Vaccines CPT 90662 Inpatient — admitted to hospital

High-dose flu shot (65+) cost in Nashville, TN — inpatient

In Nashville-Davidson--Murfreesboro--Franklin, TN, 4 hospitals list a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older as an inpatient: from $29.00 to $157.41, with a median of $105.71. The lowest listed price is at Vanderbilt Wilson County Hospital — $76.71 less than the median here. Across Tennessee, the median is $44.44 at 21 hospitals.

Cash prices at 4 facilities across 4 cities for code 90662, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Oct 1, 2025 and Oct 1, 2025.

Lowest$29.00Vanderbilt Wilson County Hospital
Median$105.71half pay less
Highest$157.41in this market
Difference5.4×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 Nashville-Davidson--Murfreesboro--Franklin, TN.

median
Lowest $29.00Highest $157.41

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 IIV VACCINE PRESERV FREE INCREASED AG COUNT IM $29.00 $100.00 $51.56–$100.00 71% Oct 1, 2025
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Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 FLUZONE HIGH-DOSE TRIV 2024-2025 (PF) 180 MCG/0.5 ML IM SYRINGE $29.00 $100.00 $30.00–$100.00 71% Oct 1, 2025
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Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 IIV VACCINE PRESERV FREE INCREASED AG COUNT IM $54.00 $100.00 $51.56–$100.00 46% Oct 1, 2025
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Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 FLUZONE HIGH-DOSE TRIV 2024-2025 (PF) 180 MCG/0.5 ML IM SYRINGE $54.00 $100.00 $30.00–$100.00 46% Oct 1, 2025
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Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 INFLUENZA VACC (FLUZONE HD) $157.41 $524.70 $50.56–$157.81 70% —
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Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 INFLUENZA VACC (FLUZONE HD) $157.41 $524.70 $50.56–$157.81 70% —
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Inpatient: lowest $29.00, median $105.71, highest $157.41 — a 5.4× difference within the same market.

As an outpatient, the same code is billed by 4 facilities here, median $105.71 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 4 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 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.