv Vaccine Preserv Free Increased Ag Count File of Apr 1, 2026 · source file $381.21 $544.59 $64.17–$544.59 30%
Tufts Medical Center Boston, MA · (617) 636-5000 HC Pbb Iiv Vaccine Preserv Free Increased Ag Count File of Apr 1, 2026 · source file $381.21 $544.59 $0.01–$544.59 30%
Melrosewakefield Healthcare Melrose, MA · (781) 979-3000 HC Pbb Iiv Vaccine Preserv Free Increased Ag Count File of Apr 1, 2026 · source file $381.21 $544.59 $67.60–$588.87 30%
Frisbie Memorial Hospital Rochester, NH · (603) 332-5211 FLUZONE HD PF IM+1 more line at this price File of Sep 1, 2026 · source file $539.00 $539.00 $44.41–$431.20 —
Plaistow Fser Plaistow, NH · (603) 421-2100 Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $663.00 $663.00 $20.49–$629.85 —
Parkland Medical Center Derry, NH · (603) 421-2100 FLUZONE HD PF IM+1 more line at this price File of Sep 1, 2026 · source file $663.00 $663.00 $20.49–$629.85 —
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 $58.05, median $203.16, highest $663.00 — a 11.4× difference within the same market.

As an inpatient, the same code is billed by 9 facilities here, median $136.29. 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 12 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 high-dose flu shot (65+) is, what the price covers and why prices differ: High-dose flu shot (65+) explained.