Adjuvanted flu shot (65+) cost in North Dakota
In North Dakota, 11 hospitals publish a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $17.85 to $178.41, with a median of $87.33. The lowest price is at St. Alexius Medical Center (Bismarck). The highest price is 10.0× 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 23, 2026.
Hospitals in North Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| St. Alexius Medical Center lowest Bismarck · Bismarck, ND HC INFLUENZA VACCINE INACT SUBUNIT ADJUVANT IM | $17.85 | $35.00 | Feb 28, 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 |
| Mercy Medical Center Williston · Williston, ND IIV ADJUVANT VACCINE IM FPC | $69.21 | $119.32 | Feb 28, 2026 source file |
| St Joseph's Hospital and Health Center Dickinson · Dickinson, ND IIV ADJUVANT VACCINE IM FPC | $77.72 | $123.36 | Feb 28, 2026 source file |
| Garrison Memorial Hospital Garrison · Garrison, ND FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCGM(15 MCGMX3)/0.5 ML IM SYRINGME | $87.33 | $128.43 | Feb 28, 2026 source file |
| St. Alexius Medical Center Turtle Lake · Turtle Lake, ND FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $91.19 | $128.43 | Feb 28, 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 |
| Essentia Health Fargo Fargo · Fargo, ND-MN INFLUENZA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $153.44 | $204.58 | Jan 1, 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 |
| Carrington Health Center Carrington · Carrington, ND FL FLUAD TRI 24-25 (65UP) 0.5M | $178.41 | $307.59 | Feb 28, 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 |
|---|---|---|---|
| Bismarck, ND | 2 | $17.85 | $31.84 |
| Fargo, ND-MN | 2 | $153.44 | $159.02 |
| Carrington, ND | 1 | $178.41 | $178.41 |
| Devils Lake, ND | 1 | $129.19 | $129.19 |
| Dickinson, ND | 1 | $77.72 | $77.72 |
| Garrison, ND | 1 | $87.33 | $87.33 |
| Mayville, ND | 1 | $49.84 | $49.84 |
| Turtle Lake, ND | 1 | $91.19 | $91.19 |
| Williston, ND | 1 | $69.21 | $69.21 |
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
- 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
- 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.