Adjuvanted flu shot (65+) cost in Ohio
In Ohio, 36 hospitals publish a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $15.75 to $457.05, with a median of $75.93. The lowest price is at Metrohealth System (Cleveland). The highest price is 29.0× the lowest.
- The median here, $75.93, is 16% below the US median of $90.00.
- Ohio ranks 13th of 38 states by median, cheapest first.
- 3 of 36 hospitals list a cash price equal to their full list price, with no self-pay discount.
Ohio's Hospital Care Assurance Program (HCAP): Ohio residents who are not on Medicaid and whose income is at or below 100% of the federal poverty level get basic, medically necessary hospital services free at hospitals in the program; physician bills are not included. Ask the hospital's billing office for an HCAP application. Other states' laws.
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$15.75Metrohealth System
Median$75.93half of hospitals charge less
Highest$457.05in Ohio
Lowest saves$60.18vs the median
Hospitals in Ohio, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Metrohealth System lowest Cleveland · Cleveland, OH Influenza Vaccine, Inactivated, Subunit, Adjuvanted (Im,Once) | $15.75 | $45.00 | Apr 1, 2026 source file |
| Wyandot Memorial Hospital Upper Sandusky · Upper Sandusky, OH WMHC PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $23.59 | $26.21 | Dec 31, 2024 source file |
| Twin City Hospital Dennison · New Philadelphia-Dover, OH FLU VACC PRSV FREE INC ANTIG | $32.24 | $65.00 | Feb 28, 2026 source file |
| Adena Pike Medical Center Waverly · Waverly, OH INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY | $37.50 | $74.99 | Aug 19, 2026 source file |
| Adena Regional Medical Center Chillicothe · Chillicothe, OH HC Cch Iiv Adjuvant Vaccine Im | $37.50 | $75.00 | Aug 19, 2026 source file |
| Greenfield Area Medical Center Greenfield · Greenfield, OH HC Cch Iiv Adjuvant Vaccine Im | $37.50 | $75.00 | Aug 19, 2026 source file |
| Lake West Hospital Willoughby · Cleveland, OH HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $50.25 | $67.00 | Jul 14, 2026 source file |
| Parma Community General Hospital Parma · Cleveland, OH HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $50.25 | $67.00 | Jul 14, 2026 source file |
| UH Regional Hospitals Chardon · Cleveland, OH HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $50.25 | $67.00 | Jul 14, 2026 source file |
| UH St John Medical Center Westlake · Cleveland, OH HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $50.25 | $67.00 | Jul 14, 2026 source file |
| University Hospitals - Elyria Medical Center Elyria · Cleveland, OH HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $50.25 | $67.00 | Jul 14, 2026 source file |
| University Hospitals Ahuja Medical Center Beachwood · Cleveland, OH HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $50.25 | $67.00 | Jul 14, 2026 source file |
| University Hospitals Beachwood Medical Center Beachwood · Cleveland, OH HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $50.25 | $67.00 | Jul 14, 2026 source file |
| University Hospitals Portage Medical Center Ravenna · Akron, OH HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $50.25 | $67.00 | Jul 14, 2026 source file |
| Mary Rutan Hospital Bellefontaine · Bellefontaine, OH Fluad: 10 Syringe, Glass In 1 Carton (70461-024-03) / .5 Ml In 1 Syringe, Glass (70461-024-04) | $63.60 | $79.50 | Apr 1, 2026 source file |
| Nationwide Children's Hospital Toledo Toledo · Toledo, OH HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $66.00 | $110.00 | Apr 1, 2026 source file |
| Adena Fayette Medical Center Washington Court House · Washington Court House, OH INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY | $74.99 | $74.99 | Aug 19, 2026 source file |
| Mercy Health Defiance Hospital Defiance · Defiance, OH HC Iiv Adjuvanted Vaccine for Intramuscular Use | $75.00 | $125.00 | Apr 1, 2026 source file |
| Kings Daughters Medical Center Ohio Portsmouth · Portsmouth, OH HCHG FLU IIV ADJUVANT VACCINE | $76.86 | $192.13 | Sep 25, 2026 source file |
| Clinton Memorial Hospital Wilmington · Wilmington, OH FLUAD 0.5 ML FLU 65+ | $77.95 | $155.90 | Apr 1, 2026 source file |
| Marietta Memorial Hospital Marietta · Marietta, OH Iiv Adjuvant Vaccine Im | $82.96 | $138.26 | Oct 1, 2026 source file |
| Selby General Hospital Marietta · Marietta, OH Iiv Adjuvant Vaccine Im | $82.96 | $138.26 | Oct 1, 2026 source file |
| Barnesville Hospital Association Barnesville · Wheeling, WV-OH Fluad 2025-2026 Formula | $86.67 | $173.34 | Jul 14, 2026 source file |
| Harrison Community Hospital Cadiz · Cadiz, OH Fluzone High-Dose 2025-2026 Formula | $87.00 | $174.00 | Jul 17, 2026 source file |
| University of Cincinnati Medical Center Cincinnati · Cincinnati, OH-KY-IN Hc Iiv Adjuvanted Vaccine For Intramuscular Use | $112.18 | $186.96 | Jul 1, 2026 source file |
| West Chester Hospital West Chester · Cincinnati, OH-KY-IN NDC Description Not Available | $112.18 | $186.96 | Jul 1, 2026 source file |
| Crystal Clinic Orthopaedic Center Fairlawn · Akron, OH Influenza vaccine, inactivated | $113.25 | $151.00 | Jun 19, 2026 source file |
| Mount Carmel East Columbus · Columbus, OH FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $118.33 | $182.05 | Mar 31, 2026 source file |
| Mount Carmel Grove City Grove City · Columbus, OH FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $118.33 | $182.05 | Mar 31, 2026 source file |
| Mount Carmel New Albany Surgical Hospital New Albany · Columbus, OH FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $118.33 | $182.05 | Mar 31, 2026 source file |
| Mount Carmel St Ann's Westerville · Columbus, OH FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $118.33 | $182.05 | Mar 31, 2026 source file |
| Mount Carmel Dublin Dublin · Columbus, OH FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $182.05 | $182.05 | Mar 31, 2026 source file |
| Surgical Hospital at Southwoods Youngstown · Youngstown-Warren, OH """"FLUAD FLU VAC/0.5 ML"""" | $236.94 | $473.87 | Feb 17, 2026 source file |
| Henry County Hospital Napoleon · Napoleon, OH FLU vac TriV 65YR>.5ML IM | $294.19 | $392.25 | Dec 29, 2025 source file |
| Summa Health System Akron · Akron, OH INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY [134050] | $345.75 | $345.75 | Apr 1, 2026 source file |
| Western Reserve Cuyahoga Falls · Akron, OH FLU VACC TS2024(65UP)/MF59C/PF 45MCG/.5M | $457.05 | $831.00 | Jan 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 |
|---|---|---|---|
| Cleveland, OH | 8 | $15.75 | $50.25 |
| Columbus, OH | 5 | $118.33 | $118.33 |
| Akron, OH | 4 | $50.25 | $229.50 |
| Cincinnati, OH-KY-IN | 2 | $112.18 | $112.18 |
| Marietta, OH | 2 | $82.96 | $82.96 |
| Bellefontaine, OH | 1 | $63.60 | $63.60 |
| Cadiz, OH | 1 | $87.00 | $87.00 |
| Chillicothe, OH | 1 | $37.50 | $37.50 |
| Defiance, OH | 1 | $75.00 | $75.00 |
| Greenfield, OH | 1 | $37.50 | $37.50 |
| Napoleon, OH | 1 | $294.19 | $294.19 |
| New Philadelphia-Dover, OH | 1 | $32.24 | $32.24 |
| Portsmouth, OH | 1 | $76.86 | $76.86 |
| Toledo, OH | 1 | $66.00 | $66.00 |
| Upper Sandusky, OH | 1 | $23.59 | $23.59 |
| Waverly, OH | 1 | $37.50 | $37.50 |
| Washington Court House, OH | 1 | $74.99 | $74.99 |
| Wheeling, WV-OH | 1 | $86.67 | $86.67 |
| Wilmington, OH | 1 | $77.95 | $77.95 |
| Youngstown-Warren, OH | 1 | $236.94 | $236.94 |
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
- North Dakota$72.91
- 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.