Adjuvanted flu shot (65+) cost in Virginia
In Virginia, 13 hospitals publish a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $25.40 to $426.84, with a median of $25.40. The lowest price is at Carilion Franklin Memorial Hospital (Rocky Mt) and 6 other hospitals. The highest price is 16.8× the lowest.
- The median here, $25.40, is 72% below the US median of $90.00.
- Virginia has the lowest median of 38 states with at least 5 hospitals pricing this code.
- Every hospital here lists a cash price below its full list price.
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 27, 2026. See them on a map
Lowest$25.40Carilion Franklin Memorial Hospital + 6 more
Median$25.40half of hospitals charge less
Highest$426.84in Virginia
Lowest saves$0.00vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Carilion Franklin Memorial Hospital lowest Rocky Mt · Roanoke, VA FLUAD TRIV 2024-2565Y UPPF 45 MCG 15 MCG X 3-0.5 ML IM SYRINGE | $25.40 | $72.58 | Dec 15, 2025 source file |
| Carilion Giles Community Hospital lowest Roanoke · Roanoke, VA FLUAD TRIV 2024-2565Y UPPF 45 MCG 15 MCG X 3-0.5 ML IM SYRINGE | $25.40 | $72.58 | Dec 15, 2025 source file |
| Carilion New River Valley Medical Center lowest Christiansburg · Blacksburg-Christiansburg-Radford, VA FLUAD TRIV 2024-2565Y UPPF 45 MCG 15 MCG X 3-0.5 ML IM SYRINGE | $25.40 | $72.58 | Dec 15, 2025 source file |
| Carilion Roanoke Community Hospital lowest Roanoke · Roanoke, VA FLUAD TRIV 2024-2565Y UPPF 45 MCG 15 MCG X 3-0.5 ML IM SYRINGE | $25.40 | $72.58 | Dec 15, 2025 source file |
| Carilion Roanoke Memorial Hospital lowest Roanoke · Roanoke, VA FLUAD TRIV 2024-2565Y UPPF 45 MCG 15 MCG X 3-0.5 ML IM SYRINGE | $25.40 | $72.58 | Apr 17, 2026 source file |
| Carilion Rockbridge Community Hospital lowest Lexington · Lexington, VA FLUAD TRIV 2024-2565Y UPPF 45 MCG 15 MCG X 3-0.5 ML IM SYRINGE | $25.40 | $72.58 | Dec 15, 2025 source file |
| Carilion Tazewell Community Hospital lowest Tazewell · Bluefield, WV-VA FLUAD TRIV 2024-2565Y UPPF 45 MCG 15 MCG X 3-0.5 ML IM SYRINGE | $25.40 | $72.58 | Dec 15, 2025 source file |
| Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC Iiv Adjuvanted Vaccine for Intramuscular Use | $67.80 | $113.00 | Apr 1, 2026 source file |
| Bath Community Hospital Hot Springs · Hot Springs, VA INFLUENZA VAC FLUAD HD 65+ | $70.00 | $100.00 | Mar 25, 2026 source file |
| Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Noncdm Charge Record Pharmacy | $89.23 | $148.71 | Jul 1, 2026 source file |
| Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC Influenza Vaccine, Inactivated (Iiv), Subunit, for Im Use (Fluad | $98.97 | $197.93 | Mar 11, 2026 source file |
| Sovah Health - Martinsville Martinsville · Martinsville, VA Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use | $219.60 | $549.00 | Jul 10, 2026 source file |
| Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY | $426.84 | $711.40 | Apr 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.
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Roanoke, VA | 5 | $25.40 | $25.40 |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 2 | $89.23 | $94.10 |
| Blacksburg-Christiansburg-Radford, VA | 1 | $25.40 | $25.40 |
| Bluefield, WV-VA | 1 | $25.40 | $25.40 |
| Hot Springs, VA | 1 | $70.00 | $70.00 |
| Lexington, VA | 1 | $25.40 | $25.40 |
| Martinsville, VA | 1 | $219.60 | $219.60 |
| Richmond, VA | 1 | $67.80 | $67.80 |
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
- South Dakota$78.12
- Tennessee$88.04
- Texas$81.00
- Utah$77.05, 3 hospitals
- Vermont$120.00
- Washington$82.63
- West Virginia$73.00
- Wisconsin$67.54
- Wyoming$46.75, 1 hospital
Median cash price across the state's hospitals.