High-dose flu shot (65+) cost in Salem, OR
In Salem, OR, 4 hospitals list a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $14.27 to $256.16, with a median of $31.42. The lowest listed price is at Legacy Silverton Medical Center — $17.15 less than the median here. Across Oregon, the median is $63.85 at 31 hospitals.
Cash prices at 4 facilities across 4 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 Apr 1, 2026 and Aug 6, 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 Salem, OR.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Legacy Silverton Medical Center lowest Silverton, OR · (503) 873-1500 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $14.27 | $21.96 | — | 35% | Apr 1, 2026 source file |
| West Valley Hospital Dallas, OR · (503) 623-8301 HCHRG FLU VACC PRSV FREE INC ANTIG | $31.42 | $59.29 | — | 47% | Apr 1, 2026 source file |
| Salem Hospital Salem, OR · (503) 561-5200 HCHRG FLU VACC PRSV FREE INC ANTIG | $31.42 | $59.29 | — | 47% | Apr 1, 2026 source file |
| West Valley Hospital Dallas, OR · (503) 623-8301 INFLUENZA VAC HIGH-DOSE QUAD 0.7 ML IM SUSY | $44.33 | $83.64 | — | 47% | Apr 1, 2026 source file |
| Salem Hospital Salem, OR · (503) 561-5200 INFLUENZA VAC HIGH-DOSE QUAD 0.7 ML IM SUSY | $44.33 | $83.64 | — | 47% | Apr 1, 2026 source file |
| Santiam Memorial Hospital Stayton, OR · (503) 769-2175 Influenza vaccine split virus, preservative free | $256.16 | $256.16 | $81.97–$243.35 | — | Aug 6, 2026 source file |
Outpatient: lowest $14.27, median $31.42, highest $256.16 — a 18.0× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $31.42. 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 the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. 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.