Vaccines CPT 90653 Texas Outpatient

Adjuvanted flu shot (65+) cost in Texas

In Texas, 69 hospitals publish a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $24.31 to $508.06, with a median of $81.00. The lowest price is at University of Texas Health Center at Tyler (Tyler). The highest price is 20.9× the lowest.

  • The median here, $81.00, is 10% below the US median of $90.00.
  • Texas ranks 16th of 38 states by median, cheapest first.
  • 4 of 69 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 11, 2026. See them on a map

Lowest$24.31University of Texas Health Center at Tyler
Median$81.00half of hospitals charge less
Highest$508.06in Texas
Lowest saves$56.69vs the median

Hospitals in Texas, cheapest first

HospitalCash priceList priceFile date
University of Texas Health Center at Tyler lowest Tyler · Tyler, TX FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE $24.31 $243.11 Mar 31, 2026
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Ochiltree General Hospital Perryton · Perryton, TX Influenza Vaccine (Iiv) Intramuscular $27.00 $38.00 —
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Memorial Hospital Dumas · Dumas, TX IIV ADJUVANT FLU VACCINE $33.60 $42.00 Mar 30, 2026
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Baylor Scott and White Medical Center Uptown Dallas · Dallas-Fort Worth-Arlington, TX Influenza vaccine, inactivated, subunit, adjuvanted, for intramuscular use 90653 $37.20 $62.00 Apr 14, 2026
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Covenant Children's Hospital Lubbock · Lubbock, TX HC PR RX INFLUENZA INACTIVATED IIV ADJUVANTED IM 0.5 ML $39.90 $95.00 Apr 1, 2026
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Covenant Hospital Levelland Levelland · Lubbock, TX HC PR RX INFLUENZA INACTIVATED IIV ADJUVANTED IM 0.5 ML $39.90 $95.00 Apr 1, 2026
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Covenant Hospital Plainview Plainview · Plainview, TX HC PR RX INFLUENZA INACTIVATED IIV ADJUVANTED IM 0.5 ML $39.90 $95.00 Apr 1, 2026
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Covenant Medical Center Lubbock · Lubbock, TX HC PR RX INFLUENZA INACTIVATED IIV ADJUVANTED IM 0.5 ML $39.90 $95.00 Apr 1, 2026
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CHI St Lukes Health Memorial Lufkin Lufkin · Lufkin, TX FLU VAC 2024 65UP-ADJMF59C(PF) SYRG 45 MCG (15 MCG X 3)/0.5 ML0 ML $47.66 $317.73 Feb 28, 2026
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Memorial Hospital of Polk County Livingston · Livingston, TX FLU VAC 2024 65UP-ADJMF59C(PF) SYRG 45 MCG (15 MCG X 3)/0.5 ML0 ML $47.66 $317.73 Feb 28, 2026
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Memorial Medical Center San Augustine San Augustine · San Augustine, TX FLU VAC 2024 65UP-ADJMF59C(PF) SYRG 45 MCG (15 MCG X 3)/0.5 ML0 ML $47.66 $317.73 Feb 28, 2026
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Fisher County Hospital Rotan · Rotan, TX Flu Vac(fluad 65+) 0.5ml Srn Im Termed $51.00 $60.00 —
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Baylor Surgical Hospital at Fort Worth Fort Worth · Dallas-Fort Worth-Arlington, TX Influenza vaccine, inactivated, subunit, adjuvanted, for intramuscular use 90653 $53.40 $89.00 Apr 14, 2026
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CHI St. Luke's Health Baylor College of Medicine Medical Center Houston · Houston-Pasadena-The Woodlands, TX FLU VAC 2024 65UP-ADJMF59C(PF) 45 MCG (15 MCG X 3)/0.5 ML SYRG 0.5 ML SYRINGE $56.80 $162.26 Feb 28, 2026
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CHI St. Luke's Health Springwood Village Spring · Houston-Pasadena-The Woodlands, TX FLU VAC 2024 65UP-ADJMF59C(PF) 45 MCG (15 MCG X 3)/0.5 ML SYRG 0.5 ML SYRINGE $56.80 $162.26 Feb 28, 2026
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St Luke's Lakeside Hospital The Woodlands · Houston-Pasadena-The Woodlands, TX FLU VAC 2024 65UP-ADJMF59C(PF) 45 MCG (15 MCG X 3)/0.5 ML SYRG 0.5 ML SYRINGE $56.80 $162.26 Feb 28, 2026
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St. Lukes Hospital at the Vintage Houston · Houston-Pasadena-The Woodlands, TX FLU VAC 2024 65UP-ADJMF59C(PF) 45 MCG (15 MCG X 3)/0.5 ML SYRG 0.5 ML SYRINGE $56.80 $162.26 Feb 28, 2026
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St Luke's Sugar Land Hospital Sugar Land · Houston-Pasadena-The Woodlands, TX FLU VAC 2024 65UP-ADJMF59C(PF) 45 MCG (15 MCG X 3)/0.5 ML SYRG 0.5 ML SYRINGE $56.80 $162.26 Feb 28, 2026
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St Luke's the Woodlands Hospital The Woodlands · Houston-Pasadena-The Woodlands, TX FLU VAC 2024 65UP-ADJMF59C(PF) 45 MCG (15 MCG X 3)/0.5 ML SYRG 0.5 ML SYRINGE $56.80 $162.26 Feb 28, 2026
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Hsa St. Joseph Houston · Houston-Pasadena-The Woodlands, TX INFLU (FLUAD TRIV 65 )PF 0.5ML $65.34 $444.50 Sep 1, 2026
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Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth · Dallas-Fort Worth-Arlington, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 29, 2026
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Baylor Scott & White Continuing Care Hospital Temple · Killeen-Temple, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 12, 2026
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Baylor Scott & White Emergency Medical Center - Cedar Park Cedar Park · Austin-Round Rock-San Marcos, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 3, 2026
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Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas · Dallas-Fort Worth-Arlington, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 29, 2026
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Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie · Dallas-Fort Worth-Arlington, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 29, 2026
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Baylor Scott & White McLane Children's Medical Center Temple · Killeen-Temple, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Oct 30, 2026
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Baylor Scott & White Medical Center - Austin Austin · Austin-Round Rock-San Marcos, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 13, 2026
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Baylor Scott & White Medical Center - Brenham Brenham · Brenham, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Oct 30, 2026
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Baylor Scott & White Medical Center - Buda Buda · Austin-Round Rock-San Marcos, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 13, 2026
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Baylor Scott & White Medical Center - Centennial Frisco · Dallas-Fort Worth-Arlington, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 29, 2026
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Baylor Scott & White Medical Center - College Station College Station · College Station-Bryan, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 12, 2026
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Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco · Dallas-Fort Worth-Arlington, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Oct 30, 2026
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Baylor Scott & White Medical Center - Grapevine Grapevine · Dallas-Fort Worth-Arlington, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 29, 2026
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Baylor Scott & White Medical Center - Hillcrest Waco · Waco, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 13, 2026
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Baylor Scott & White Medical Center - Irving Irving · Dallas-Fort Worth-Arlington, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 29, 2026
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Baylor Scott & White Medical Center - Lake Pointe Rowlett · Dallas-Fort Worth-Arlington, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 29, 2026
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Baylor Scott & White Medical Center - Lakeway Lakeway · Austin-Round Rock-San Marcos, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 13, 2026
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Baylor Scott & White Medical Center - Marble Falls Marble Falls · Marble Falls, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 13, 2026
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Baylor Scott & White Medical Center - McKinney McKinney · Dallas-Fort Worth-Arlington, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Oct 28, 2026
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Baylor Scott & White Medical Center - Pflugerville Pflugerville · Austin-Round Rock-San Marcos, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 13, 2026
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Baylor Scott & White Medical Center - Plano Plano · Dallas-Fort Worth-Arlington, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 29, 2026
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Baylor Scott & White Medical Center - Round Rock Round Rock · Austin-Round Rock-San Marcos, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 13, 2026
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Baylor Scott & White Medical Center - Taylor Taylor · Austin-Round Rock-San Marcos, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Oct 30, 2026
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Baylor Scott & White Medical Center - Temple Temple · Temple, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Oct 30, 2026
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Baylor Scott & White Medical Center at Waxahachie Waxahachie · Dallas-Fort Worth-Arlington, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Oct 29, 2026
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Baylor Scott & White Pavilion - Temple Temple · Killeen-Temple, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Oct 29, 2026
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Baylor Scott & White The Heart Hospital - Denton Denton · Dallas-Fort Worth-Arlington, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 29, 2026
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Baylor Scott & White The Heart Hospital - McKinney McKinney · Dallas-Fort Worth-Arlington, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 29, 2026
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Baylor Scott & White The Heart Hospital - Plano Plano · Dallas-Fort Worth-Arlington, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Jun 29, 2026
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Baylor University Medical Center Dallas · Dallas-Fort Worth-Arlington, TX flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe $81.00 $135.00 Oct 29, 2026
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Methodist Celina Medical Center Celina · Dallas-Fort Worth-Arlington, TX HC Iiv Adjuvant Vaccine Im $95.40 $318.00 Mar 23, 2026
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Methodist Dallas Medical Center Dallas · Dallas-Fort Worth-Arlington, TX FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE $95.40 $318.00 Mar 20, 2026
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Methodist Hospitals of Dallas – Coppell Coppell · Dallas-Fort Worth-Arlington, TX FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE $95.40 $318.00 Mar 23, 2026
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Methodist Mansfield Medical Center Mansfield · Dallas-Fort Worth-Arlington, TX FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE $95.40 $318.00 Mar 21, 2026
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Methodist Midlothian Medical Center Midlothian · Dallas-Fort Worth-Arlington, TX FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE $95.40 $318.00 Mar 21, 2026
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Methodist Richardson Campus for Continuing Care Richardson · Dallas-Fort Worth-Arlington, TX HC Iiv Adjuvant Vaccine Im $95.40 $318.00 Mar 21, 2026
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Methodist Richardson Medical Center Richardson · Dallas-Fort Worth-Arlington, TX HC Iiv Adjuvant Vaccine Im $95.40 $318.00 Mar 21, 2026
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Methodist Southlake Medical Center Souhtlake · Dallas-Fort Worth-Arlington, TX FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE $95.40 $318.00 Mar 23, 2026
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UT Health East Texas Athens Hospital Athens · Athens, TX FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE $103.98 $1,039.85 Mar 31, 2026
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Refugio County Memorial Hospital Refugio · Refugio, TX Influenza vaccine, inactivated $124.00 $155.00 Oct 23, 2026
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Methodist Charlton Medical Center Dallas · Dallas-Fort Worth-Arlington, TX HC Iiv Adjuvant Vaccine Im $159.00 $318.00 Mar 21, 2026
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The University of Texas Southwestern Medical Center at Dallas Dallas · Dallas-Fort Worth-Arlington, TX flu vaccine 2024-25 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe $162.25 $324.49 Mar 10, 2026
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Texas Health Hospital Mansfield Mansfield · Dallas-Fort Worth-Arlington, TX FLUAD 0.5 ML IM SUSY $202.96 $202.96 Apr 1, 2026
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Texas Health Huguley Hospital Fort Worth South Burleson · Dallas-Fort Worth-Arlington, TX FLUAD 0.5 ML IM SUSY $202.96 $202.96 Apr 1, 2026
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AdventHealth Central Texas Killeen · Killeen-Temple, TX FLUAD 0.5 ML IM SUSY $255.39 $255.39 Apr 1, 2026
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AdventHealth Rollins Brook Lampasas · Killeen-Temple, TX FLUAD 0.5 ML IM SUSY $255.39 $255.39 Apr 1, 2026
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Electra Memorial Hospital Electra · Wichita Falls, TX Influenza vaccine, inactivated $266.00 $380.00 Oct 7, 2026
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Palestine Regional Medical Center Palestine · Palestine, TX FLUAD PF ADJ TRIVAL $508.06 $1,693.53 Apr 1, 2026
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Palestine Regional West Campus Palestine · Palestine, TX FLUAD PF ADJ TRIVAL $508.06 $1,693.53 Apr 1, 2026
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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 areaHospitalsLowestMedian
Dallas-Fort Worth-Arlington, TX 29 $37.20 $81.00
Austin-Round Rock-San Marcos, TX 7 $81.00 $81.00
Houston-Pasadena-The Woodlands, TX 7 $56.80 $56.80
Killeen-Temple, TX 5 $81.00 $81.00
Lubbock, TX 3 $39.90 $39.90
Palestine, TX 2 $508.06 $508.06
Athens, TX 1 $103.98 $103.98
Brenham, TX 1 $81.00 $81.00
College Station-Bryan, TX 1 $81.00 $81.00
Dumas, TX 1 $33.60 $33.60
Livingston, TX 1 $47.66 $47.66
Lufkin, TX 1 $47.66 $47.66
Marble Falls, TX 1 $81.00 $81.00
Perryton, TX 1 $27.00 $27.00
Plainview, TX 1 $39.90 $39.90
Refugio, TX 1 $124.00 $124.00
Rotan, TX 1 $51.00 $51.00
San Augustine, TX 1 $47.66 $47.66
Temple, TX 1 $81.00 $81.00
Tyler, TX 1 $24.31 $24.31
Waco, TX 1 $81.00 $81.00
Wichita Falls, TX 1 $266.00 $266.00
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

Median cash price across the state's hospitals.