Vaccines CPT 90656 North Carolina Outpatient

Flu shot cost in North Carolina

In North Carolina, 52 hospitals publish a cash price for flu shot, standard dose, preservative-free, for age 6 months and older: from $7.97 to $725.19, with a median of $39.56. The lowest price is at Iredell Memorial Hospital (Statesville). The highest price is 91.0× the lowest.

  • The median here, $39.56, is 8% above the US median of $36.75.
  • North Carolina ranks 29th of 49 states by median, cheapest first.
  • 20 of 52 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 90656. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map

Lowest$7.97Iredell Memorial Hospital
Median$39.56half of hospitals charge less
Highest$725.19in North Carolina
Lowest saves$31.59vs the median

Hospitals in North Carolina, cheapest first

HospitalCash priceList priceFile date
Iredell Memorial Hospital lowest Statesville · Charlotte-Concord-Gastonia, NC-SC influenza virus vaccine 0.5 mL inactivated PF quad (Fluarix) Susp Inj[IMH] $7.97 $29.52 Dec 31, 2025
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Harris Regional Hospital Sylva · Sylva, NC Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use $12.31 $30.77 Jul 10, 2026
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Northern Regional Hospital Mount Airy · Mount Airy, NC Flu Shot-NRH Emply Family Mmbr $13.60 $20.00 Nov 12, 2025
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Columbus Regional Healthcare System Whiteville · Whiteville, NC FLULAVAL FLUZONE PF TRIVALENT INFLUENZA 2024-2025 VIRUS VACCINE INACTIV SYRINGE [CRHS] $19.46 $27.80 Sep 1, 2025
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Atrium Health Anson Wadesboro · Charlotte-Concord-Gastonia, NC-SC FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $20.00 $40.00 Oct 28, 2026
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Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $20.00 $40.00 Oct 28, 2026
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Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $20.00 $40.00 Oct 29, 2026
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Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $20.00 $40.00 Oct 29, 2026
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Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $20.00 $40.00 Oct 29, 2026
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Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $20.00 $40.00 Oct 29, 2026
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Atrium Health University City Charlotte · Charlotte-Concord-Gastonia, NC-SC FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $20.00 $40.00 Oct 29, 2026
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Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $20.00 $40.00 Oct 29, 2026
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Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $20.00 $40.00 Nov 4, 2026
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High Point Regional Health High Point · Greensboro-High Point, NC FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $20.00 $40.00 Oct 30, 2026
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Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $20.00 $40.00 Oct 30, 2026
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Lexington Medical Center Lexington · Winston-Salem, NC FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $20.00 $40.00 Oct 30, 2026
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North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $20.00 $40.00 Oct 30, 2026
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Stanly Regional Medical Center Albermarle · Albemarle, NC FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $20.00 $40.00 Oct 29, 2026
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Duke University Hospital Durham · Durham, NC Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use $22.74 $84.24 Apr 1, 2026
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Duke Health Raleigh Hospital Raleigh · Raleigh-Cary, NC Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use $22.74 $84.24 Apr 1, 2026
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Betsy Johnson Hospital Dunn · Anderson Creek, NC Fluzone 2024-2025 Formula PFS $23.40 $39.00 Apr 7, 2026
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Cape Fear Valley - Bladen County Hospital Elizabethtown · Elizabethtown, NC Fluarix 2025-2026 Formula $23.40 $39.00 Mar 21, 2026
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Cape Fear Valley - Hoke Hospital Raeford · Fayetteville, NC Fluzone 2024-2025 Formula PFS $23.40 $39.00 Mar 30, 2026
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Cape Fear Valley Medical Center Fayetteville · Fayetteville, NC Fluarix 2025-2026 Formula $23.40 $39.00 Mar 21, 2026
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Highsmith-Rainey Specialty Hospital Fayetteville · Fayetteville, NC FluLaval 2025-2026 Formula $23.40 $39.00 Mar 22, 2026
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Duke Regional Hospital Durham · Durham-Chapel Hill, NC FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $34.56 $128.01 Apr 1, 2026
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Highlands-Cashiers Hospital Highlands · Highlands, NC FLUZONE TRI 0.5 ML PF IM $44.55 $44.55 Sep 1, 2026
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WakeMed Cary Hospital Cary · Raleigh-Cary, NC HC Iiv3 Vacc No Prsv 0.5 Ml Im $47.52 $125.04 Feb 11, 2026
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WakeMed Raleigh Campus Raleigh · Raleigh-Cary, NC HC Iiv3 Vacc No Prsv 0.5 Ml Im $47.52 $125.04 Feb 11, 2026
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Duke Health Lake Norman Hospital Mooresville · Charlotte-Concord-Gastonia, NC-SC FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $60.76 $225.03 Apr 1, 2026
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AdventHealth Hendersonville Hendersonville · Asheville, NC FLUARIX 0.5 ML IM SUSY $66.52 $66.52 Apr 1, 2026
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North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC INFLUENZA VAC 36MONTHS & UP INJ $69.00 $138.00 Oct 8, 2025
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Wilkes Regional Medical Center North Wilkesboro · North Wilkesboro, NC HC INFLUENZA VAC 36MONTHS & UP INJ $69.00 $138.00 Oct 8, 2025
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AdventHealth Polk Columbus · Columbus, NC FLUARIX 0.5 ML IM SUSY $121.56 $121.56 Apr 1, 2026
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Alleghany County Memorial Hospital Sparta · Sparta, NC FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $155.30 $310.60 Aug 12, 2025
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ECU Health Beaufort Hospital Washington · Washington, NC FLU VACCINE (6 MOS+)(PF) 45 MCG/0.5 ML IM SYRG $158.31 $158.31 Apr 1, 2026
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ECU Health Bertie Hospital Windsor · Windsor, NC FLU VACCINE (6 MOS+)(PF) 45 MCG/0.5 ML IM SYRG $158.31 $158.31 Apr 1, 2026
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ECU Health Chowan Hospital Edenton · Edenton, NC FLU VACCINE (6 MOS+)(PF) 45 MCG/0.5 ML IM SYRG $158.31 $158.31 Apr 1, 2026
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ECU Health Edgecombe Hospital Tarboro · Rocky Mount, NC FLU VACCINE (6 MOS+)(PF) 45 MCG/0.5 ML IM SYRG $158.31 $158.31 Apr 1, 2026
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ECU Health Medical Center Greenville · Greenville, NC FLU VACCINE (6 MOS+)(PF) 45 MCG/0.5 ML IM SYRG $158.31 $158.31 Apr 1, 2026
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East Carolina Health Ahoskie · Ahoskie, NC FLU VACCINE (6 MOS+)(PF) 45 MCG/0.5 ML IM SYRG $158.31 $158.31 Apr 1, 2026
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The Outer Banks Hospital Nags Head · Kill Devil Hills, NC FLU VACCINE (6 MOS+)(PF) 45 MCG/0.5 ML IM SYRG $158.31 $158.31 Apr 1, 2026
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CaroMont Regional Medical Center - Gastonia Gastonia · Charlotte-Concord-Gastonia, NC-SC FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $164.00 $164.00 May 11, 2026
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Gaston Memorial Hospital Mount Holly · Charlotte-Concord-Gastonia, NC-SC FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $164.00 $164.00 May 11, 2026
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Gaston Memorial Hospital Belmont · Charlotte-Concord-Gastonia, NC-SC FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $164.00 $164.00 May 11, 2026
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ECU Health Duplin Hospital Kenansville · Kenansville, NC FLU VACCINE (3 YR+)(PF) 45 MCG/0.5 ML IM SYRG $173.86 $173.86 Apr 1, 2026
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ECU Health North Hospital Roanoke Rapids · Roanoke Rapids, NC FLU VACCINE (3 YR+)(PF) 45 MCG/0.5 ML IM SYRG $173.86 $173.86 Apr 1, 2026
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Angel Medical Center Franklin · Franklin, NC FLUZONE TRI 0.5 ML PF IM $725.19 $725.19 Sep 1, 2026
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Blue Ridge Regional Hospital Spruce Pine · Spruce Pine, NC FLUZONE TRI 0.5 ML PF IM $725.19 $725.19 Sep 1, 2026
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Mission Hospital Asheville · Asheville, NC Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use $725.19 $725.19 Sep 1, 2026
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Mission Hospital McDowell Marion · Marion, NC Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use $725.19 $725.19 Sep 1, 2026
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Transylvania Regional Hospital Brevard · Brevard, NC Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use $725.19 $725.19 Sep 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
Charlotte-Concord-Gastonia, NC-SC 13 $7.97 $20.00
Fayetteville, NC 3 $23.40 $23.40
Raleigh-Cary, NC 3 $22.74 $47.52
Winston-Salem, NC 3 $20.00 $20.00
Asheville, NC 2 $66.52 $395.86
Mount Airy, NC 2 $13.60 $16.80
Ahoskie, NC 1 $158.31 $158.31
Albemarle, NC 1 $20.00 $20.00
Anderson Creek, NC 1 $23.40 $23.40
Brevard, NC 1 $725.19 $725.19
Columbus, NC 1 $121.56 $121.56
Durham, NC 1 $22.74 $22.74
Durham-Chapel Hill, NC 1 $34.56 $34.56
Edenton, NC 1 $158.31 $158.31
Elizabethtown, NC 1 $23.40 $23.40
Franklin, NC 1 $725.19 $725.19
Greensboro-High Point, NC 1 $20.00 $20.00
Greenville, NC 1 $158.31 $158.31
Highlands, NC 1 $44.55 $44.55
Kenansville, NC 1 $173.86 $173.86
Kill Devil Hills, NC 1 $158.31 $158.31
Marion, NC 1 $725.19 $725.19
North Wilkesboro, NC 1 $69.00 $69.00
Roanoke Rapids, NC 1 $173.86 $173.86
Rocky Mount, NC 1 $158.31 $158.31
Sparta, NC 1 $155.30 $155.30
Spruce Pine, NC 1 $725.19 $725.19
Sylva, NC 1 $12.31 $12.31
Shelby-Kings Mountain, NC 1 $20.00 $20.00
Whiteville, NC 1 $19.46 $19.46
Windsor, NC 1 $158.31 $158.31
Washington, NC 1 $158.31 $158.31
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 flu shot is, what the price covers and why prices differ: Flu shot explained.

Flu shot, standard dose, preservative-free, for age 6 months and older in other states

Median cash price across the state's hospitals.