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.
Hospitals in California, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Kaiser Foundation Hospital & Rehab Center - Vallejo lowest Vallejo · Vallejo, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| Kaiser Foundation Hospital - Antioch lowest Antioch · San Francisco-Oakland-Fremont, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| Kaiser Foundation Hospital - Fremont lowest Fremont · San Francisco-Oakland-Fremont, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| Kaiser Foundation Hospital - Fresno lowest Fresno · Fresno, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| Kaiser Foundation Hospital - Manteca lowest Manteca · Stockton-Lodi, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| Kaiser Foundation Hospital - Modesto lowest Modesto · Modesto, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| Kaiser Foundation Hospital - Oakland/Richmond lowest Oakland · San Francisco-Oakland-Fremont, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| Kaiser Foundation Hospital - Redwood City lowest Redwood City · San Francisco-Oakland-Fremont, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| Kaiser Foundation Hospital - Richmond Campus lowest Richmond · Richmond, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| Kaiser Foundation Hospital - Roseville lowest Roseville · Sacramento-Roseville-Folsom, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| Kaiser Foundation Hospital - Sacramento lowest Sacramento · Sacramento-Roseville-Folsom, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| Kaiser Foundation Hospital - San Francisco lowest San Francisco · San Francisco-Oakland-Fremont, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| Kaiser Foundation Hospital - San Jose lowest San Jose · San Jose-Sunnyvale-Santa Clara, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| Kaiser Foundation Hospital - San Leandro lowest San Leandro · San Francisco-Oakland-Fremont, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| Kaiser Foundation Hospital - San Rafael lowest San Rafael · San Francisco-Oakland-Fremont, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| Kaiser Foundation Hospital - Santa Clara lowest Santa Clara · San Jose-Sunnyvale-Santa Clara, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| Kaiser Foundation Hospital - Santa Rosa lowest Santa Rosa · Santa Rosa-Petaluma, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| Kaiser Foundation Hospital - South Sacramento lowest Sacramento · Sacramento-Roseville-Folsom, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| 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 | — source file |
| Kaiser Foundation Hospital - Vacaville lowest Vacaville · Vallejo, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| Kaiser Foundation Hospital - Walnut Creek lowest Walnut Creek · San Francisco-Oakland-Fremont, CA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $125.44 | $224.00 | — source file |
| 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 | — source file |
| 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 | — source file |
| 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 | — source file |
| 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 | — source file |
| 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 | — source file |
| 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 | — source file |
| 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 | — source file |
| 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 | — source file |
| 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 | — source file |
| 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 | — source file |
| 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 | — source file |
| 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 | — source file |
| 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 | — source file |
| 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 | — source file |
| 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 | — source file |
| 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 | — source file |
| 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 source file |
| Stanford Health Care Stanford · San Jose-Sunnyvale-Santa Clara, CA Influenza Vaccine Inact Subunit Adjuvant Im | $184.50 | $369.00 | Apr 1, 2026 source file |
| 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 source file |
| 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 source file |
| 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 source file |
| 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 source file |
| 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 source file |
| 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 source file |
| 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 source file |
| 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 source file |
| 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 source file |
| 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 source file |
| 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 source file |
| 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 source file |
| USC Verdugo Hills Hospital Glendale · Glendale, CA Influenza Virus Vaccine, Inactivated Trivalent Pf (Fluad) 2024-2025 | $307.59 | $307.59 | Apr 1, 2026 source file |
| 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 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| 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
- Alabama$46.20
- Alaska$409.03
- Arkansas$102.00
- 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
Median cash price across the state's hospitals.