High-dose flu shot (65+) cost in Charlotte, NC — inpatient
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 as an inpatient: from $32.65 to $570.80, with a median of $32.65. The lowest listed price is at Carolinas Rehabilitation and 7 other hospitals. Across North Carolina, the median is $63.50 at 25 hospitals.
Cash prices at 12 facilities across 9 cities for code 90662, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Dec 1, 2025 and May 11, 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 | File date |
|---|---|---|---|---|---|
| Carolinas Rehabilitation lowest Charlotte, NC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | $21.88–$60.08 | 50% | Dec 5, 2025 source file |
| Atrium Health Union lowest Monroe, NC · (704) 283-3100 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | $19.79–$62.04 | 50% | Dec 4, 2025 source file |
| Carolinas Rehabilitation lowest Belmont, NC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | $21.88–$60.08 | 50% | Dec 5, 2025 source file |
| Atrium Health Pineville lowest Charlotte, NC · (704) 379-5000 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | $19.79–$60.08 | 50% | Dec 5, 2025 source file |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | $20.24–$57.46 | 50% | Dec 4, 2025 source file |
| Atrium Health Pineville lowest Charlotte, NC · (704) 379-5000 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | $19.79–$60.08 | 50% | Dec 5, 2025 source file |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | $19.79–$58.77 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center-Northeast lowest Concord, NC · (704) 783-3000 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | $19.79–$62.04 | 50% | Dec 1, 2025 source file |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | $19.79–$60.08 | 50% | Dec 4, 2025 source file |
| Atrium Health Anson lowest Wadesboro, NC · (704) 694-5131 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | $19.79–$62.04 | 50% | Dec 1, 2025 source file |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | $19.79–$58.77 | 50% | Dec 5, 2025 source file |
| Atrium Health Lincoln lowest Lincolnton, NC · (980) 212-2000 HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | $18.72–$62.04 | 50% | Dec 1, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | $22.73–$67.50 | 50% | Dec 5, 2025 source file |
| Carolinas Rehabilitation Charlotte, NC FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | $25.13–$69.00 | 50% | Dec 5, 2025 source file |
| Carolinas Rehabilitation Belmont, NC FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | $25.13–$69.00 | 50% | Dec 5, 2025 source file |
| Atrium Health Anson Wadesboro, NC · (704) 694-5131 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | $22.73–$71.25 | 50% | Dec 1, 2025 source file |
| Atrium Health Lincoln Lincolnton, NC · (980) 212-2000 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | $21.50–$71.25 | 50% | Dec 1, 2025 source file |
| Atrium Health Union Monroe, NC · (704) 283-3100 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | $22.73–$71.25 | 50% | Dec 4, 2025 source file |
| Atrium Health Pineville Charlotte, NC · (704) 379-5000 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | $22.73–$69.00 | 50% | Dec 5, 2025 source file |
| Atrium Health Pineville Charlotte, NC · (704) 379-5000 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | $22.73–$69.00 | 50% | Dec 5, 2025 source file |
| Carolinas Medical Center-Northeast Concord, NC · (704) 783-3000 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | $22.73–$71.25 | 50% | Dec 1, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | $22.73–$67.50 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | $22.73–$69.00 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | $23.25–$66.00 | 50% | Dec 4, 2025 source file |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $201.10 | $744.80 | $201.10–$256.96 | 73% | — source file |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $201.10 | $744.80 | $165.53–$256.96 | 73% | — source file |
| Gaston Memorial Hospital Belmont, NC FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $570.80 | $570.80 | $452.07–$542.26 | — | May 11, 2026 source file |
| Gaston Memorial Hospital Gastonia, NC · (704) 834-4891 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $570.80 | $570.80 | $452.07–$542.26 | — | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly, NC FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $570.80 | $570.80 | — | — | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly, NC FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $615.80 | $615.80 | — | — | May 11, 2026 source file |
| Gaston Memorial Hospital Gastonia, NC · (704) 834-4891 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $615.80 | $615.80 | $487.71–$585.01 | — | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont, NC FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $615.80 | $615.80 | $487.71–$585.01 | — | May 11, 2026 source file |
Inpatient: lowest $32.65, median $32.65, highest $570.80 — a 17.5× difference within the same market.
As an outpatient, the same code is billed by 12 facilities here, median $32.65 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 9 of 11 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
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.