Adjuvanted flu shot (65+) cost in South Dakota
In South Dakota, 16 hospitals publish a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $49.24 to $136.00, with a median of $78.12. The lowest price is at Sanford Aberdeen Medical Center (Aberdeen) and 1 other hospital. The highest price is 2.8× the lowest.
- The median here, $78.12, is 13% below the US median of $90.00.
- South Dakota ranks 14th of 38 states by median, cheapest first.
- 3 of 16 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 8, 2026. See them on a map
Lowest$49.24Sanford Aberdeen Medical Center + 1 more
Median$78.12half of hospitals charge less
Highest$136.00in South Dakota
Lowest saves$28.88vs the median
Hospitals in South Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Sanford Aberdeen Medical Center lowest Aberdeen · Aberdeen, SD Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML | $49.24 | $61.55 | Mar 4, 2026 source file |
| Sanford Chamberlain Medical Center lowest Chamberlain · Chamberlain, SD Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML | $49.24 | $61.55 | Mar 4, 2026 source file |
| Sanford Vermillion Hospital Vermillion · Vermillion, SD Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML | $49.96 | $62.45 | Mar 4, 2026 source file |
| Sanford Clear Lake Medical Center Clear Lake · Clear Lake, SD Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML | $53.76 | $67.19 | Mar 4, 2026 source file |
| Sanford USD Medical Center Sioux Falls · Sioux Falls, SD-MN Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML | $56.05 | $70.06 | Mar 4, 2026 source file |
| Sanford Webster Hospital Webster · Webster, SD Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML | $56.80 | $70.99 | Mar 4, 2026 source file |
| Pioneer Memorial Hospital - Cah Viborg · Sioux Falls, SD-MN Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML | $65.99 | $65.99 | Apr 30, 2026 source file |
| Winner Regional Healthcare Center Winner · Winner, SD Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML | $69.23 | $69.23 | May 7, 2026 source file |
| Mobridge Regional Hospital Mobridge · Mobridge, SD Influenza vaccine, inactivated | $87.00 | $87.00 | Nov 4, 2026 source file |
| Monument Health Rapid City Hospital Rapid City · Rapid City, SD Influenza vaccine, inactivated | $96.00 | $120.00 | Oct 22, 2026 source file |
| Same Day Surgery Center Rapid City · Rapid City, SD Influenza vaccine, inactivated | $96.00 | $120.00 | Sep 10, 2026 source file |
| Douglas County Memorial Hospital Armour · Armour, SD CDMR FLU VACCINE ADJUVANT IM | $96.30 | $107.00 | Jan 9, 2026 source file |
| Monument Health Custer Hospital Custer · Rapid City, SD Influenza vaccine, inactivated | $136.00 | $170.00 | Oct 20, 2026 source file |
| Monument Health Lead-Deadwood Hospital Deadwood · Spearfish, SD Influenza vaccine, inactivated | $136.00 | $170.00 | Oct 20, 2026 source file |
| Monument Health Spearfish Hospital Spearfish · Spearfish, SD Influenza vaccine, inactivated | $136.00 | $170.00 | Oct 20, 2026 source file |
| Monument Health Sturgis Hospital Sturgis · Rapid City, SD Influenza vaccine, inactivated | $136.00 | $170.00 | Oct 21, 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 |
|---|---|---|---|
| Rapid City, SD | 4 | $96.00 | $116.00 |
| Sioux Falls, SD-MN | 2 | $56.05 | $61.02 |
| Spearfish, SD | 2 | $136.00 | $136.00 |
| Armour, SD | 1 | $96.30 | $96.30 |
| Aberdeen, SD | 1 | $49.24 | $49.24 |
| Chamberlain, SD | 1 | $49.24 | $49.24 |
| Clear Lake, SD | 1 | $53.76 | $53.76 |
| Mobridge, SD | 1 | $87.00 | $87.00 |
| Vermillion, SD | 1 | $49.96 | $49.96 |
| Webster, SD | 1 | $56.80 | $56.80 |
| Winner, SD | 1 | $69.23 | $69.23 |
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
- Ohio$75.93
- Oklahoma$36.94
- Oregon$227.19
- Pennsylvania$167.20
- Rhode Island$113.00, 2 hospitals
- South Carolina$81.73, 3 hospitals
- 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.