Adjuvanted flu shot (65+) cost without insurance
The median hospital cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older is $90.00 across 863 US hospitals; most list between $39.34 and $392.00. The lowest outpatient cash price in any of 442 markets is $10.30. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Nov 11, 2026 Each price links to its source file All Flu shot costs
Lowest$10.30any market
Median market$86.74middle of market medians
Most below$392.009 in 10 hospitals
Listings859hospital prices
Compared with the vaccine's list price
$107.60 (Fluad) per dose is the manufacturer's private-sector price in the CDC vaccine price list: what a clinic or pharmacy pays for the vaccine itself. The median hospital cash price, $90.00 across 863 hospitals, is 0.8× that.
Giving the shot is billed separately (CPT 90471), and anyone who gives it adds a markup, so treat this as a floor: a concrete number to mention when you ask for a cash discount. Source: CDC.
Cash or insurance?
If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for adjuvanted flu shot (65+), the highest negotiated rate in a hospital's file has a median of $183.84 and the lowest a median of $38.01. At 530 of 612 hospitals that publish both, the cash price is below the highest negotiated rate.
With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.
Plan's rate starts at the median highest negotiated rate and cash at the national median; put in your own numbers. Nothing you type leaves your device. To price a whole year with premiums, use the insurance or cash calculator.
What is CPT 90653?
The adjuvanted flu shot contains an added ingredient (MF59) that strengthens the 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.
Why prices differ
Medicare Part B covers flu shots, so the cash price matters mainly for people without Part B; pharmacies usually stock this vaccine in the fall.
What to ask
Ask whether the self-pay price for CPT 90653 includes giving the shot (90471).
Prices by state
Among 38 states with at least 5 hospitals listing a cash price, the median is lowest in Virginia ($25.40), Oklahoma ($36.94) and Missouri ($37.95), and highest in North Carolina ($685.55), Alaska ($409.03) and Alabama ($337.08).
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$337.08
- Alaska$409.03
- Arizona$177.06, 3 hospitals
- Arkansas$80.56, 4 hospitals
- California$141.28
- Colorado$299.18
- Connecticut$117.90
- Delaware$303.45, 3 hospitals
- Florida$219.71
- Georgia$215.27
- Hawaii$196.74, 2 hospitals
- Idaho$251.00
- Illinois$120.00
- Indiana$58.30
- Iowa$56.55
- Kansas$204.00
- Kentucky$62.74
- Louisiana$102.38
- Maine$10.30, 1 hospital
- Maryland$75.00, 1 hospital
- Massachusetts$141.23
- Michigan$89.00
- Minnesota$67.93
- Mississippi$123.04
- Missouri$37.95
- Montana$53.55
- Nebraska$78.84
- Nevada$100.33, 3 hospitals
- New Hampshire$67.54
- New Jersey$150.83, 3 hospitals
- New Mexico$93.98
- New York$106.03
- North Carolina$685.55
- North Dakota$72.91
- Ohio$75.93
- Oklahoma$36.94
- Oregon$227.19
- Pennsylvania$167.20
- Rhode Island$113.00, 2 hospitals
- South Carolina$81.73, 3 hospitals
- South Dakota$78.12
- Tennessee$86.57
- Texas$81.00
- Utah$77.05, 3 hospitals
- Vermont$120.00
- Virginia$25.40
- Washington$82.63
- West Virginia$73.00
- Wisconsin$67.54
- Wyoming$46.75, 1 hospital
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Aberdeen, MS single city | 1 | $167.00 | $167.00 | $167.00 | 1.0× |
| Aberdeen, SD | 1 | $49.24 | $49.24 | $49.24 | 1.0× |
| Aberdeen, WA | 1 | $62.10 | $62.10 | $62.10 | 1.0× |
| Ada, MN single city | 1 | $151.18 | $151.18 | $151.18 | 1.0× |
| Ahoskie, NC single city | 1 | $685.55 | $685.55 | $685.55 | 1.0× |
| Aitkin, MN single city | 1 | $34.44 | $34.44 | $34.44 | 1.0× |
| Akron, OH | 4 | $50.25 | $229.50 | $457.05 | 9.1× |
| Albany-Schenectady-Troy, NY | 3 | $118.33 | $118.33 | $118.33 | 1.0× |
| Albuquerque, NM | 2 | $83.74 | $492.68 | $901.62 | 10.8× |
| Alma, NE single city | 1 | $174.26 | $174.26 | $174.26 | 1.0× |
| Anaconda, MT single city | 1 | $457.70 | $457.70 | $457.70 | 1.0× |
| Anchorage, AK | 2 | $202.00 | $305.52 | $409.03 | 2.0× |
| Ann Arbor, MI | 2 | $38.82 | $118.02 | $197.21 | 5.1× |
| Anna, IL single city | 1 | $40.70 | $40.70 | $40.70 | 1.0× |
| Appleton, WI | 1 | $88.35 | $88.35 | $88.35 | 1.0× |
| Armour, SD single city | 1 | $96.30 | $96.30 | $96.30 | 1.0× |
| Asheville, NC | 1 | $121.20 | $121.20 | $121.20 | 1.0× |
| Ashland, KS single city | 1 | $60.80 | $60.80 | $60.80 | 1.0× |
| Ashley, ND single city | 1 | $185.50 | $185.50 | $185.50 | 1.0× |
| Astoria, OR | 1 | $284.32 | $284.32 | $284.32 | 1.0× |
| Athens, TX | 1 | $103.98 | $103.98 | $103.98 | 1.0× |
| Athens-Clarke County, GA | 1 | $60.60 | $60.60 | $60.60 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 7 | $215.27 | $215.27 | $215.27 | 1.0× |
| Auburn-Opelika, AL | 1 | $46.20 | $46.20 | $46.20 | 1.0× |
| Augusta-Richmond County, GA-SC | 1 | $60.60 | $60.60 | $60.60 | 1.0× |
| Austin-Round Rock-San Marcos, TX | 7 | $81.00 | $81.00 | $81.00 | 1.0× |
| Baker City, OR | 1 | $27.95 | $27.95 | $27.95 | 1.0× |
| Bakersfield-Delano, CA | 1 | $38.59 | $38.59 | $38.59 | 1.0× |
| Bangor, ME | 1 | $10.30 | $10.30 | $10.30 | 1.0× |
| Barre, VT | 1 | $127.24 | $127.24 | $127.24 | 1.0× |
| Baton Rouge, LA | 2 | $83.65 | $120.25 | $156.84 | 1.9× |
| Baudette, MN single city | 1 | $50.40 | $50.40 | $50.40 | 1.0× |
| Bellefontaine, OH | 1 | $63.60 | $63.60 | $63.60 | 1.0× |
| Bemidji, MN | 1 | $46.84 | $46.84 | $46.84 | 1.0× |
| Bennington, VT | 1 | $84.00 | $84.00 | $84.00 | 1.0× |
| Bethany, MO single city | 1 | $196.14 | $196.14 | $196.14 | 1.0× |
| Big Rapids, MI | 1 | $89.00 | $89.00 | $89.00 | 1.0× |
| Big Sandy, MT single city | 1 | $40.00 | $40.00 | $40.00 | 1.0× |
| Birmingham, AL | 1 | $69.45 | $69.45 | $69.45 | 1.0× |
| Bishop, CA | 1 | $88.00 | $88.00 | $88.00 | 1.0× |
| Bismarck, ND | 2 | $37.50 | $41.67 | $45.84 | 1.2× |
| Black River Falls, WI single city | 1 | $213.42 | $213.42 | $213.42 | 1.0× |
| Blacksburg-Christiansburg-Radford, VA | 1 | $25.40 | $25.40 | $25.40 | 1.0× |
| Bloomington, IL | 1 | $123.09 | $123.09 | $123.09 | 1.0× |
| Bluefield, WV-VA | 2 | $25.40 | $41.70 | $58.00 | 2.3× |
| Boise City, ID | 2 | $27.95 | $27.95 | $27.95 | 1.0× |
| Boston-Cambridge-Newton, MA-NH | 7 | $35.02 | $117.36 | $141.23 | 4.0× |
| Boulder, CO | 1 | $806.14 | $806.14 | $806.14 | 1.0× |
| Bozeman, MT | 2 | $63.20 | $63.20 | $63.20 | 1.0× |
| Brainerd, MN | 1 | $137.68 | $137.68 | $137.68 | 1.0× |
| Branson, MO | 1 | $13.62 | $13.62 | $13.62 | 1.0× |
| Brattleboro, VT | 2 | $120.00 | $121.52 | $123.04 | 1.0× |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $119.81 | $119.81 | $119.81 | 1.0× |
| Brenham, TX | 1 | $81.00 | $81.00 | $81.00 | 1.0× |
| Bridgeport, CT single city | 1 | $66.00 | $66.00 | $66.00 | 1.0× |
| Britt, IA single city | 1 | $46.50 | $46.50 | $46.50 | 1.0× |
| Buckhannon, WV single city | 1 | $86.67 | $86.67 | $86.67 | 1.0× |
| Buffalo-Cheektowaga, NY | 6 | $53.00 | $53.00 | $185.20 | 3.5× |
| Burlington-South Burlington, VT | 1 | $211.39 | $211.39 | $211.39 | 1.0× |
| Butler, AL single city | 1 | $337.08 | $337.08 | $337.08 | 1.0× |
| Cadillac, MI | 1 | $46.64 | $46.64 | $46.64 | 1.0× |
| Cadiz, OH single city | 1 | $87.00 | $87.00 | $87.00 | 1.0× |
| Calhoun, GA | 1 | $758.01 | $758.01 | $758.01 | 1.0× |
| Canby, MN single city | 1 | $53.76 | $53.76 | $53.76 | 1.0× |
| Carrington, ND single city | 1 | $72.79 | $72.79 | $72.79 | 1.0× |
| Carroll, IA | 1 | $66.91 | $66.91 | $66.91 | 1.0× |
| Carrollton, IL single city | 1 | $226.40 | $226.40 | $226.40 | 1.0× |
| Carrollton, KY single city | 1 | $108.00 | $108.00 | $108.00 | 1.0× |
| Centerville, IA single city | 1 | $83.00 | $83.00 | $83.00 | 1.0× |
| Centralia, IL | 1 | $37.60 | $37.60 | $37.60 | 1.0× |
| Chamberlain, SD single city | 1 | $49.24 | $49.24 | $49.24 | 1.0× |
| Chambersburg, PA | 2 | $167.20 | $167.20 | $167.20 | 1.0× |
| Champaign-Urbana, IL | 2 | $120.00 | $121.55 | $123.09 | 1.0× |
| Charleston, WV | 1 | $67.50 | $67.50 | $67.50 | 1.0× |
| Charleston-Mattoon, IL | 1 | $51.00 | $51.00 | $51.00 | 1.0× |
| Charlevoix, MI single city | 1 | $46.64 | $46.64 | $46.64 | 1.0× |
| Charlotte-Concord-Gastonia, NC-SC | 1 | $30.98 | $30.98 | $30.98 | 1.0× |
| Chattanooga, TN-GA | 3 | $48.03 | $48.03 | $68.64 | 1.4× |
| Chicago-Naperville-Elgin, IL-IN | 15 | $33.44 | $89.97 | $458.64 | 13.7× |
| Chillicothe, OH | 1 | $37.50 | $37.50 | $37.50 | 1.0× |
| Cincinnati, OH-KY-IN | 2 | $112.18 | $112.18 | $112.18 | 1.0× |
| Clarksburg, WV | 1 | $73.00 | $73.00 | $73.00 | 1.0× |
| Clarksville, TN-KY | 1 | $19.35 | $19.35 | $19.35 | 1.0× |
| Clay Center, KS single city | 1 | $42.00 | $42.00 | $42.00 | 1.0× |
| Clear Lake, SD single city | 1 | $53.76 | $53.76 | $53.76 | 1.0× |
| Cleveland, OH | 8 | $15.75 | $50.25 | $50.25 | 3.2× |
| Clinton, IA | 2 | $56.55 | $99.46 | $142.36 | 2.5× |
| Cody, WY | 1 | $46.75 | $46.75 | $46.75 | 1.0× |
| Coeur d'Alene, ID | 1 | $251.00 | $251.00 | $251.00 | 1.0× |
| College Station-Bryan, TX | 1 | $81.00 | $81.00 | $81.00 | 1.0× |
| Columbia, MO | 1 | $75.00 | $75.00 | $75.00 | 1.0× |
| Columbus, GA-AL | 1 | $60.60 | $60.60 | $60.60 | 1.0× |
| Columbus, NC single city | 1 | $235.79 | $235.79 | $235.79 | 1.0× |
| Columbus, NE | 2 | $89.38 | $160.59 | $231.80 | 2.6× |
| Columbus, OH | 5 | $118.33 | $118.33 | $182.05 | 1.5× |
| Corbin, KY | 1 | $249.70 | $249.70 | $249.70 | 1.0× |
| Corning, IA single city | 1 | $49.05 | $49.05 | $49.05 | 1.0× |
| Corning, NY | 1 | $68.23 | $68.23 | $68.23 | 1.0× |
| Crossville, TN | 1 | $93.90 | $93.90 | $93.90 | 1.0× |
| Cumberland, MD-WV | 1 | $109.50 | $109.50 | $109.50 | 1.0× |
| Cynthiana, KY single city | 1 | $27.87 | $27.87 | $27.87 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 29 | $37.20 | $81.00 | $202.96 | 5.5× |
| Dalton, GA | 1 | $758.01 | $758.01 | $758.01 | 1.0× |
| Danville, IL | 1 | $123.09 | $123.09 | $123.09 | 1.0× |
| Davenport-Moline-Rock Island, IA-IL | 3 | $142.36 | $142.36 | $142.36 | 1.0× |
| Deckerville, MI single city | 1 | $66.12 | $66.12 | $66.12 | 1.0× |
| Defiance, OH | 1 | $75.00 | $75.00 | $75.00 | 1.0× |
| DeKalb, MS single city | 1 | $306.03 | $306.03 | $306.03 | 1.0× |
| Deltona-Daytona Beach-Ormond Beach, FL | 6 | $128.62 | $171.47 | $211.74 | 1.6× |
| Denver-Aurora-Centennial, CO | 6 | $27.42 | $806.14 | $806.14 | 29.4× |
| Des Moines-West Des Moines, IA | 4 | $53.95 | $58.28 | $87.00 | 1.6× |
| Detroit Lakes, MN | 1 | $131.34 | $131.34 | $131.34 | 1.0× |
| Detroit-Warren-Dearborn, MI | 12 | $89.00 | $89.00 | $197.21 | 2.2× |
| Devils Lake, ND single city | 1 | $129.19 | $129.19 | $129.19 | 1.0× |
| Dickinson, ND | 1 | $72.79 | $72.79 | $72.79 | 1.0× |
| Dover, DE | 1 | $303.45 | $303.45 | $303.45 | 1.0× |
| Dubuque, IA | 2 | $53.95 | $55.25 | $56.55 | 1.0× |
| Duluth, MN-WI | 8 | $81.97 | $135.02 | $151.18 | 1.8× |
| Dumas, TX | 1 | $33.60 | $33.60 | $33.60 | 1.0× |
| Durand, WI single city | 1 | $145.14 | $145.14 | $145.14 | 1.0× |
| East Amery, WI single city | 1 | $57.35 | $57.35 | $57.35 | 1.0× |
| Edenton, NC single city | 1 | $685.55 | $685.55 | $685.55 | 1.0× |
| Edwards, CO | 1 | $31.50 | $31.50 | $31.50 | 1.0× |
| Eldorado, IL single city | 1 | $208.28 | $208.28 | $208.28 | 1.0× |
| Elizabethtown, NY single city | 1 | $211.39 | $211.39 | $211.39 | 1.0× |
| Elkader, IA single city | 1 | $53.95 | $53.95 | $53.95 | 1.0× |
| Erie, PA | 1 | $86.80 | $86.80 | $86.80 | 1.0× |
| Estherville, IA single city | 1 | $80.99 | $80.99 | $80.99 | 1.0× |
| Eureka-Arcata, CA | 1 | $244.43 | $244.43 | $244.43 | 1.0× |
| Evansville, IN | 3 | $34.61 | $36.30 | $64.90 | 1.9× |
| Fairmont, WV | 1 | $66.56 | $66.56 | $66.56 | 1.0× |
| Fargo, ND-MN | 2 | $153.44 | $159.03 | $164.61 | 1.1× |
| Faribault-Northfield, MN | 1 | $67.93 | $67.93 | $67.93 | 1.0× |
| Farmington, CT single city | 1 | $152.87 | $152.87 | $152.87 | 1.0× |
| Fergus Falls, MN | 1 | $78.00 | $78.00 | $78.00 | 1.0× |
| Flora, IL single city | 1 | $335.81 | $335.81 | $335.81 | 1.0× |
| Fort Scott, KS single city | 1 | $26.90 | $26.90 | $26.90 | 1.0× |
| Fredericktown, MO single city | 1 | $90.00 | $90.00 | $90.00 | 1.0× |
| Fremont, MI single city | 1 | $89.00 | $89.00 | $89.00 | 1.0× |
| Fresno, CA | 1 | $125.44 | $125.44 | $125.44 | 1.0× |
| Garrison, ND single city | 1 | $73.03 | $73.03 | $73.03 | 1.0× |
| Gassaway, WV single city | 1 | $109.50 | $109.50 | $109.50 | 1.0× |
| Gaylord, MI single city | 1 | $46.64 | $46.64 | $46.64 | 1.0× |
| Gettysburg, PA | 1 | $531.80 | $531.80 | $531.80 | 1.0× |
| Glendale, CA single city | 1 | $307.59 | $307.59 | $307.59 | 1.0× |
| Gloversville, NY | 1 | $44.98 | $44.98 | $44.98 | 1.0× |
| Gordon, NE single city | 1 | $100.00 | $100.00 | $100.00 | 1.0× |
| Graceville, MN single city | 1 | $151.18 | $151.18 | $151.18 | 1.0× |
| Graften, ND single city | 1 | $85.00 | $85.00 | $85.00 | 1.0× |
| Grand Forks, ND-MN | 2 | $67.00 | $109.09 | $151.18 | 2.3× |
| Grand Island, NE | 1 | $61.04 | $61.04 | $61.04 | 1.0× |
| Grand Junction, CO | 1 | $299.18 | $299.18 | $299.18 | 1.0× |
| Grand Rapids, MN | 1 | $151.18 | $151.18 | $151.18 | 1.0× |
| Grand Rapids-Wyoming-Kentwood, MI | 10 | $22.50 | $89.00 | $197.21 | 8.8× |
| Grants, NM single city | 1 | $47.52 | $47.52 | $47.52 | 1.0× |
| Grayling, MI single city | 1 | $46.64 | $46.64 | $46.64 | 1.0× |
| Green Bay, WI | 1 | $67.14 | $67.14 | $67.14 | 1.0× |
| Greencastle, IN | 1 | $188.70 | $188.70 | $188.70 | 1.0× |
| Greenfield, OH single city | 1 | $37.50 | $37.50 | $37.50 | 1.0× |
| Greenville, NC | 1 | $685.55 | $685.55 | $685.55 | 1.0× |
| Greenville-Anderson-Greer, SC | 3 | $81.73 | $81.73 | $81.73 | 1.0× |
| Gulfport-Biloxi, MS | 4 | $36.88 | $52.50 | $99.34 | 2.7× |
| Hagerstown-Martinsburg, MD-WV | 1 | $57.78 | $57.78 | $57.78 | 1.0× |
| Harbor Beach, MI single city | 1 | $73.50 | $73.50 | $73.50 | 1.0× |
| Hardinsburg, KY single city | 1 | $118.57 | $118.57 | $118.57 | 1.0× |
| Harlan, IA single city | 1 | $148.74 | $148.74 | $148.74 | 1.0× |
| Hartford, CT single city | 2 | $24.83 | $71.37 | $117.90 | 4.7× |
| Harwarden, IA single city | 1 | $74.71 | $74.71 | $74.71 | 1.0× |
| Helena, MT | 1 | $53.55 | $53.55 | $53.55 | 1.0× |
| Henderson, KY | 1 | $33.00 | $33.00 | $33.00 | 1.0× |
| Hobbs, NM | 1 | $508.57 | $508.57 | $508.57 | 1.0× |
| Hood River, OR | 1 | $290.13 | $290.13 | $290.13 | 1.0× |
| Hot Springs, AR | 1 | $89.03 | $89.03 | $89.03 | 1.0× |
| Hot Springs, VA single city | 1 | $70.00 | $70.00 | $70.00 | 1.0× |
| Houghton, MI | 1 | $43.56 | $43.56 | $43.56 | 1.0× |
| Houma-Bayou Cane-Thibodaux, LA | 4 | $98.15 | $108.70 | $417.66 | 4.3× |
| Houston-Pasadena-The Woodlands, TX | 7 | $56.80 | $56.80 | $65.34 | 1.2× |
| Hoxie, KS single city | 1 | $204.00 | $204.00 | $204.00 | 1.0× |
| Hugo, CO single city | 1 | $65.00 | $65.00 | $65.00 | 1.0× |
| Humboldt, IA single city | 1 | $67.50 | $67.50 | $67.50 | 1.0× |
| Huntington-Ashland, WV-KY-OH | 2 | $62.74 | $269.07 | $475.40 | 7.6× |
| Hutchinson, MN | 1 | $50.60 | $50.60 | $50.60 | 1.0× |
| Indiana, PA | 1 | $80.70 | $80.70 | $80.70 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 3 | $34.61 | $68.36 | $1,726.47 | 49.9× |
| International Falls, MN single city | 1 | $77.00 | $77.00 | $77.00 | 1.0× |
| Jackson, CA single city | 1 | $571.25 | $571.25 | $571.25 | 1.0× |
| Jackson, MS | 4 | $16.00 | $65.50 | $279.42 | 17.5× |
| Jasper, IN | 1 | $33.00 | $33.00 | $33.00 | 1.0× |
| Johnson, KS single city | 1 | $316.00 | $316.00 | $316.00 | 1.0× |
| Johnstown, PA | 1 | $195.23 | $195.23 | $195.23 | 1.0× |
| Joplin, MO-KS | 3 | $26.90 | $26.90 | $26.90 | 1.0× |
| Kahului-Wailuku, HI | 1 | $189.70 | $189.70 | $189.70 | 1.0× |
| Kansas City, MO-KS | 3 | $49.00 | $606.39 | $606.39 | 12.4× |
| Kearney, NE | 1 | $63.22 | $63.22 | $63.22 | 1.0× |
| Kenansville, NC single city | 1 | $685.55 | $685.55 | $685.55 | 1.0× |
| Key West-Key Largo, FL | 2 | $81.90 | $81.90 | $81.90 | 1.0× |
| Kill Devil Hills, NC | 1 | $685.55 | $685.55 | $685.55 | 1.0× |
| Killeen-Temple, TX | 5 | $81.00 | $81.00 | $255.39 | 3.2× |
| Kinsley, KS single city | 1 | $24.00 | $24.00 | $24.00 | 1.0× |
| Kiryas Joel-Poughkeepsie-Newburgh, NY | 1 | $311.00 | $311.00 | $311.00 | 1.0× |
| Knoxville, TN | 5 | $88.04 | $96.84 | $96.84 | 1.1× |
| Kodiak, AK single city | 1 | $409.03 | $409.03 | $409.03 | 1.0× |
| Kotzebue, AK single city | 1 | $282.00 | $282.00 | $282.00 | 1.0× |
| Lafayette, LA | 5 | $186.64 | $231.08 | $399.95 | 2.1× |
| Lafayette-West Lafayette, IN | 1 | $34.61 | $34.61 | $34.61 | 1.0× |
| Lake Charles, LA | 1 | $133.32 | $133.32 | $133.32 | 1.0× |
| Lakeland-Winter Haven, FL | 2 | $1,040.17 | $1,289.90 | $1,539.63 | 1.5× |
| Lamar, MO single city | 1 | $25.04 | $25.04 | $25.04 | 1.0× |
| Lancaster, PA | 1 | $506.20 | $506.20 | $506.20 | 1.0× |
| Lansing-East Lansing, MI | 3 | $22.50 | $22.50 | $22.50 | 1.0× |
| Las Vegas-Henderson-North Las Vegas, NV | 3 | $89.89 | $100.33 | $106.69 | 1.2× |
| Laurel, MS | 1 | $318.00 | $318.00 | $318.00 | 1.0× |
| Lebanon, PA | 1 | $643.00 | $643.00 | $643.00 | 1.0× |
| Lebanon-Claremont, NH-VT | 3 | $67.00 | $69.30 | $77.50 | 1.2× |
| Lewisburg, TN | 1 | $96.35 | $96.35 | $96.35 | 1.0× |
| Lexington, VA single city | 1 | $25.40 | $25.40 | $25.40 | 1.0× |
| Lincoln, NE | 2 | $50.14 | $51.23 | $52.32 | 1.0× |
| Linton, ND single city | 1 | $152.00 | $152.00 | $152.00 | 1.0× |
| Lisbon, ND single city | 1 | $67.85 | $67.85 | $67.85 | 1.0× |
| Litchfield, MN single city | 1 | $36.90 | $36.90 | $36.90 | 1.0× |
| Little Falls, MN single city | 1 | $145.00 | $145.00 | $145.00 | 1.0× |
| Little Rock-North Little Rock-Conway, AR | 1 | $67.90 | $67.90 | $67.90 | 1.0× |
| Livingston, TX single city | 1 | $47.66 | $47.66 | $47.66 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 16 | $141.28 | $141.28 | $336.65 | 2.4× |
| Louisville, MS single city | 1 | $156.40 | $156.40 | $156.40 | 1.0× |
| Louisville/Jefferson County, KY-IN | 1 | $147.91 | $147.91 | $147.91 | 1.0× |
| Lousiana, MO single city | 1 | $156.00 | $156.00 | $156.00 | 1.0× |
| Lubbock, TX | 3 | $39.90 | $39.90 | $39.90 | 1.0× |
| Ludington, MI | 1 | $89.00 | $89.00 | $89.00 | 1.0× |
| Lufkin, TX single city | 1 | $47.66 | $47.66 | $47.66 | 1.0× |
| Macomb, IL | 1 | $19.00 | $19.00 | $19.00 | 1.0× |
| Madison, FL single city | 1 | $60.62 | $60.62 | $60.62 | 1.0× |
| Madison, MN single city | 1 | $83.44 | $83.44 | $83.44 | 1.0× |
| Madison, WI | 1 | $58.72 | $58.72 | $58.72 | 1.0× |
| Madisonville, KY | 1 | $187.53 | $187.53 | $187.53 | 1.0× |
| Malone, NY single city | 1 | $211.39 | $211.39 | $211.39 | 1.0× |
| Manchester-Nashua, NH | 3 | $30.45 | $67.05 | $68.03 | 2.2× |
| Manistee, MI single city | 1 | $46.64 | $46.64 | $46.64 | 1.0× |
| Marble Falls, TX single city | 1 | $81.00 | $81.00 | $81.00 | 1.0× |
| Marietta, OH | 2 | $82.96 | $82.96 | $82.96 | 1.0× |
| Marion-Herrin, IL | 1 | $20.90 | $20.90 | $20.90 | 1.0× |
| Marquette, MI | 1 | $61.37 | $61.37 | $61.37 | 1.0× |
| Marshall, MN | 1 | $38.00 | $38.00 | $38.00 | 1.0× |
| Martinsville, VA | 1 | $219.60 | $219.60 | $219.60 | 1.0× |
| Mason City, IA | 1 | $56.55 | $56.55 | $56.55 | 1.0× |
| Mayville, ND single city | 1 | $49.84 | $49.84 | $49.84 | 1.0× |
| McLeansboror, IL single city | 1 | $185.99 | $185.99 | $185.99 | 1.0× |
| McVille, ND single city | 1 | $58.00 | $58.00 | $58.00 | 1.0× |
| Medford, OR | 1 | $349.44 | $349.44 | $349.44 | 1.0× |
| Memphis, TN-MS-AR | 6 | $37.94 | $37.94 | $171.23 | 4.5× |
| Merced, CA | 2 | $105.23 | $368.40 | $631.57 | 6.0× |
| Meriden, CT single city | 1 | $117.90 | $117.90 | $117.90 | 1.0× |
| Meridian, MS | 2 | $137.49 | $217.33 | $297.16 | 2.2× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 15 | $30.15 | $81.90 | $249.65 | 8.3× |
| Middlebury, VT single city | 1 | $208.87 | $208.87 | $208.87 | 1.0× |
| Milwaukee-Waukesha, WI | 2 | $51.94 | $64.93 | $77.91 | 1.5× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 10 | $40.70 | $55.33 | $99.84 | 2.5× |
| Mobridge, SD single city | 1 | $87.00 | $87.00 | $87.00 | 1.0× |
| Modesto, CA | 2 | $125.44 | $398.53 | $671.62 | 5.4× |
| Monett, MO single city | 1 | $18.30 | $18.30 | $18.30 | 1.0× |
| Monroe, LA | 2 | $60.12 | $108.81 | $157.50 | 2.6× |
| Montgomery, AL | 4 | $79.10 | $432.42 | $432.42 | 5.5× |
| Morganfield, KY single city | 1 | $51.70 | $51.70 | $51.70 | 1.0× |
| Morgantown, WV | 1 | $57.78 | $57.78 | $57.78 | 1.0× |
| Morristown, TN | 1 | $88.04 | $88.04 | $88.04 | 1.0× |
| Moscow, ID | 1 | $254.14 | $254.14 | $254.14 | 1.0× |
| Mount Vernon, IL | 1 | $24.20 | $24.20 | $24.20 | 1.0× |
| Muskegon-Norton Shores, MI | 1 | $197.21 | $197.21 | $197.21 | 1.0× |
| Muskogee, OK | 1 | $36.94 | $36.94 | $36.94 | 1.0× |
| Napa, CA | 1 | $244.43 | $244.43 | $244.43 | 1.0× |
| Napoleon, OH single city | 1 | $294.19 | $294.19 | $294.19 | 1.0× |
| Nashville, IL single city | 1 | $39.20 | $39.20 | $39.20 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 3 | $29.00 | $54.00 | $192.78 | 6.6× |
| Nebraska City, NE single city | 1 | $89.38 | $89.38 | $89.38 | 1.0× |
| New Britain, CT single city | 1 | $117.90 | $117.90 | $117.90 | 1.0× |
| New Hampton, IA single city | 1 | $53.95 | $53.95 | $53.95 | 1.0× |
| New Martinsville, WV single city | 1 | $57.78 | $57.78 | $57.78 | 1.0× |
| New Orleans-Metairie, LA | 11 | $51.24 | $82.34 | $121.99 | 2.4× |
| New Philadelphia-Dover, OH | 1 | $32.24 | $32.24 | $32.24 | 1.0× |
| New Ulm, MN | 1 | $67.93 | $67.93 | $67.93 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 29 | $28.98 | $141.00 | $492.48 | 17.0× |
| Newport, VT single city | 1 | $44.00 | $44.00 | $44.00 | 1.0× |
| Norfolk, NE | 2 | $93.74 | $103.37 | $113.00 | 1.2× |
| Norwich, CT single city | 1 | $117.90 | $117.90 | $117.90 | 1.0× |
| Oakes, ND single city | 1 | $159.95 | $159.95 | $159.95 | 1.0× |
| Ocala, FL | 1 | $1,017.10 | $1,017.10 | $1,017.10 | 1.0× |
| Ocean Pines, MD | 1 | $75.00 | $75.00 | $75.00 | 1.0× |
| Oelwein, IA single city | 1 | $53.95 | $53.95 | $53.95 | 1.0× |
| Olivia, MN single city | 1 | $67.10 | $67.10 | $67.10 | 1.0× |
| Olla, LA single city | 1 | $304.00 | $304.00 | $304.00 | 1.0× |
| Olney, IL single city | 1 | $123.09 | $123.09 | $123.09 | 1.0× |
| Omaha, NE-IA | 8 | $46.87 | $46.87 | $70.67 | 1.5× |
| Ontario, OR-ID | 1 | $27.95 | $27.95 | $27.95 | 1.0× |
| Orange City, IA single city | 1 | $60.80 | $60.80 | $60.80 | 1.0× |
| Ord, NE single city | 1 | $106.20 | $106.20 | $106.20 | 1.0× |
| Orlando-Kissimmee-Sanford, FL | 2 | $376.47 | $465.86 | $555.24 | 1.5× |
| Ottawa, KS | 1 | $606.39 | $606.39 | $606.39 | 1.0× |
| Owatonna, MN | 1 | $67.93 | $67.93 | $67.93 | 1.0× |
| Pagosa Springs, CO single city | 1 | $74.88 | $74.88 | $74.88 | 1.0× |
| Palestine, TX | 2 | $508.06 | $508.06 | $508.06 | 1.0× |
| Panama City-Panama City Beach, FL | 1 | $68.00 | $68.00 | $68.00 | 1.0× |
| Park Rapids, MN single city | 1 | $50.40 | $50.40 | $50.40 | 1.0× |
| Parkersburg-Vienna, WV | 1 | $57.78 | $57.78 | $57.78 | 1.0× |
| Pella, IA | 1 | $51.00 | $51.00 | $51.00 | 1.0× |
| Peoria, IL | 5 | $105.00 | $123.09 | $123.09 | 1.2× |
| Perryton, TX single city | 1 | $27.00 | $27.00 | $27.00 | 1.0× |
| Petersburg, WV single city | 1 | $138.67 | $138.67 | $138.67 | 1.0× |
| Philadelphia, MS single city | 1 | $123.04 | $123.04 | $123.04 | 1.0× |
| Phoenix-Mesa-Chandler, AZ | 1 | $408.23 | $408.23 | $408.23 | 1.0× |
| Pine Bluff, AR | 1 | $85.00 | $85.00 | $85.00 | 1.0× |
| Pittsburgh, PA | 4 | $57.78 | $121.65 | $143.08 | 2.5× |
| Pittsfield, MA | 3 | $348.89 | $348.89 | $367.65 | 1.1× |
| Plainview, TX | 1 | $39.90 | $39.90 | $39.90 | 1.0× |
| Plattsburgh, NY | 1 | $211.39 | $211.39 | $211.39 | 1.0× |
| Pocatello, ID | 1 | $352.99 | $352.99 | $352.99 | 1.0× |
| Polson, MT single city | 1 | $48.80 | $48.80 | $48.80 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 6 | $95.70 | $227.19 | $349.44 | 3.7× |
| Portsmouth, OH | 1 | $76.86 | $76.86 | $76.86 | 1.0× |
| Prescott Valley-Prescott, AZ | 1 | $95.34 | $95.34 | $95.34 | 1.0× |
| Princeton, IN single city | 1 | $58.30 | $58.30 | $58.30 | 1.0× |
| Providence-Warwick, RI-MA | 5 | $113.00 | $117.36 | $392.10 | 3.5× |
| Pullman, WA | 1 | $62.40 | $62.40 | $62.40 | 1.0× |
| Punta Gorda, FL | 1 | $1,064.73 | $1,064.73 | $1,064.73 | 1.0× |
| Raleigh-Cary, NC | 2 | $145.35 | $145.35 | $145.35 | 1.0× |
| Rapid City, SD | 4 | $96.00 | $116.00 | $136.00 | 1.4× |
| Redding, CA | 1 | $28.14 | $28.14 | $28.14 | 1.0× |
| Reed City, MI single city | 1 | $89.00 | $89.00 | $89.00 | 1.0× |
| Refugio, TX single city | 1 | $124.00 | $124.00 | $124.00 | 1.0× |
| Richmond, VA | 1 | $67.80 | $67.80 | $67.80 | 1.0× |
| Richmond-Berea, KY | 1 | $54.72 | $54.72 | $54.72 | 1.0× |
| Ripley, WV single city | 1 | $87.00 | $87.00 | $87.00 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 7 | $54.00 | $141.28 | $237.99 | 4.4× |
| Roanoke Rapids, NC | 1 | $685.55 | $685.55 | $685.55 | 1.0× |
| Roanoke, VA | 5 | $25.40 | $25.40 | $426.84 | 16.8× |
| Rochester, NY | 4 | $56.53 | $58.58 | $64.00 | 1.1× |
| Rocky Mount, NC | 1 | $685.55 | $685.55 | $685.55 | 1.0× |
| Rolla, MO | 1 | $211.86 | $211.86 | $211.86 | 1.0× |
| Rome, GA | 1 | $750.32 | $750.32 | $750.32 | 1.0× |
| Roswell, NM | 1 | $83.74 | $83.74 | $83.74 | 1.0× |
| Rotan, TX single city | 1 | $51.00 | $51.00 | $51.00 | 1.0× |
| Rushville, IL single city | 1 | $853.70 | $853.70 | $853.70 | 1.0× |
| Russellville, AR | 1 | $76.12 | $76.12 | $76.12 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 11 | $76.43 | $125.44 | $660.61 | 8.6× |
| Salt Lake City-Murray, UT | 2 | $77.05 | $114.13 | $151.20 | 2.0× |
| San Andreas, CA single city | 1 | $74.36 | $74.36 | $74.36 | 1.0× |
| San Augustine, TX single city | 1 | $47.66 | $47.66 | $47.66 | 1.0× |
| San Diego-Chula Vista-Carlsbad, CA | 4 | $141.28 | $141.28 | $144.79 | 1.0× |
| San Francisco-Oakland-Fremont, CA | 23 | $125.44 | $529.30 | $671.62 | 5.4× |
| San Jose-Sunnyvale-Santa Clara, CA | 3 | $125.44 | $125.44 | $310.40 | 2.5× |
| San Luis Obispo-Paso Robles, CA | 1 | $391.61 | $391.61 | $391.61 | 1.0× |
| Sandstone, MN single city | 1 | $151.18 | $151.18 | $151.18 | 1.0× |
| Santa Cruz-Watsonville, CA | 2 | $366.14 | $518.88 | $671.62 | 1.8× |
| Santa Rosa-Petaluma, CA | 5 | $125.44 | $244.43 | $653.26 | 5.2× |
| Seaford, DE | 2 | $236.30 | $269.88 | $303.45 | 1.3× |
| Seattle-Tacoma-Bellevue, WA | 13 | $44.10 | $83.47 | $176.65 | 4.0× |
| Sebring, FL | 1 | $517.13 | $517.13 | $517.13 | 1.0× |
| Sedalia, MO | 1 | $120.00 | $120.00 | $120.00 | 1.0× |
| Sevierville, TN | 1 | $85.10 | $85.10 | $85.10 | 1.0× |
| Shelby, MI single city | 1 | $197.21 | $197.21 | $197.21 | 1.0× |
| Shelbyville, TN | 1 | $29.00 | $29.00 | $29.00 | 1.0× |
| Sheldon, IA single city | 1 | $54.00 | $54.00 | $54.00 | 1.0× |
| Shreveport-Bossier City, LA | 2 | $67.97 | $70.58 | $73.19 | 1.1× |
| Sidney, MT single city | 1 | $24.15 | $24.15 | $24.15 | 1.0× |
| Sioux Center, IA single city | 1 | $56.26 | $56.26 | $56.26 | 1.0× |
| Sioux City, IA-NE-SD | 1 | $69.00 | $69.00 | $69.00 | 1.0× |
| Sioux Falls, SD-MN | 3 | $53.58 | $56.05 | $65.99 | 1.2× |
| Slidell-Mandeville-Covington, LA | 1 | $51.24 | $51.24 | $51.24 | 1.0× |
| Somerset, PA | 1 | $224.05 | $224.05 | $224.05 | 1.0× |
| Spearfish, SD | 2 | $136.00 | $136.00 | $136.00 | 1.0× |
| Spirit Lake, IA | 1 | $82.41 | $82.41 | $82.41 | 1.0× |
| Spokane-Spokane Valley, WA | 2 | $77.00 | $77.00 | $77.00 | 1.0× |
| Springerville, AZ single city | 1 | $177.06 | $177.06 | $177.06 | 1.0× |
| Springfield, MA | 1 | $33.15 | $33.15 | $33.15 | 1.0× |
| Springfield, MO | 1 | $19.78 | $19.78 | $19.78 | 1.0× |
| St. Johnsbury, VT single city | 1 | $53.25 | $53.25 | $53.25 | 1.0× |
| St. Louis, MO-IL | 2 | $115.99 | $118.50 | $121.00 | 1.0× |
| Stafford Springs, CT single city | 1 | $303.40 | $303.40 | $303.40 | 1.0× |
| Stigler, OK single city | 1 | $167.00 | $167.00 | $167.00 | 1.0× |
| Stockton-Lodi, CA | 2 | $125.44 | $389.35 | $653.26 | 5.2× |
| Summersville, WV single city | 1 | $86.67 | $86.67 | $86.67 | 1.0× |
| Sylva, NC single city | 1 | $50.01 | $50.01 | $50.01 | 1.0× |
| Syracuse, NY | 1 | $99.45 | $99.45 | $99.45 | 1.0× |
| Tampa-St. Petersburg-Clearwater, FL | 8 | $371.69 | $593.62 | $823.36 | 2.2× |
| Temple, TX single city | 1 | $81.00 | $81.00 | $81.00 | 1.0× |
| Terre Haute, IN | 2 | $58.20 | $58.20 | $58.20 | 1.0× |
| Thief River Falls, MN single city | 1 | $58.24 | $58.24 | $58.24 | 1.0× |
| Toccoa, GA | 1 | $106.01 | $106.01 | $106.01 | 1.0× |
| Toledo, OH | 1 | $66.00 | $66.00 | $66.00 | 1.0× |
| Torrington, CT single city | 1 | $109.98 | $109.98 | $109.98 | 1.0× |
| Traverse City, MI | 3 | $46.64 | $46.64 | $46.64 | 1.0× |
| Truth Or Consequences, NM single city | 1 | $104.21 | $104.21 | $104.21 | 1.0× |
| Tullahoma-Manchester, TN | 2 | $29.00 | $74.10 | $119.20 | 4.1× |
| Tulsa, OK | 2 | $36.94 | $36.94 | $36.94 | 1.0× |
| Turtle Lake, ND single city | 1 | $74.12 | $74.12 | $74.12 | 1.0× |
| Tyler, TX | 1 | $24.31 | $24.31 | $24.31 | 1.0× |
| Union, MS single city | 1 | $270.55 | $270.55 | $270.55 | 1.0× |
| Upper Sandusky, OH single city | 1 | $23.59 | $23.59 | $23.59 | 1.0× |
| Urban Honolulu, HI | 1 | $203.78 | $203.78 | $203.78 | 1.0× |
| Utica-Rome, NY | 1 | $87.30 | $87.30 | $87.30 | 1.0× |
| Valdez, AK single city | 1 | $409.03 | $409.03 | $409.03 | 1.0× |
| Vallejo, CA | 3 | $125.44 | $125.44 | $616.55 | 4.9× |
| Valley City, ND single city | 1 | $71.55 | $71.55 | $71.55 | 1.0× |
| Vermillion, SD | 1 | $49.96 | $49.96 | $49.96 | 1.0× |
| Vernal, UT | 1 | $61.37 | $61.37 | $61.37 | 1.0× |
| Vinita, OK single city | 1 | $36.94 | $36.94 | $36.94 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 2 | $89.23 | $94.10 | $98.97 | 1.1× |
| Waco, TX | 1 | $81.00 | $81.00 | $81.00 | 1.0× |
| Wahpeton, ND-MN | 1 | $54.90 | $54.90 | $54.90 | 1.0× |
| Warner Robins, GA | 2 | $307.58 | $307.58 | $307.58 | 1.0× |
| Washington Court House, OH | 1 | $74.99 | $74.99 | $74.99 | 1.0× |
| Washington, NC | 1 | $685.55 | $685.55 | $685.55 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 1 | $109.50 | $109.50 | $109.50 | 1.0× |
| Waterloo-Cedar Falls, IA | 3 | $56.55 | $56.55 | $73.40 | 1.3× |
| Wauchula, FL single city | 1 | $517.13 | $517.13 | $517.13 | 1.0× |
| Waukon, IA single city | 1 | $133.21 | $133.21 | $133.21 | 1.0× |
| Waverly, OH single city | 1 | $37.50 | $37.50 | $37.50 | 1.0× |
| Wayne, NE single city | 1 | $315.46 | $315.46 | $315.46 | 1.0× |
| Waynesboro, TN single city | 1 | $96.35 | $96.35 | $96.35 | 1.0× |
| Weatherford, OK | 1 | $200.00 | $200.00 | $200.00 | 1.0× |
| Weaverville, CA single city | 1 | $39.00 | $39.00 | $39.00 | 1.0× |
| Webster City, IA single city | 1 | $97.34 | $97.34 | $97.34 | 1.0× |
| Webster, SD single city | 1 | $56.80 | $56.80 | $56.80 | 1.0× |
| Weirton-Steubenville, WV-OH | 1 | $73.00 | $73.00 | $73.00 | 1.0× |
| Wellsville, NY single city | 1 | $62.00 | $62.00 | $62.00 | 1.0× |
| Wenatchee-East Wenatchee, WA | 1 | $90.00 | $90.00 | $90.00 | 1.0× |
| Wheaton, MN single city | 1 | $122.85 | $122.85 | $122.85 | 1.0× |
| Wheeling, WV-OH | 3 | $57.78 | $57.78 | $86.67 | 1.5× |
| Wichita Falls, TX | 1 | $266.00 | $266.00 | $266.00 | 1.0× |
| Willimantic, CT single city | 1 | $117.90 | $117.90 | $117.90 | 1.0× |
| Williston, ND | 1 | $65.63 | $65.63 | $65.63 | 1.0× |
| Wilmington, OH | 1 | $77.95 | $77.95 | $77.95 | 1.0× |
| Winamac, IN single city | 1 | $470.16 | $470.16 | $470.16 | 1.0× |
| Windsor, NC single city | 1 | $685.55 | $685.55 | $685.55 | 1.0× |
| Winner, SD single city | 1 | $69.23 | $69.23 | $69.23 | 1.0× |
| Wolfeboro, NH single city | 1 | $47.50 | $47.50 | $47.50 | 1.0× |
| Worcester, MA | 3 | $206.01 | $206.01 | $206.01 | 1.0× |
| Worthington, MN | 1 | $51.71 | $51.71 | $51.71 | 1.0× |
| York, NE single city | 1 | $87.00 | $87.00 | $87.00 | 1.0× |
| York-Hanover, PA | 2 | $98.40 | $315.10 | $531.80 | 5.4× |
| Youngstown-Warren, OH | 1 | $236.94 | $236.94 | $236.94 | 1.0× |
| Ypsilanti, MI single city | 1 | $197.21 | $197.21 | $197.21 | 1.0× |
| Yuba City, CA | 1 | $571.25 | $571.25 | $571.25 | 1.0× |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
Highest The highest cash price among those hospitals. A single very high price can be an error in the file; check the median too.
Highest ÷ lowest How many times the highest cash price is above the lowest in the same market.
Common questions
What is CPT code 90653?
CPT 90653 is the billing code for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older. The adjuvanted flu shot contains an added ingredient (MF59) that strengthens the immune response. It is one of three flu vaccines the CDC prefers for people 65 and older.
What is an adjuvant?
An ingredient that makes the immune system respond more strongly to a vaccine. A sore arm and tiredness are slightly more common than after a standard flu shot.
Should I choose the adjuvanted or the high-dose flu shot?
The CDC does not rank one above the other for people 65 and older, so take whichever is available.
What does a dose of the adjuvanted flu shot (65+) cost a clinic or pharmacy?
$107.60 (Fluad) per dose is the manufacturer's private-sector price in the CDC vaccine price list: what a clinic or pharmacy pays for the vaccine itself. The median hospital cash price, $90.00 across 863 hospitals, is 0.8× that. Giving the shot is billed separately (CPT 90471).
Is it cheaper to pay cash or use insurance for adjuvanted flu shot (65+)?
It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for adjuvanted flu shot (65+) has a median of $183.84 and the lowest a median of $38.01; at 530 of 612 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.
Which states have the cheapest adjuvanted flu shot (65+)?
Among 38 states with at least 5 hospitals listing a cash price, the median is lowest in Virginia ($25.40), Oklahoma ($36.94) and Missouri ($37.95), and highest in North Carolina ($685.55), Alaska ($409.03) and Alabama ($337.08). Prices vary as much between hospitals in the same state, so compare hospitals near you.
Other flu shot prices
Median hospital cash price, one per hospital.