Adjuvanted flu shot (65+) cost in Missouri
In Missouri, 7 hospitals publish a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $26.90 to $188.25, with a median of $75.00. The lowest price is at Freeman Health System - Freeman West (Joplin). The highest price is 7.0× 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 25, 2026.
Hospitals in Missouri, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Freeman Health System - Freeman West lowest Joplin · Joplin, MO-KS VACCINATION FLU 65 YRS+ | $26.90 | $67.25 | Sep 1, 2026 source file |
| Mercy Hospital Lincoln Elsberry · St. Louis, MO-IL Iiv Adjuvanted Vaccine for Intramuscular Use | $64.50 | $86.00 | Jun 12, 2026 source file |
| Mercy Hospitals East Communities Washington · St. Louis, MO-IL Iiv Adjuvanted Vaccine for Intramuscular Use | $64.50 | $86.00 | Jun 12, 2026 source file |
| Curators of the University of Missouri Columbia · Columbia, MO influenza vaccine (Fluad) PF 0.5 mL Inj (65 years and greater) | $75.00 | $125.00 | Dec 15, 2025 source file |
| Mercy Hospital Stoddard Bernie · Bernie, MO Iiv Adjuvanted Vaccine for Intramuscular Use | $110.25 | $147.00 | Jun 12, 2026 source file |
| Mercy Hospital Stoddard Dexter · Dexter, MO Iiv Adjuvanted Vaccine for Intramuscular Use | $110.25 | $147.00 | Jun 12, 2026 source file |
| Mercy Hospital Southeast Cape Girardeau · Cape Girardeau, MO-IL Iiv Adjuvanted Vaccine for Intramuscular Use | $188.25 | $251.00 | Jun 12, 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 |
|---|---|---|---|
| St. Louis, MO-IL | 2 | $64.50 | $64.50 |
| Bernie, MO | 1 | $110.25 | $110.25 |
| Cape Girardeau, MO-IL | 1 | $188.25 | $188.25 |
| Columbia, MO | 1 | $75.00 | $75.00 |
| Dexter, MO | 1 | $110.25 | $110.25 |
| Joplin, MO-KS | 1 | $26.90 | $26.90 |
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
- 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
- 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.