Adjuvanted flu shot (65+) cost in North Dakota
In North Dakota, 18 hospitals publish a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $37.50 to $185.50, with a median of $72.91. The lowest price is at CHI St Alexius Health (Bismarck). The highest price is 4.9× the lowest.
- The median here, $72.91, is 19% below the US median of $90.00.
- North Dakota ranks 11th of 38 states by median, cheapest first.
- 4 of 18 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 Nov 10, 2026. See them on a map
Lowest$37.50CHI St Alexius Health
Median$72.91half of hospitals charge less
Highest$185.50in North Dakota
Lowest saves$35.41vs the median
Hospitals in North Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| CHI St Alexius Health lowest Bismarck · Bismarck, ND HC INFLUENZA VACCINE INACT SUBUNIT ADJUVANT IM | $37.50 | $75.00 | Sep 30, 2026 source file |
| Sanford Medical Center Bismarck Bismarck · Bismarck, ND Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML | $45.84 | $57.30 | Mar 4, 2026 source file |
| Sanford Mayville Medical Center Mayville · Mayville, ND Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML | $49.84 | $62.30 | Mar 4, 2026 source file |
| Nelson County Health System Hospital McVille · McVille, ND PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $58.00 | $58.00 | Jul 14, 2026 source file |
| Mercy Medical Center Williston · Williston, ND IIV ADJUVANT VACCINE IM FPC | $65.63 | $119.32 | Sep 30, 2026 source file |
| Lisbon Area Health Services Lisbon · Lisbon, ND FLUAD AIIV3 65+ 2019-20 SYR | $67.85 | $123.36 | Sep 30, 2026 source file |
| Mercy Hospital of Valley City Valley City · Valley City, ND FLUAD AIIV3 65+ 2019-20 SYR | $71.55 | $123.36 | Sep 30, 2026 source file |
| Carrington Health Center Carrington · Carrington, ND FLUAD AIIV3 65+ 2019-20 SYR | $72.79 | $123.36 | Sep 30, 2026 source file |
| St Joseph's Hospital and Health Center Dickinson · Dickinson, ND IIV ADJUVANT VACCINE IM FPC | $72.79 | $123.36 | Sep 30, 2026 source file |
| Garrison Memorial Hospital Garrison · Garrison, ND FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $73.03 | $109.00 | Sep 30, 2026 source file |
| CHI St Alexius Health Turtle Lake Turtle Lake · Turtle Lake, ND FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $74.12 | $109.00 | Sep 30, 2026 source file |
| Unity Medical Center Graften · Graften, ND PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $85.00 | $85.00 | Mar 5, 2026 source file |
| Mercy Hospital of Devils Lake Devils Lake · Devils Lake, ND FL FLUAD TRI 24-25 (65UP) 0.5M | $129.19 | $307.59 | Feb 28, 2026 source file |
| Linton Regional Medical Center Linton · Linton, ND Influenza Iiv Adjuvanted Vaccine For Intramuscular Use | $152.00 | $152.00 | — source file |
| Essentia Health Fargo Fargo · Fargo, ND-MN INFLUENZA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $153.44 | $204.58 | Jan 1, 2026 source file |
| CHI Oakes Hospital Oakes · Oakes, ND FL FLUAD TRI 24-25 (65UP) 0.5M | $159.95 | $307.59 | Feb 28, 2026 source file |
| Sanford Fargo Medical Center Fargo · Fargo, ND-MN Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML | $164.61 | $205.76 | Mar 4, 2026 source file |
| Ashley Medical Center Ashley · Ashley, ND SNF FLUAD VACCINE 2025-2026 | $185.50 | $185.50 | Oct 9, 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 |
|---|---|---|---|
| Bismarck, ND | 2 | $37.50 | $41.67 |
| Fargo, ND-MN | 2 | $153.44 | $159.02 |
| Ashley, ND | 1 | $185.50 | $185.50 |
| Carrington, ND | 1 | $72.79 | $72.79 |
| Devils Lake, ND | 1 | $129.19 | $129.19 |
| Dickinson, ND | 1 | $72.79 | $72.79 |
| Garrison, ND | 1 | $73.03 | $73.03 |
| Graften, ND | 1 | $85.00 | $85.00 |
| Linton, ND | 1 | $152.00 | $152.00 |
| Lisbon, ND | 1 | $67.85 | $67.85 |
| Mayville, ND | 1 | $49.84 | $49.84 |
| McVille, ND | 1 | $58.00 | $58.00 |
| Oakes, ND | 1 | $159.95 | $159.95 |
| Turtle Lake, ND | 1 | $74.12 | $74.12 |
| Valley City, ND | 1 | $71.55 | $71.55 |
| Williston, ND | 1 | $65.63 | $65.63 |
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 Carolina$685.55
- 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.