High-dose flu shot (65+) cost in Portland, OR
In Portland-Vancouver-Hillsboro, OR-WA, 10 hospitals list a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $14.27 to $227.19, with a median of $34.89. The lowest listed price is at Legacy Meridian Park Medical Center and 4 other hospitals — $20.62 less than the median here. Across Oregon, the median is $63.85 at 31 hospitals.
Cash prices at 10 facilities across 6 cities for code 90662, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 23, 2026 and Apr 1, 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 Portland-Vancouver-Hillsboro, OR-WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Legacy Meridian Park Medical Center lowest Tualatin, OR · (503) 692-1212 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $14.27 | $21.96 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $14.27 | $21.96 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $14.27 | $21.96 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $14.27 | $21.96 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $14.27 | $21.96 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $14.27 | $21.96 | — | 35% | Apr 1, 2026 source file |
| Legacy Mount Hood Medical Center lowest Gresham, OR · (503) 674-1122 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $14.27 | $21.96 | — | 35% | Apr 1, 2026 source file |
| Legacy Salmon Creek Medical Center lowest Vancouver, WA · (360) 487-1000 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $14.27 | $21.96 | — | 35% | Apr 1, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 Fluzone High-Dose 2024-2025 Formula | $55.51 | $85.40 | $85.40–$152.15 | 35% | — source file |
| PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 IIV NO PRSV INCREASED AG IM | $63.85 | $98.23 | $93.00–$152.15 | 35% | — source file |
| Kaiser Sunnyside Medical Center Clackamas, OR · (503) 652-2880 flu vaccine TS 2025-26 (18-64 yrs) PF 180 mcg/0.5 mL Syringe 0.5 mL SYRINGE | $95.70 | $112.58 | — | 15% | — source file |
| Kaiser Foundation Hospital - Westside Hillsboro, OR · (971) 310-0100 flu vaccine TS 2025-26 (18-64 yrs) PF 180 mcg/0.5 mL Syringe 0.5 mL SYRINGE | $95.70 | $112.58 | — | 15% | — source file |
| Kaiser Foundation Hospital - Westside Hillsboro, OR · (971) 310-0100 IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $113.05 | $133.00 | — | 15% | — source file |
| Kaiser Sunnyside Medical Center Clackamas, OR · (503) 652-2880 IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $113.05 | $133.00 | — | 15% | — source file |
| Tuality Healthcare Hillsboro, OR · (503) 681-1111 HB Flu Vacc Prsv Free High Dose | $227.19 | $349.53 | $46.35–$349.53 | 35% | — source file |
| Oregon Health & Science University Portland, OR · (503) 494-9000 HB Flu Vacc Prsv Free High Dose | $227.19 | $349.53 | $67.11–$349.53 | 35% | Mar 23, 2026 source file |
| Kaiser Sunnyside Medical Center Clackamas, OR · (503) 652-2880 flu vaccine TS 2025-26 (65 yrs up) PF 180 mcg/0.5 mL Syringe 0.5 mL SYRINGE | $230.95 | $271.70 | — | 15% | — source file |
| Kaiser Foundation Hospital - Westside Hillsboro, OR · (971) 310-0100 flu vaccine TS 2025-26 (65 yrs up) PF 180 mcg/0.5 mL Syringe 0.5 mL SYRINGE | $230.95 | $271.70 | — | 15% | — source file |
| Oregon Health & Science University Portland, OR · (503) 494-9000 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $244.41 | $376.02 | $72.20–$376.02 | 35% | Mar 23, 2026 source file |
| Tuality Healthcare Hillsboro, OR · (503) 681-1111 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $247.19 | $380.29 | $50.43–$380.29 | 35% | — source file |
Outpatient: lowest $14.27, median $34.89, highest $227.19 — a 15.9× difference within the same market.
As an inpatient, the same code is billed by 7 facilities here, median $14.27. 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 3 of 3 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.