High-dose flu shot (65+) cost in Charlotte, NC
In Charlotte-Concord-Gastonia, NC-SC, 12 hospitals list a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $33.00 to $570.80, with a median of $33.00. The lowest listed price is at Atrium Health Mercy, a facility of Carolinas Medical Center and 7 other hospitals. Across North Carolina, the median is $39.15 at 38 hospitals.
- The median here, $33.00, is 67% below the US median of $99.00.
- 3 of 12 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 12 facilities across 9 cities for code 90662, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 11, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Nov 4, 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 Charlotte-Concord-Gastonia, NC-SC.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Atrium Health Mercy, a facility of Carolinas Medical Center lowest Charlotte, NC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M File of Oct 29, 2026 · source file | $33.00 | $66.00 | $14.27–$153.15 | 50% |
| Atrium Health Anson lowest Wadesboro, NC · (704) 694-5131 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M File of Oct 28, 2026 · source file | $33.00 | $66.00 | $9.37–$129.03 | 50% |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M+1 more line at this price File of Oct 29, 2026 · source file | $33.00 | $66.00 | $14.27–$153.15 | 50% |
| Carolinas Medical Center-Northeast lowest Concord, NC · (704) 783-3000 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M File of Nov 4, 2026 · source file | $33.00 | $66.00 | $7.83–$153.15 | 50% |
| Atrium Health Pineville lowest Charlotte, NC · (704) 379-5000 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M File of Oct 29, 2026 · source file | $33.00 | $66.00 | $6.49–$153.15 | 50% |
| Atrium Health University City lowest Charlotte, NC · (704) 548-6000 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M File of Oct 29, 2026 · source file | $33.00 | $66.00 | $6.44–$153.15 | 50% |
| Atrium Health Union lowest Monroe, NC · (704) 283-3100 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M File of Oct 29, 2026 · source file | $33.00 | $66.00 | $8.34–$153.15 | 50% |
| Atrium Health Lincoln lowest Lincolnton, NC · (980) 212-2000 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M File of Oct 29, 2026 · source file | $33.00 | $66.00 | $7.17–$153.15 | 50% |
| Atrium Health Union Monroe, NC · (704) 283-3100 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Oct 29, 2026 · source file | $37.50 | $75.00 | $9.47–$153.15 | 50% |
| Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte, NC FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Oct 29, 2026 · source file | $37.50 | $75.00 | $16.22–$153.15 | 50% |
| Atrium Health Lincoln Lincolnton, NC · (980) 212-2000 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Oct 29, 2026 · source file | $37.50 | $75.00 | $8.15–$153.15 | 50% |
| Atrium Health Anson Wadesboro, NC · (704) 694-5131 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE File of Oct 28, 2026 · source file | $37.50 | $75.00 | $10.64–$129.03 | 50% |
| Atrium Health Pineville Charlotte, NC · (704) 379-5000 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Oct 29, 2026 · source file | $37.50 | $75.00 | $7.37–$153.15 | 50% |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE+3 more lines at this price File of Oct 29, 2026 · source file | $37.50 | $75.00 | $16.22–$153.15 | 50% |
| Atrium Health University City Charlotte, NC · (704) 548-6000 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Oct 29, 2026 · source file | $37.50 | $75.00 | $7.32–$153.15 | 50% |
| Carolinas Medical Center-Northeast Concord, NC · (704) 783-3000 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Nov 4, 2026 · source file | $37.50 | $75.00 | $8.90–$153.15 | 50% |
| Atrium Health Anson Wadesboro, NC · (704) 694-5131 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE File of Oct 28, 2026 · source file | $39.85 | $79.70 | $11.31–$129.03 | 50% |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE+2 more lines at this price File of Apr 1, 2026 · source file | $201.10 | $744.80 | $82.16–$484.12 | 73% |
| CaroMont Regional Medical Center - Gastonia Gastonia, NC · (704) 834-4891 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE File of May 11, 2026 · source file | $570.80 | $570.80 | $85.91–$542.26 | — |
| Gaston Memorial Hospital Mount Holly, NC · (704) 834-4891 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE File of May 11, 2026 · source file | $570.80 | $570.80 | $85.91–$542.26 | — |
| Gaston Memorial Hospital Belmont, NC · (704) 834-4891 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE File of May 11, 2026 · source file | $570.80 | $570.80 | $85.91–$542.26 | — |
| CaroMont Regional Medical Center - Gastonia Gastonia, NC · (704) 834-4891 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE File of May 11, 2026 · source file | $615.80 | $615.80 | $92.68–$585.01 | — |
| Gaston Memorial Hospital Mount Holly, NC · (704) 834-4891 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE File of May 11, 2026 · source file | $615.80 | $615.80 | $92.68–$585.01 | — |
| Gaston Memorial Hospital Belmont, NC · (704) 834-4891 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE File of May 11, 2026 · source file | $615.80 | $615.80 | $92.68–$585.01 | — |
Outpatient: lowest $33.00, median $33.00, highest $570.80 — a 17.3× difference within the same market.
As an inpatient, the same code is billed by 12 facilities here, median $33.00. 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 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 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 high-dose flu shot (65+) is, what the price covers and why prices differ: High-dose flu shot (65+) explained.