Adjuvanted flu shot (65+) cost without insurance
Across 272 US markets, hospitals list an outpatient cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older from $10.30 to $1,726.47. The median market price is $86.84. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Sep 25, 2026 Each price links to its source file All Vaccine costs
Lowest$10.30any market
Median market$86.84middle of market medians
Highest$1,726.47any market
Listings538hospital prices
What it is
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
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$46.20
- Alaska$409.03
- Arkansas$102.00
- California$141.28
- Colorado$806.14
- Connecticut$117.90
- Delaware$303.45
- Florida$249.65
- Georgia$215.27
- Idaho$27.95
- Illinois$83.20
- Indiana$68.36
- Iowa$76.00
- Kansas$606.39
- Kentucky$44.11
- Louisiana$53.90
- Maine$13.98
- Maryland$75.00
- Massachusetts$206.01
- Michigan$46.64
- Minnesota$67.93
- Mississippi$177.97
- Missouri$75.00
- Montana$53.55
- Nebraska$69.91
- New Hampshire$58.24
- New Jersey$150.83
- New Mexico$508.57
- New York$141.00
- North Carolina$685.55
- North Dakota$87.33
- Ohio$77.95
- Oklahoma$36.94
- Oregon$95.70
- Pennsylvania$336.70
- Rhode Island$113.00
- South Dakota$51.86
- Tennessee$54.00
- Texas$81.00
- Utah$89.98
- Vermont$123.04
- Virginia$154.42
- Washington$84.04
- West Virginia$73.00
- Wisconsin$62.93
- Wyoming$43.40
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| 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× |
| Anaconda, MT single city | 1 | $457.70 | $457.70 | $457.70 | 1.0× |
| Anna, IL single city | 1 | $38.50 | $38.50 | $38.50 | 1.0× |
| Aberdeen, SD | 1 | $49.24 | $49.24 | $49.24 | 1.0× |
| Akron, OH | 2 | $50.25 | $81.75 | $113.25 | 2.3× |
| Albany-Schenectady-Troy, NY | 3 | $118.33 | $118.33 | $118.33 | 1.0× |
| Anchorage, AK | 2 | $202.00 | $305.52 | $409.03 | 2.0× |
| Ann Arbor, MI | 1 | $38.82 | $38.82 | $38.82 | 1.0× |
| Appleton, WI | 1 | $88.35 | $88.35 | $88.35 | 1.0× |
| Ardmore, OK | 1 | $102.00 | $102.00 | $102.00 | 1.0× |
| Asheville, NC | 1 | $121.20 | $121.20 | $121.20 | 1.0× |
| Astoria, OR | 1 | $284.32 | $284.32 | $284.32 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 8 | $215.27 | $215.27 | $215.27 | 1.0× |
| Auburn-Opelika, AL | 1 | $46.20 | $46.20 | $46.20 | 1.0× |
| Austin-Round Rock-San Marcos, TX | 7 | $81.00 | $81.00 | $81.00 | 1.0× |
| Bernie, MO single city | 1 | $110.25 | $110.25 | $110.25 | 1.0× |
| Bridgeport, CT single city | 1 | $117.90 | $117.90 | $117.90 | 1.0× |
| Buckhannon, WV single city | 1 | $86.67 | $86.67 | $86.67 | 1.0× |
| Baker City, OR | 1 | $27.95 | $27.95 | $27.95 | 1.0× |
| Bangor, ME | 2 | $10.30 | $13.98 | $17.66 | 1.7× |
| Barre, VT | 1 | $127.24 | $127.24 | $127.24 | 1.0× |
| Bemidji, MN | 1 | $46.84 | $46.84 | $46.84 | 1.0× |
| Bennington, VT | 1 | $33.60 | $33.60 | $33.60 | 1.0× |
| Bismarck, ND | 2 | $17.85 | $31.85 | $45.84 | 2.6× |
| Bluefield, WV-VA | 1 | $58.00 | $58.00 | $58.00 | 1.0× |
| Boise City, ID | 2 | $27.95 | $27.95 | $27.95 | 1.0× |
| Boston-Cambridge-Newton, MA-NH | 5 | $63.00 | $141.23 | $141.23 | 2.2× |
| Boulder, CO | 1 | $806.14 | $806.14 | $806.14 | 1.0× |
| Brainerd, MN | 1 | $137.68 | $137.68 | $137.68 | 1.0× |
| Brattleboro, VT | 1 | $123.04 | $123.04 | $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× |
| Buffalo-Cheektowaga, NY | 4 | $53.00 | $70.60 | $186.00 | 3.5× |
| Burlington-South Burlington, VT | 1 | $211.39 | $211.39 | $211.39 | 1.0× |
| Canby, MN single city | 1 | $53.76 | $53.76 | $53.76 | 1.0× |
| Carrington, ND single city | 1 | $178.41 | $178.41 | $178.41 | 1.0× |
| Cedar Rapids, IA single city | 1 | $76.00 | $76.00 | $76.00 | 1.0× |
| Centerville, IA single city | 1 | $83.00 | $83.00 | $83.00 | 1.0× |
| Chamberlain, SD single city | 1 | $49.24 | $49.24 | $49.24 | 1.0× |
| Charlevoix, MI single city | 1 | $46.64 | $46.64 | $46.64 | 1.0× |
| Clear Lake, SD single city | 1 | $53.76 | $53.76 | $53.76 | 1.0× |
| Columbus, NC single city | 1 | $235.79 | $235.79 | $235.79 | 1.0× |
| Corning, IA single city | 1 | $43.20 | $43.20 | $43.20 | 1.0× |
| Cadillac, MI | 1 | $46.64 | $46.64 | $46.64 | 1.0× |
| Calhoun, GA | 1 | $758.01 | $758.01 | $758.01 | 1.0× |
| Cape Girardeau, MO-IL | 1 | $188.25 | $188.25 | $188.25 | 1.0× |
| Cedar Rapids, IA | 1 | $76.00 | $76.00 | $76.00 | 1.0× |
| Chambersburg, PA | 2 | $167.20 | $167.20 | $167.20 | 1.0× |
| Charleston, WV | 1 | $67.50 | $67.50 | $67.50 | 1.0× |
| Chattanooga, TN-GA | 1 | $94.51 | $94.51 | $94.51 | 1.0× |
| Cheyenne, WY | 1 | $43.40 | $43.40 | $43.40 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 16 | $33.44 | $89.97 | $458.64 | 13.7× |
| Cincinnati, OH-KY-IN | 2 | $112.18 | $112.18 | $112.18 | 1.0× |
| Clarksburg, WV | 1 | $73.00 | $73.00 | $73.00 | 1.0× |
| Cleveland, OH | 8 | $15.75 | $50.25 | $345.75 | 22.0× |
| Clinton, IA | 2 | $56.55 | $99.46 | $142.36 | 2.5× |
| 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, NE | 1 | $76.50 | $76.50 | $76.50 | 1.0× |
| Columbus, OH | 5 | $118.33 | $118.33 | $182.05 | 1.5× |
| Corbin, KY | 1 | $249.70 | $249.70 | $249.70 | 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× |
| Devils Lake, ND single city | 1 | $129.19 | $129.19 | $129.19 | 1.0× |
| Dexter, MO single city | 1 | $110.25 | $110.25 | $110.25 | 1.0× |
| Durand, WI single city | 1 | $145.14 | $145.14 | $145.14 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 19 | $37.20 | $81.00 | $202.96 | 5.5× |
| Dalton, GA | 1 | $758.01 | $758.01 | $758.01 | 1.0× |
| Davenport-Moline-Rock Island, IA-IL | 5 | $76.00 | $142.36 | $142.36 | 1.9× |
| Defiance, OH | 1 | $75.00 | $75.00 | $75.00 | 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 | $66.28 | $87.00 | 1.6× |
| Detroit Lakes, MN | 1 | $131.34 | $131.34 | $131.34 | 1.0× |
| Detroit-Warren-Dearborn, MI | 4 | $135.46 | $135.46 | $135.46 | 1.0× |
| Dickinson, ND | 1 | $77.72 | $77.72 | $77.72 | 1.0× |
| Dover, DE | 1 | $303.45 | $303.45 | $303.45 | 1.0× |
| Dubuque, IA | 3 | $53.95 | $56.55 | $76.00 | 1.4× |
| Duluth, MN-WI | 7 | $128.48 | $135.02 | $151.18 | 1.2× |
| 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× |
| 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× |
| 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 | 2 | $34.61 | $35.46 | $36.30 | 1.0× |
| Farmington, CT single city | 1 | $152.87 | $152.87 | $152.87 | 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× |
| Fort Dodge, IA | 1 | $76.00 | $76.00 | $76.00 | 1.0× |
| Fresno, CA | 1 | $125.44 | $125.44 | $125.44 | 1.0× |
| Garrison, ND single city | 1 | $87.33 | $87.33 | $87.33 | 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× |
| Glendale, CA single city | 1 | $307.59 | $307.59 | $307.59 | 1.0× |
| Graceville, MN single city | 1 | $151.18 | $151.18 | $151.18 | 1.0× |
| Grayling, MI single city | 1 | $46.64 | $46.64 | $46.64 | 1.0× |
| Grinnell, IA single city | 1 | $76.00 | $76.00 | $76.00 | 1.0× |
| Gettysburg, PA | 1 | $531.80 | $531.80 | $531.80 | 1.0× |
| Grand Forks, ND-MN | 1 | $151.18 | $151.18 | $151.18 | 1.0× |
| Grand Island, NE | 1 | $75.78 | $75.78 | $75.78 | 1.0× |
| Grand Rapids, MN | 1 | $151.18 | $151.18 | $151.18 | 1.0× |
| Green Bay, WI | 1 | $67.14 | $67.14 | $67.14 | 1.0× |
| Greencastle, IN | 1 | $178.50 | $178.50 | $178.50 | 1.0× |
| Greenville, NC | 1 | $685.55 | $685.55 | $685.55 | 1.0× |
| Harbor Beach, MI single city | 1 | $73.50 | $73.50 | $73.50 | 1.0× |
| Hartford, CT single city | 2 | $24.83 | $71.37 | $117.90 | 4.7× |
| Hagerstown-Martinsburg, MD-WV | 1 | $57.78 | $57.78 | $57.78 | 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× |
| Houston-Pasadena-The Woodlands, TX | 1 | $65.34 | $65.34 | $65.34 | 1.0× |
| Huntington-Ashland, WV-KY-OH | 2 | $49.71 | $262.56 | $475.40 | 9.6× |
| Hutchinson, MN | 1 | $50.60 | $50.60 | $50.60 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 3 | $34.61 | $68.36 | $1,726.47 | 49.9× |
| Jasper, IN | 1 | $33.00 | $33.00 | $33.00 | 1.0× |
| Joplin, MO-KS | 1 | $26.90 | $26.90 | $26.90 | 1.0× |
| Kenansville, NC single city | 1 | $685.55 | $685.55 | $685.55 | 1.0× |
| Kodiak, AK single city | 1 | $409.03 | $409.03 | $409.03 | 1.0× |
| Kansas City, MO-KS | 2 | $606.39 | $606.39 | $606.39 | 1.0× |
| Kearney, NE | 1 | $78.34 | $78.34 | $78.34 | 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× |
| Knoxville, TN | 5 | $88.04 | $96.84 | $96.84 | 1.1× |
| Lafayette-West Lafayette, IN | 1 | $34.61 | $34.61 | $34.61 | 1.0× |
| Lakeland-Winter Haven, FL | 2 | $1,040.17 | $1,289.90 | $1,539.63 | 1.5× |
| Lancaster, PA | 1 | $506.20 | $506.20 | $506.20 | 1.0× |
| 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 | 2 | $48.45 | $58.88 | $69.30 | 1.4× |
| Lincoln, NE | 2 | $59.08 | $61.65 | $64.22 | 1.1× |
| Los Angeles-Long Beach-Anaheim, CA | 15 | $141.28 | $141.28 | $307.59 | 2.2× |
| Lubbock, TX | 3 | $39.90 | $39.90 | $39.90 | 1.0× |
| Magazine, AR single city | 1 | $102.00 | $102.00 | $102.00 | 1.0× |
| Malone, NY single city | 1 | $211.39 | $211.39 | $211.39 | 1.0× |
| Manistee, MI single city | 1 | $46.64 | $46.64 | $46.64 | 1.0× |
| Mansfield, AR single city | 1 | $102.00 | $102.00 | $102.00 | 1.0× |
| Marble Falls, TX single city | 1 | $81.00 | $81.00 | $81.00 | 1.0× |
| Mayville, ND single city | 1 | $49.84 | $49.84 | $49.84 | 1.0× |
| Middlebury, VT single city | 1 | $208.87 | $208.87 | $208.87 | 1.0× |
| Morganfield, KY single city | 1 | $38.50 | $38.50 | $38.50 | 1.0× |
| Madison, WI | 1 | $58.72 | $58.72 | $58.72 | 1.0× |
| Manchester-Nashua, NH | 2 | $30.45 | $49.24 | $68.03 | 2.2× |
| Marion-Herrin, IL | 1 | $20.90 | $20.90 | $20.90 | 1.0× |
| Marshall, MN | 1 | $38.00 | $38.00 | $38.00 | 1.0× |
| Marshalltown, IA | 1 | $76.00 | $76.00 | $76.00 | 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× |
| Medford, OR | 1 | $349.44 | $349.44 | $349.44 | 1.0× |
| Memphis, TN-MS-AR | 6 | $37.94 | $37.94 | $37.94 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 11 | $81.90 | $81.90 | $249.65 | 3.0× |
| Milwaukee-Waukesha, WI | 3 | $51.94 | $51.94 | $77.91 | 1.5× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 9 | $40.70 | $57.86 | $99.84 | 2.5× |
| Modesto, CA | 1 | $125.44 | $125.44 | $125.44 | 1.0× |
| Morgantown, WV | 1 | $57.78 | $57.78 | $57.78 | 1.0× |
| Morristown, TN | 1 | $88.04 | $88.04 | $88.04 | 1.0× |
| Mount Vernon, IL | 1 | $24.20 | $24.20 | $24.20 | 1.0× |
| Muscatine, IA | 1 | $76.00 | $76.00 | $76.00 | 1.0× |
| Muskogee, OK | 1 | $36.94 | $36.94 | $36.94 | 1.0× |
| Nebraska City, NE single city | 1 | $106.60 | $106.60 | $106.60 | 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× |
| Newport, VT single city | 1 | $44.00 | $44.00 | $44.00 | 1.0× |
| Norwich, CT single city | 1 | $117.90 | $117.90 | $117.90 | 1.0× |
| Napa, CA | 1 | $244.43 | $244.43 | $244.43 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 2 | $29.00 | $41.50 | $54.00 | 1.9× |
| New Orleans-Metairie, LA | 7 | $51.24 | $53.90 | $103.95 | 2.0× |
| New Ulm, MN | 1 | $67.93 | $67.93 | $67.93 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 18 | $37.68 | $150.83 | $260.10 | 6.9× |
| Norfolk, NE | 1 | $75.60 | $75.60 | $75.60 | 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× |
| Ontario, CA single city | 1 | $141.28 | $141.28 | $141.28 | 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× |
| Oklahoma City, OK | 1 | $102.00 | $102.00 | $102.00 | 1.0× |
| Omaha, NE-IA | 6 | $37.80 | $37.80 | $44.10 | 1.2× |
| Ontario, OR-ID | 1 | $27.95 | $27.95 | $27.95 | 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× |
| Paris, AR single city | 1 | $102.00 | $102.00 | $102.00 | 1.0× |
| Petersburg, WV single city | 1 | $138.67 | $138.67 | $138.67 | 1.0× |
| Pikeville, TN single city | 1 | $51.73 | $51.73 | $51.73 | 1.0× |
| Polson, MT single city | 1 | $48.80 | $48.80 | $48.80 | 1.0× |
| Princeton, IN single city | 1 | $38.50 | $38.50 | $38.50 | 1.0× |
| Parkersburg-Vienna, WV | 1 | $57.78 | $57.78 | $57.78 | 1.0× |
| Pittsburgh, PA | 2 | $57.78 | $79.89 | $102.00 | 1.8× |
| 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× |
| Port St. Lucie, FL | 1 | $158.60 | $158.60 | $158.60 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 11 | $14.27 | $95.70 | $349.44 | 24.5× |
| Providence-Warwick, RI-MA | 3 | $113.00 | $113.00 | $392.10 | 3.5× |
| Punta Gorda, FL | 1 | $1,064.73 | $1,064.73 | $1,064.73 | 1.0× |
| Richmond, CA single city | 1 | $125.44 | $125.44 | $125.44 | 1.0× |
| Ripley, WV single city | 1 | $87.00 | $87.00 | $87.00 | 1.0× |
| Richmond, VA | 1 | $67.80 | $67.80 | $67.80 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 4 | $141.28 | $141.28 | $237.99 | 1.7× |
| Roanoke Rapids, NC | 1 | $685.55 | $685.55 | $685.55 | 1.0× |
| Roanoke, VA | 1 | $426.84 | $426.84 | $426.84 | 1.0× |
| Rochester, NY | 4 | $56.53 | $58.58 | $64.00 | 1.1× |
| Rocky Mount, NC | 1 | $685.55 | $685.55 | $685.55 | 1.0× |
| Rome, GA | 1 | $750.32 | $750.32 | $750.32 | 1.0× |
| Sandstone, MN single city | 1 | $151.18 | $151.18 | $151.18 | 1.0× |
| Sheldon, IA single city | 1 | $54.00 | $54.00 | $54.00 | 1.0× |
| St. Johnsbury, VT single city | 1 | $53.25 | $53.25 | $53.25 | 1.0× |
| St. Paul, MN single city | 1 | $52.80 | $52.80 | $52.80 | 1.0× |
| Stafford Springs, CT single city | 1 | $303.40 | $303.40 | $303.40 | 1.0× |
| Summersville, WV single city | 1 | $86.67 | $86.67 | $86.67 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 3 | $125.44 | $125.44 | $125.44 | 1.0× |
| Salem, OR | 1 | $14.27 | $14.27 | $14.27 | 1.0× |
| Salt Lake City-Murray, UT | 2 | $77.05 | $89.98 | $102.90 | 1.3× |
| San Diego-Chula Vista-Carlsbad, CA | 4 | $141.28 | $141.28 | $144.79 | 1.0× |
| San Francisco-Oakland-Fremont, CA | 10 | $125.44 | $125.44 | $419.20 | 3.3× |
| San Jose-Sunnyvale-Santa Clara, CA | 3 | $125.44 | $125.44 | $184.50 | 1.5× |
| Santa Rosa-Petaluma, CA | 4 | $125.44 | $237.14 | $244.43 | 1.9× |
| Seaford, DE | 2 | $236.30 | $269.88 | $303.45 | 1.3× |
| Seattle-Tacoma-Bellevue, WA | 11 | $52.52 | $85.19 | $176.65 | 3.4× |
| Sebastian-Vero Beach-West Vero Corridor, FL | 1 | $158.60 | $158.60 | $158.60 | 1.0× |
| Sebring, FL | 1 | $517.13 | $517.13 | $517.13 | 1.0× |
| Sevierville, TN | 1 | $85.10 | $85.10 | $85.10 | 1.0× |
| Shelbyville, TN | 1 | $29.00 | $29.00 | $29.00 | 1.0× |
| Sioux City, IA-NE-SD | 1 | $76.00 | $76.00 | $76.00 | 1.0× |
| Sioux Falls, SD-MN | 2 | $53.58 | $54.82 | $56.05 | 1.0× |
| Slidell-Mandeville-Covington, LA | 1 | $51.24 | $51.24 | $51.24 | 1.0× |
| South Bend-Mishawaka, IN-MI | 1 | $167.00 | $167.00 | $167.00 | 1.0× |
| Spokane-Spokane Valley, WA | 1 | $77.00 | $77.00 | $77.00 | 1.0× |
| Springfield, MA | 1 | $33.15 | $33.15 | $33.15 | 1.0× |
| St. Louis, MO-IL | 2 | $64.50 | $64.50 | $64.50 | 1.0× |
| Stockton-Lodi, CA | 1 | $125.44 | $125.44 | $125.44 | 1.0× |
| Syracuse, NY | 1 | $99.45 | $99.45 | $99.45 | 1.0× |
| Temple, TX single city | 1 | $81.00 | $81.00 | $81.00 | 1.0× |
| Thief River Falls, MN single city | 2 | $58.24 | $58.24 | $58.24 | 1.0× |
| Torrington, CT single city | 1 | $109.98 | $109.98 | $109.98 | 1.0× |
| Turtle Lake, ND single city | 1 | $91.19 | $91.19 | $91.19 | 1.0× |
| Tampa-St. Petersburg-Clearwater, FL | 8 | $371.69 | $593.62 | $823.36 | 2.2× |
| Toledo, OH | 1 | $66.00 | $66.00 | $66.00 | 1.0× |
| Traverse City, MI | 3 | $46.64 | $46.64 | $46.64 | 1.0× |
| Tullahoma-Manchester, TN | 1 | $29.00 | $29.00 | $29.00 | 1.0× |
| Tulsa, OK | 2 | $36.94 | $36.94 | $36.94 | 1.0× |
| Valdez, AK single city | 1 | $409.03 | $409.03 | $409.03 | 1.0× |
| Vinita, OK single city | 1 | $36.94 | $36.94 | $36.94 | 1.0× |
| Vallejo, CA | 2 | $125.44 | $125.44 | $125.44 | 1.0× |
| Vermillion, SD | 1 | $49.96 | $49.96 | $49.96 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 1 | $89.23 | $89.23 | $89.23 | 1.0× |
| Wauchula, FL single city | 1 | $517.13 | $517.13 | $517.13 | 1.0× |
| Webster, SD single city | 1 | $56.80 | $56.80 | $56.80 | 1.0× |
| Wellsville, NY single city | 1 | $62.00 | $62.00 | $62.00 | 1.0× |
| Wheaton, MN single city | 1 | $122.85 | $122.85 | $122.85 | 1.0× |
| Willimantic, CT single city | 1 | $117.90 | $117.90 | $117.90 | 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× |
| Waco, TX | 1 | $81.00 | $81.00 | $81.00 | 1.0× |
| Warner Robins, GA | 2 | $307.58 | $307.58 | $307.58 | 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 | $76.00 | 1.3× |
| Weirton-Steubenville, WV-OH | 1 | $73.00 | $73.00 | $73.00 | 1.0× |
| Wheeling, WV-OH | 3 | $57.78 | $57.78 | $86.67 | 1.5× |
| Williston, ND | 1 | $69.21 | $69.21 | $69.21 | 1.0× |
| Wilmington, OH | 1 | $77.95 | $77.95 | $77.95 | 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 | 1 | $531.80 | $531.80 | $531.80 | 1.0× |
Common questions
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.
Other vaccine prices
Median hospital cash price, one per hospital.