High-dose flu shot (65+) cost in Cleveland, OH
In Cleveland, OH, 19 hospitals list a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $13.00 to $132.15, with a median of $132.15. The lowest listed price is at Metrohealth System — $119.15 less than the median here. Across Ohio, the median is $132.15 at 60 hospitals.
Cash prices at 19 facilities across 14 cities for code 90662, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 14, 2026.
Lowest$13.00Metrohealth System
Median$132.15half pay less
Highest$132.15in this market
Difference10.2×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 Cleveland, OH.
median
Lowest $13.00Highest $264.24
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Metrohealth System lowest Cleveland, OH · (216) 778-7089 INFLUENZA VAC SPLIT QUAD 9 MCG/STRAIN INTRADERMAL SUPN [139375] | $13.00 | $20.00 | — | 35% | Apr 1, 2026 source file |
| Metrohealth System Cleveland, OH · (216) 778-7089 FLUAD: 10 SYRINGE, GLASS in 1 CARTON (70461-020-03) / .5 mL in 1 SYRINGE, GLASS (70461-020-04) | $20.65 | $59.00 | — | 65% | Apr 1, 2026 source file |
| Metrohealth System Cleveland, OH · (216) 778-7089 Fluzone High-Dose Quadrivalent Northern Hemisphere: 10 SYRINGE, GLASS in 1 PACKAGE (49281-123-65) / .7 mL in 1 SYRINGE, GLASS (49281-123-88) | $23.10 | $66.00 | — | 65% | Apr 1, 2026 source file |
| Metrohealth System Cleveland, OH · (216) 778-7089 Influenza Virus Vaccine, Split Virus, Enhanced Immunogenicity, Intramuscular | $32.20 | $92.00 | — | 65% | Apr 1, 2026 source file |
| Metrohealth System Cleveland, OH · (216) 778-7089 Flulaval 2024/2025: 10 Syringe In 1 Carton (19515-810-52) / .5 Ml In 1 Syringe (19515-810-41) | $32.20 | $92.00 | — | 65% | Apr 1, 2026 source file |
| UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $52.50 | $70.00 | $18.90–$660.60 | 25% | Jul 14, 2026 source file |
| UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $52.50 | $70.00 | $23.38–$332.12 | 25% | Jul 14, 2026 source file |
| UH St John Medical Center Westlake, OH · (440) 835-8000 HC IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $67.50 | $90.00 | $22.05–$261.49 | 25% | Jul 14, 2026 source file |
| UH Regional Hospitals Chardon, OH · (440) 285-6246 HC IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $67.50 | $90.00 | $23.49–$292.22 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Willoughby, OH HC IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $67.50 | $90.00 | $36.00–$176.69 | 25% | Jul 14, 2026 source file |
| Parma Community General Hospital Parma, OH · (440) 743-3000 HC IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $67.50 | $90.00 | $27.36–$193.86 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Elyria, OH · (440) 329-7500 HC IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $67.50 | $90.00 | $32.22–$198.96 | 25% | Jul 14, 2026 source file |
| Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $67.50 | $90.00 | $19.89–$230.18 | 25% | Jul 14, 2026 source file |
| Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $67.50 | $90.00 | $36.00–$176.69 | 25% | Jul 14, 2026 source file |
| Metrohealth System Cleveland, OH · (216) 778-7089 NDC Description Not Available | $67.90 | $194.00 | — | 65% | Apr 1, 2026 source file |
| Metrohealth System Cleveland, OH · (216) 778-7089 Fluzone High Dose Northern Hemisphere: 5 Syringe, Glass In 1 Package (49281-124-65) / .5 Ml In 1 Syringe, Glass (49281-124-88) | $67.90 | $194.00 | — | 65% | Apr 1, 2026 source file |
| Medina Hospital Medina, OH · (330) 725-1000 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $44.32–$203.30 | 35% | Jun 15, 2026 source file |
| Lodi Community Hospital Lodi, OH · (330) 948-1222 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $57.49–$203.30 | 35% | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $44.32–$203.30 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $44.32–$203.30 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $44.32–$203.30 | 35% | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $44.32–$203.30 | 35% | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $44.32–$203.30 | 35% | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $44.32–$203.30 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $44.32–$203.30 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $44.32–$203.30 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $57.49–$203.30 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $57.49–$203.30 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $44.32–$203.30 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $44.32–$203.30 | 35% | Jun 15, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $44.32–$203.30 | 35% | Jun 16, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $44.32–$203.30 | 35% | Jun 16, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $132.15 | $203.30 | $51.66–$203.30 | 35% | Jun 16, 2026 source file |
| Fairview Hospital Cleveland, OH · (216) 476-7000 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $44.32–$203.30 | 35% | Jun 15, 2026 source file |
| Fairview Hospital Cleveland, OH · (216) 476-7000 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $44.32–$203.30 | 35% | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $44.32–$203.30 | 35% | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $44.32–$203.30 | 35% | Jun 15, 2026 source file |
| Lodi Community Hospital Lodi, OH · (330) 948-1222 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $57.49–$203.30 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH · (330) 725-1000 FLU VACC PRSV FREE INC ANTIG | $132.15 | $203.30 | $44.32–$203.30 | 35% | Jun 15, 2026 source file |
| Metrohealth System Cleveland, OH · (216) 778-7089 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY [139811] | $148.20 | $228.00 | — | 35% | Apr 1, 2026 source file |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $88.62–$406.53 | 35% | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $88.62–$406.53 | 35% | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $88.62–$406.53 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $88.62–$406.53 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH · (330) 725-1000 FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $88.62–$406.53 | 35% | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $88.62–$406.53 | 35% | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $88.62–$406.53 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH · (330) 725-1000 FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $88.62–$406.53 | 35% | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $88.62–$406.53 | 35% | Jun 15, 2026 source file |
| Lodi Community Hospital Lodi, OH · (330) 948-1222 FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $114.97–$406.53 | 35% | Jun 15, 2026 source file |
| Lodi Community Hospital Lodi, OH · (330) 948-1222 FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $114.97–$406.53 | 35% | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $88.62–$406.53 | 35% | Jun 15, 2026 source file |
| Fairview Hospital Cleveland, OH · (216) 476-7000 FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $88.62–$406.53 | 35% | Jun 15, 2026 source file |
| Fairview Hospital Cleveland, OH · (216) 476-7000 FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $88.62–$406.53 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $88.62–$406.53 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $88.62–$406.53 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $114.97–$406.53 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $114.97–$406.53 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $88.62–$406.53 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 FLUZONE HIGH-DOSE 2025-2026 (PF) 180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $264.24 | $406.53 | $88.62–$406.53 | 35% | Jun 15, 2026 source file |
Outpatient: lowest $13.00, median $132.15, highest $132.15 — a 10.2× difference within the same market.
As an inpatient, the same code is billed by 20 facilities here, median $132.15. 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 18 of 18 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.