Adjuvanted flu shot (65+) cost in North Carolina
In North Carolina, 15 hospitals publish a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $30.98 to $685.55, with a median of $685.55. The lowest price is at Iredell Memorial Hospital (Statesville). The highest price is 22.1× the lowest.
- The median here, $685.55, is 662% above the US median of $90.00.
- North Carolina ranks 38th of 38 states by median, cheapest first.
- 11 of 15 hospitals list a cash price equal to their full list price, with no self-pay discount.
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 29, 2026. See them on a map
Lowest$30.98Iredell Memorial Hospital
Median$685.55half of hospitals charge less
Highest$685.55in North Carolina
Lowest saves$654.57vs the median
Hospitals in North Carolina, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Iredell Memorial Hospital lowest Statesville · Charlotte-Concord-Gastonia, NC-SC influenza virus vaccine 0.5 mL inact (Fluad) PFS TIV [IMH] | $30.98 | $114.75 | Dec 31, 2025 source file |
| Harris Regional Hospital Sylva · Sylva, NC Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use | $50.01 | $125.02 | Jul 10, 2026 source file |
| AdventHealth Hendersonville Hendersonville · Asheville, NC FLUAD 0.5 ML IM SUSY | $121.20 | $121.20 | Apr 1, 2026 source file |
| WakeMed Cary Hospital Cary · Raleigh-Cary, NC HC Iiv Adjuvanted Vaccine for Intramuscular Use | $145.35 | $382.51 | Feb 11, 2026 source file |
| WakeMed Raleigh Campus Raleigh · Raleigh-Cary, NC HC Iiv Adjuvanted Vaccine for Intramuscular Use | $145.35 | $382.51 | Feb 11, 2026 source file |
| AdventHealth Polk Columbus · Columbus, NC FLUAD 0.5 ML IM SUSY | $235.79 | $235.79 | Apr 1, 2026 source file |
| ECU Health Beaufort Hospital Washington · Washington, NC FLU VACCINE (65 YR+)(PF) 45 MCG/0.5 ML IM SYRG | $685.55 | $685.55 | Apr 1, 2026 source file |
| ECU Health Bertie Hospital Windsor · Windsor, NC FLU VACCINE (65 YR+)(PF) 45 MCG/0.5 ML IM SYRG | $685.55 | $685.55 | Apr 1, 2026 source file |
| ECU Health Chowan Hospital Edenton · Edenton, NC FLU VACCINE (65 YR+)(PF) 45 MCG/0.5 ML IM SYRG | $685.55 | $685.55 | Apr 1, 2026 source file |
| ECU Health Duplin Hospital Kenansville · Kenansville, NC FLU VACCINE (65 YR+)(PF) 45 MCG/0.5 ML IM SYRG | $685.55 | $685.55 | Apr 1, 2026 source file |
| ECU Health Edgecombe Hospital Tarboro · Rocky Mount, NC FLU VACCINE (65 YR+)(PF) 45 MCG/0.5 ML IM SYRG | $685.55 | $685.55 | Apr 1, 2026 source file |
| ECU Health Medical Center Greenville · Greenville, NC FLU VACCINE (65 YR+)(PF) 45 MCG/0.5 ML IM SYRG | $685.55 | $685.55 | Apr 1, 2026 source file |
| ECU Health North Hospital Roanoke Rapids · Roanoke Rapids, NC FLU VACCINE (65 YR+)(PF) 45 MCG/0.5 ML IM SYRG | $685.55 | $685.55 | Apr 1, 2026 source file |
| East Carolina Health Ahoskie · Ahoskie, NC FLU VACCINE (65 YR+)(PF) 45 MCG/0.5 ML IM SYRG | $685.55 | $685.55 | Apr 1, 2026 source file |
| The Outer Banks Hospital Nags Head · Kill Devil Hills, NC FLU VACCINE (65 YR+)(PF) 45 MCG/0.5 ML IM SYRG | $685.55 | $685.55 | Apr 1, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Raleigh-Cary, NC | 2 | $145.35 | $145.35 |
| Ahoskie, NC | 1 | $685.55 | $685.55 |
| Asheville, NC | 1 | $121.20 | $121.20 |
| Columbus, NC | 1 | $235.79 | $235.79 |
| Charlotte-Concord-Gastonia, NC-SC | 1 | $30.98 | $30.98 |
| Edenton, NC | 1 | $685.55 | $685.55 |
| Greenville, NC | 1 | $685.55 | $685.55 |
| Kenansville, NC | 1 | $685.55 | $685.55 |
| Kill Devil Hills, NC | 1 | $685.55 | $685.55 |
| Roanoke Rapids, NC | 1 | $685.55 | $685.55 |
| Rocky Mount, NC | 1 | $685.55 | $685.55 |
| Sylva, NC | 1 | $50.01 | $50.01 |
| Windsor, NC | 1 | $685.55 | $685.55 |
| Washington, NC | 1 | $685.55 | $685.55 |
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
What adjuvanted flu shot (65+) is, what the price covers and why prices differ: Adjuvanted flu shot (65+) explained.
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older in other states
- 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 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$88.04
- 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
Median cash price across the state's hospitals.