Vaccines CPT 90653 California Outpatient

Adjuvanted flu shot (65+) cost in California

In California, 53 hospitals publish a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $125.44 to $419.20, with a median of $141.28. The lowest price is at Kaiser Foundation Hospital & Rehab Center - Vallejo (Vallejo) and 20 other hospitals. The highest price is 3.3× the lowest.

Outpatient cash prices, one line per hospital — its lowest listed price for code 90653. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 23, 2026.

Lowest$125.44Kaiser Foundation Hospital & Rehab Center - Vallejo + 20 more
Median$141.28half pay less
Highest$419.20in California
Lowest saves$15.84vs the median

Hospitals in California, cheapest first

HospitalCash price List priceFile date
Kaiser Foundation Hospital & Rehab Center - Vallejo lowest Vallejo · Vallejo, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - Antioch lowest Antioch · San Francisco-Oakland-Fremont, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - Fremont lowest Fremont · San Francisco-Oakland-Fremont, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - Fresno lowest Fresno · Fresno, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - Manteca lowest Manteca · Stockton-Lodi, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - Modesto lowest Modesto · Modesto, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - Oakland/Richmond lowest Oakland · San Francisco-Oakland-Fremont, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - Redwood City lowest Redwood City · San Francisco-Oakland-Fremont, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - Richmond Campus lowest Richmond · Richmond, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - Roseville lowest Roseville · Sacramento-Roseville-Folsom, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - Sacramento lowest Sacramento · Sacramento-Roseville-Folsom, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - San Francisco lowest San Francisco · San Francisco-Oakland-Fremont, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - San Jose lowest San Jose · San Jose-Sunnyvale-Santa Clara, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - San Leandro lowest San Leandro · San Francisco-Oakland-Fremont, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - San Rafael lowest San Rafael · San Francisco-Oakland-Fremont, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - Santa Clara lowest Santa Clara · San Jose-Sunnyvale-Santa Clara, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - Santa Rosa lowest Santa Rosa · Santa Rosa-Petaluma, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - South Sacramento lowest Sacramento · Sacramento-Roseville-Folsom, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - South San Francisco lowest South San Francisco · San Francisco-Oakland-Fremont, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - Vacaville lowest Vacaville · Vallejo, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - Walnut Creek lowest Walnut Creek · San Francisco-Oakland-Fremont, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $125.44 $224.00 —
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Kaiser Foundation Hospital - Baldwin Park Baldwin Park · Los Angeles-Long Beach-Anaheim, CA flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $141.28 $271.70 —
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Kaiser Foundation Hospital - Downey Downey · Los Angeles-Long Beach-Anaheim, CA flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $141.28 $271.70 —
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Kaiser Foundation Hospital - Fontana Fontana · Riverside-San Bernardino-Ontario, CA flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $141.28 $271.70 —
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Kaiser Foundation Hospital - Los Angeles Los Angeles · Los Angeles-Long Beach-Anaheim, CA flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $141.28 $271.70 —
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Kaiser Foundation Hospital - Moreno Valley Moreno Valley · Riverside-San Bernardino-Ontario, CA flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $141.28 $271.70 —
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Kaiser Foundation Hospital - Ontario Ontario · Ontario, CA flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $141.28 $271.70 —
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Kaiser Foundation Hospital - Orange County - Anaheim Anaheim · Los Angeles-Long Beach-Anaheim, CA flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $141.28 $271.70 —
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Kaiser Foundation Hospital - Orange County - Irvine Irvine · Los Angeles-Long Beach-Anaheim, CA flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $141.28 $271.70 —
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Kaiser Foundation Hospital - Panorama City Panorama City · Los Angeles-Long Beach-Anaheim, CA flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $141.28 $271.70 —
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Kaiser Foundation Hospital - Riverside Riverside · Riverside-San Bernardino-Ontario, CA flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $141.28 $271.70 —
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Kaiser Foundation Hospital - San Diego - Clairemont Mesa San Diego · San Diego-Chula Vista-Carlsbad, CA flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $141.28 $271.70 —
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Kaiser Foundation Hospital - San Diego - Zion San Diego · San Diego-Chula Vista-Carlsbad, CA flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $141.28 $271.70 —
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Kaiser Foundation Hospital - San Marcos San Marcos · San Diego-Chula Vista-Carlsbad, CA flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $141.28 $271.70 —
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Kaiser Foundation Hospital - South Bay Harbor City · Los Angeles-Long Beach-Anaheim, CA flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $141.28 $271.70 —
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Kaiser Foundation Hospital - West la Los Angeles · Los Angeles-Long Beach-Anaheim, CA flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $141.28 $271.70 —
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Kaiser Foundation Hospital - Woodland Hills Woodland Hills · Los Angeles-Long Beach-Anaheim, CA flu vaccine 2025-26 (65 yrs up) PF 45 mcg (15 mcg x 3)/0.5 mL Syringe 0.5 mL SYRINGE $141.28 $271.70 —
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UC San Diego Medical Center San Diego · San Diego-Chula Vista-Carlsbad, CA INFLUENZA VAC 65+ YRS WRAPPED RECORD (UCSD) $144.79 $263.25 Apr 1, 2026
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Stanford Health Care Stanford · San Jose-Sunnyvale-Santa Clara, CA Influenza Vaccine Inact Subunit Adjuvant Im $184.50 $369.00 Apr 1, 2026
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Healdsburg Hospital Healdsburg · Santa Rosa-Petaluma, CA HC PR RX INFLUENZA INACTIVATED IIV ADJUVANTED IM 0.5 ML $229.84 $450.67 Apr 1, 2026
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St Mary Medical Center Apple Valley · Riverside-San Bernardino-Ontario, CA INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML $237.99 $495.81 Apr 1, 2026
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Petaluma Valley Hospital Petaluma · Santa Rosa-Petaluma, CA INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML $244.43 $479.27 Apr 1, 2026
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Providence Queen of the Valley Medical Center Napa · Napa, CA INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML $244.43 $479.27 Apr 1, 2026
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Providence Santa Rosa Memorial Hospital Santa Rosa · Santa Rosa-Petaluma, CA INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML $244.43 $479.27 Apr 1, 2026
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Providence St Joseph Hospital Eureka · Eureka-Arcata, CA INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML $244.43 $479.27 Apr 1, 2026
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Providence Little Co of Mary Medical Center San Pedro San Pedro · Los Angeles-Long Beach-Anaheim, CA INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML $249.17 $711.91 Apr 1, 2026
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Providence Little Company of Mary Medical Center Torrance Torrance · Los Angeles-Long Beach-Anaheim, CA INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML $249.17 $711.91 Apr 1, 2026
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Saint John's Health Center Santa Monica · Los Angeles-Long Beach-Anaheim, CA INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML $249.17 $711.91 Apr 1, 2026
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Providence Cedars Sinai Tarzana Medical Center Tarzana · Los Angeles-Long Beach-Anaheim, CA INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML $277.66 $793.30 Apr 1, 2026
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Keck Hospital of USC Los Angeles · Los Angeles-Long Beach-Anaheim, CA Fluad: 10 Syringe, Glass In 1 Carton (70461-024-03) / .5 Ml In 1 Syringe, Glass (70461-024-04) $307.59 $307.59 Apr 1, 2026
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USC Kenneth Norris Jr Cancer Hospital Los Angeles · Los Angeles-Long Beach-Anaheim, CA Fluad: 10 Syringe, Glass In 1 Carton (70461-024-03) / .5 Ml In 1 Syringe, Glass (70461-024-04) $307.59 $307.59 Apr 1, 2026
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USC Verdugo Hills Hospital Glendale · Glendale, CA Influenza Virus Vaccine, Inactivated Trivalent Pf (Fluad) 2024-2025 $307.59 $307.59 Apr 1, 2026
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Stanford Health Care Tri-Valley Pleasanton · San Francisco-Oakland-Fremont, CA Influenza Vac Splt Pf, Tri 0.5ml Dose,65 Yrs+ $419.20 $1,048.00 Apr 1, 2026
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By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitals LowestMedian
Los Angeles-Long Beach-Anaheim, CA 15 $141.28 $141.28
San Francisco-Oakland-Fremont, CA 10 $125.44 $125.44
Riverside-San Bernardino-Ontario, CA 4 $141.28 $141.28
San Diego-Chula Vista-Carlsbad, CA 4 $141.28 $141.28
Santa Rosa-Petaluma, CA 4 $125.44 $237.14
Sacramento-Roseville-Folsom, CA 3 $125.44 $125.44
San Jose-Sunnyvale-Santa Clara, CA 3 $125.44 $125.44
Vallejo, CA 2 $125.44 $125.44
Eureka-Arcata, CA 1 $244.43 $244.43
Fresno, CA 1 $125.44 $125.44
Glendale, CA 1 $307.59 $307.59
Modesto, CA 1 $125.44 $125.44
Napa, CA 1 $244.43 $244.43
Ontario, CA 1 $141.28 $141.28
Richmond, CA 1 $125.44 $125.44
Stockton-Lodi, CA 1 $125.44 $125.44

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.

Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older in other states

Median cash price across the state's hospitals.