High-dose flu shot (65+) cost in Washington, DC
In Washington-Arlington-Alexandria, DC-VA-MD-WV, 14 hospitals list a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $43.40 to $877.48, with a median of $82.50. The lowest listed price is at Inova Mount Vernon Hospital and 4 other hospitals — $39.10 less than the median here. Across District of Columbia, the median is $157.97 at 2 hospitals.
- The median here, $82.50, is 17% below the US median of $99.00.
- 2 of 14 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 14 facilities across 12 cities for code 90662, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 29, 2026; the hospital files themselves were last updated between Dec 30, 2024 and Sep 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 Washington-Arlington-Alexandria, DC-VA-MD-WV.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Inova Mount Vernon Hospital lowest Alexandria, VA · (703) 664-7105 influenza trivalent 2025-2026 inactivated high-dose vaccine 0.5 ML Susy 0.5 mL Syringe File of Apr 1, 2026 · source file | $43.40 | $86.80 | $36.65–$153.25 | 50% |
| Inova Fair Oaks Hospital lowest Fairfax, VA · (703) 391-4170 influenza trivalent 2025-2026 inactivated high-dose vaccine 0.5 ML Susy 0.5 mL Syringe File of Apr 1, 2026 · source file | $43.40 | $86.80 | $36.65–$153.25 | 50% |
| Inova Fairfax Hospital lowest Falls Church, VA · (703) 698-1110 influenza trivalent 2025-2026 inactivated high-dose vaccine 0.5 ML Susy 0.5 mL Syringe File of Apr 1, 2026 · source file | $43.40 | $86.80 | $36.65–$153.25 | 50% |
| Inova Alexandria Hospital lowest Alexandria, VA · (703) 504-3167 influenza trivalent 2025-2026 inactivated high-dose vaccine 0.5 ML Susy 0.5 mL Syringe File of Apr 1, 2026 · source file | $43.40 | $86.80 | $36.65–$153.25 | 50% |
| Inova Loudoun Hospital lowest Leesburg, VA · (703) 858-6600 influenza trivalent 2025-2026 inactivated high-dose vaccine 0.5 ML Susy 0.5 mL Syringe File of Apr 1, 2026 · source file | $43.40 | $86.80 | $36.65–$153.25 | 50% |
| Stafford Hospital Stafford, VA · (540) 741-9000 Iiv no prsv increased ag im File of Dec 30, 2024 · source file | $46.00 | $92.00 | $35.00–$572.00 | 50% |
| Mary Washington Hospital Fredericksburg, VA · (540) 741-1100 Iiv no prsv increased ag im File of Dec 30, 2024 · source file | $46.00 | $92.00 | $35.00–$572.00 | 50% |
| Jefferson Medical Center Ranson, WV · (304) 728-1600 IIV NO PRSV INCREASED AG IM File of Jul 12, 2026 · source file | $119.00 | $238.00 | $121.11 | 50% |
| MedStar Montgomery Medical Center Olney, MD · (301) 774-8882 INFLUTRIPFLF0.5ML FLUZONEHD File of Apr 1, 2026 · source file | $120.72 | $123.18 | $120.72–$123.18 | 2% |
| MedStar Georgetown Hospital Northwest Washington, DC · (202) 784-3000 MC INFLUTRIPFL 0.5ML FLUZONHD File of Apr 1, 2026 · source file | $157.97 | $243.03 | $58.33–$219.77 | 35% |
| MedStar Washington Hospital Center Washington, DC · (202) 877-7000 MC INFLUTRIPFL 0.5ML FLUZONHD File of Apr 1, 2026 · source file | $157.97 | $243.03 | $61.82–$270.18 | 35% |
| MedStar Southern Hospital Center Clinton, MD · (301) 868-8000 INFLUTRIPFLF0.5ML FLUZONEHD File of Apr 1, 2026 · source file | $172.87 | $176.40 | $172.87–$176.40 | 2% |
| Reston Hospital Center Reston, VA · (703) 689-9000 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 | $388.25 | $388.25 | $260.12–$275.66 | — |
| Spotsylvania Regional Medical Center Fredericksburg, VA · (540) 498-4000 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 | $877.48 | $877.48 | $86.27–$789.73 | — |
Outpatient: lowest $43.40, median $82.50, highest $877.48 — a 20.2× difference within the same market.
As an inpatient, the same code is billed by 9 facilities here, median $43.40. 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 12 of 14 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.