High-dose flu shot (65+) cost in San Antonio, TX
In San Antonio-New Braunfels, TX, 12 hospitals list a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $18.34 to $468.71, with a median of $384.78. The lowest listed price is at University Health System — $366.44 less than the median here. Across Texas, the median is $149.21 at 176 hospitals.
- The median here, $384.78, is 289% above the US median of $99.00.
- San Antonio, TX ranks 4th of 4 metro areas in Texas by median, cheapest first.
- 9 of 12 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 12 facilities across 4 cities for code 90662, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 4, 2026; the hospital files themselves were last updated between Jan 13, 2026 and Oct 7, 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 San Antonio-New Braunfels, TX.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| University Health System lowest San Antonio, TX · (210) 358-2000 HC PBB IIV VACCINE PRESERV FREE INCREASED AG COUNT IM File of Oct 7, 2026 · source file | $18.34 | $73.33 | $24.79–$214.41 | 75% |
| Medina Regional Hospital Hondo, TX · (830) 426-7700 FLUZONE HIGH DOSE 65+ YEARS File of Jul 29, 2026 · source file | $80.33 | $89.25 | $21.42–$134.32 | 10% |
| Santa Rosa Hospital - Westover Hills San Antonio, TX · (210) 703-8211 influenza vaccine *age >65 years* (Fluzone High-Dose) injection File of Jan 13, 2026 · source file | $242.91 | $736.09 | $73.62–$699.28 | 67% |
| Methodist Hospital Atascosa Jourdanton, TX · (830) 769-3515 FLUVAC IIV INC ANT 0.7IM File of Sep 1, 2026 · source file | $384.78 | $384.78 | $19.24–$327.06 | — |
| Metropolitan Methodist San Antonio, TX · (210) 575-4000 FLUVAC IIV INC ANT 0.7IM File of Sep 1, 2026 · source file | $384.78 | $384.78 | $19.24–$327.06 | — |
| Methodist Hospital San Antonio, TX · (210) 575-4000 FLUVAC IIV INC ANT 0.7IM File of Sep 1, 2026 · source file | $384.78 | $384.78 | $19.24–$384.78 | — |
| Methodist Specialty and Transplant San Antonio, TX · (210) 575-4000 FLUVAC IIV INC ANT 0.7IM File of Sep 1, 2026 · source file | $384.78 | $384.78 | $19.24–$384.78 | — |
| Methodist Specialty and Transplant San Antonio, TX · (210) 575-4000 FLUVAC HIGH-DOSE PF IM File of Sep 1, 2026 · source file | $430.54 | $430.54 | $210.96 | — |
| Methodist Hospital Stone Oak Spring Branch, TX · (210) 638-2101 FLUVAC IIV INC ANT 0.7IM+1 more line at this price File of Sep 1, 2026 · source file | $430.54 | $430.54 | $21.53–$365.96 | — |
| Metropolitan Methodist San Antonio, TX · (210) 575-4000 FLUVAC HIGH-DOSE PF IM File of Sep 1, 2026 · source file | $430.54 | $430.54 | $21.53–$365.96 | — |
| Northeast Methodist San Antonio, TX · (210) 638-2101 FLUVAC IIV INC ANT 0.7IM+1 more line at this price File of Sep 1, 2026 · source file | $430.54 | $430.54 | $21.53–$365.96 | — |
| Methodist Hospital San Antonio, TX · (210) 575-4000 FLUVAC HIGH-DOSE PF IM File of Sep 1, 2026 · source file | $430.54 | $430.54 | $21.53–$430.54 | — |
| Methodist Hospital Atascosa Jourdanton, TX · (830) 769-3515 FLUVAC HIGH-DOSE PF IM File of Sep 1, 2026 · source file | $430.54 | $430.54 | $21.53–$365.96 | — |
| Methodist Hospital Landmark San Antonio, TX · (210) 638-2101 FLUVAC HIGH-DOSE PF IM+1 more line at this price File of Sep 1, 2026 · source file | $430.54 | $430.54 | $51.66–$365.96 | — |
| Methodist Texsan Hospital San Antonio, TX · (210) 638-2101 FLUVAC HIGH-DOSE PF IM+1 more line at this price File of Sep 1, 2026 · source file | $430.54 | $430.54 | $21.53–$365.96 | — |
| Methodist Hospital Landmark San Antonio, TX · (210) 638-2101 FLUZONE HD PF IM File of Sep 1, 2026 · source file | $468.71 | $468.71 | $56.25–$398.40 | — |
| Methodist Hospital Atascosa Jourdanton, TX · (830) 769-3515 FLUZONE HD PF IM File of Sep 1, 2026 · source file | $468.71 | $468.71 | $23.44–$398.40 | — |
| Northeast Methodist San Antonio, TX · (210) 638-2101 FLUZONE HD PF IM File of Sep 1, 2026 · source file | $468.71 | $468.71 | $23.44–$398.40 | — |
| Methodist Texsan Hospital San Antonio, TX · (210) 638-2101 FLUZONE HD PF IM File of Sep 1, 2026 · source file | $468.71 | $468.71 | $23.44–$398.40 | — |
| Metropolitan Methodist San Antonio, TX · (210) 575-4000 FLUZONE HD PF IM File of Sep 1, 2026 · source file | $468.71 | $468.71 | $23.44–$398.40 | — |
| Methodist Hospital Stone Oak Spring Branch, TX · (210) 638-2101 FLUZONE HD PF IM File of Sep 1, 2026 · source file | $468.71 | $468.71 | $23.44–$398.40 | — |
| Methodist Hospital San Antonio, TX · (210) 575-4000 FLUZONE HD PF IM File of Sep 1, 2026 · source file | $468.71 | $468.71 | $23.44–$468.71 | — |
| Methodist Specialty and Transplant San Antonio, TX · (210) 575-4000 FLUZONE HD PF IM File of Sep 1, 2026 · source file | $468.71 | $468.71 | $229.67 | — |
| Methodist Hospital Westover Hills San Antonio, TX · (210) 638-2101 Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file | $468.71 | $468.71 | $56.25–$398.40 | — |
Outpatient: lowest $18.34, median $384.78, highest $468.71 — a 25.6× difference within the same market.
As an inpatient, the same code is billed by 4 facilities here, median $108.31. 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 12 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 high-dose flu shot (65+) is, what the price covers and why prices differ: High-dose flu shot (65+) explained.