Flu shot cost in North Dakota
In North Dakota, 22 hospitals publish a cash price for flu shot, standard dose, preservative-free, for age 6 months and older: from $12.50 to $68.25, with a median of $33.08. The lowest price is at CHI St Alexius Health (Bismarck). The highest price is 5.5× the lowest.
- The median here, $33.08, is 10% below the US median of $36.75.
- North Dakota ranks 18th of 49 states by median, cheapest first.
- 5 of 22 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 10, 2026. See them on a map
Lowest$12.50CHI St Alexius Health
Median$33.08half of hospitals charge less
Highest$68.25in North Dakota
Lowest saves$20.58vs the median
Hospitals in North Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| CHI St Alexius Health lowest Bismarck · Bismarck, ND HC INFLUENZA VIRUS VACC SPLIT PRSRV FREE 3 YRS/> IM | $12.50 | $25.00 | Sep 30, 2026 source file |
| McKenzie County Healthcare System Watford City · Watford City, ND CDMR PF 90656 FLU VACC TRIVALENT SPLT PF 0.5 ML DOSAGE IM | $16.25 | $25.00 | May 1, 2026 source file |
| Mercy Medical Center Williston · Williston, ND IIV3 VACC NO PRSV 0.5 ML PED | $19.25 | $35.00 | Sep 30, 2026 source file |
| Nelson County Health System Hospital McVille · McVille, ND PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE | $21.00 | $21.00 | Jul 14, 2026 source file |
| Southwest Healthcare Services Bowman · Bowman, ND FLU SHOT | $22.50 | $25.00 | Oct 16, 2025 source file |
| Heart of America Medical Center Rugby · Rugby, ND PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE | $24.75 | $33.00 | Mar 31, 2026 source file |
| Altru Hospital Grand Forks · Grand Forks, ND-MN Influenza Virus Vaccine Split PF Susp Pref Syringe 0.5 ML | $27.45 | $45.00 | Mar 1, 2026 source file |
| Altru Hospital Devils Lake Devils Lake · Devils Lake, ND Influenza Virus Vaccine Split PF Susp Pref Syringe 0.5 ML | $27.45 | $45.00 | Mar 1, 2026 source file |
| Tioga Medical Center Tioga · Williston, ND Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use | $29.00 | $29.00 | — source file |
| Northwood Deaconess Health Center Northwood · Grand Forks, ND-MN Influenza Virus Vaccine Split PF Susp Pref Syringe 0.5 ML | $32.00 | $40.00 | Jul 16, 2026 source file |
| Garrison Memorial Hospital Garrison · Garrison, ND FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $32.83 | $49.00 | Sep 30, 2026 source file |
| CHI St Alexius Health Turtle Lake Turtle Lake · Turtle Lake, ND FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $33.32 | $49.00 | Sep 30, 2026 source file |
| Mercy Hospital of Devils Lake Devils Lake · Devils Lake, ND FLUARIX TRIV24-25 6M+ 0.5M SY | $34.59 | $82.34 | Feb 28, 2026 source file |
| Pembina County Memorial Hospital Cavalier · Cavalier, ND Influenza Virus Vaccine Split PF Susp Pref Syringe 0.5 ML | $35.00 | $35.00 | Nov 13, 2025 source file |
| Sanford Hillsboro Medical Center Hillsboro · Hillsboro, ND Influenza Virus Vaccine Split PF Susp Pref Syringe 0.5 ML | $41.28 | $51.59 | Mar 4, 2026 source file |
| CHI Oakes Hospital Oakes · Oakes, ND FLUARIX TRIV24-25 6M+ 0.5M SY | $42.82 | $82.34 | Feb 28, 2026 source file |
| Lisbon Area Health Services Lisbon · Lisbon, ND IIV3 VACC NO PRSV 0.5 ML DLC | $43.18 | $78.50 | Sep 30, 2026 source file |
| Mercy Hospital of Valley City Valley City · Valley City, ND FLU (FLUARIX TRIV) 25-26 (6MOS | $45.53 | $78.50 | Sep 30, 2026 source file |
| Carrington Health Center Carrington · Carrington, ND FLU (FLUARIX TRIV) 25-26 (6MOS | $46.32 | $78.50 | Sep 30, 2026 source file |
| St Joseph's Hospital and Health Center Dickinson · Dickinson, ND FLU (FLULAVAL) 25-26(6MOS UP)/ | $46.32 | $78.50 | Sep 30, 2026 source file |
| Linton Regional Medical Center Linton · Linton, ND Flu Vaccine, No Preserv, Im .5ml | $54.00 | $54.00 | — source file |
| Ashley Medical Center Ashley · Ashley, ND SNF FLUARIX VACCINE 2025-2026 | $68.25 | $68.25 | Oct 9, 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 |
|---|---|---|---|
| Devils Lake, ND | 2 | $27.45 | $31.02 |
| Grand Forks, ND-MN | 2 | $27.45 | $29.72 |
| Williston, ND | 2 | $19.25 | $24.12 |
| Ashley, ND | 1 | $68.25 | $68.25 |
| Bowman, ND | 1 | $22.50 | $22.50 |
| Bismarck, ND | 1 | $12.50 | $12.50 |
| Carrington, ND | 1 | $46.32 | $46.32 |
| Cavalier, ND | 1 | $35.00 | $35.00 |
| Dickinson, ND | 1 | $46.32 | $46.32 |
| Garrison, ND | 1 | $32.83 | $32.83 |
| Hillsboro, ND | 1 | $41.28 | $41.28 |
| Linton, ND | 1 | $54.00 | $54.00 |
| Lisbon, ND | 1 | $43.18 | $43.18 |
| McVille, ND | 1 | $21.00 | $21.00 |
| Oakes, ND | 1 | $42.82 | $42.82 |
| Rugby, ND | 1 | $24.75 | $24.75 |
| Turtle Lake, ND | 1 | $33.32 | $33.32 |
| Valley City, ND | 1 | $45.53 | $45.53 |
| Watford City, ND | 1 | $16.25 | $16.25 |
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
- Alabama$54.00
- Alaska$61.80
- Arizona$88.66
- Arkansas$32.68
- California$42.80
- Colorado$64.25
- Connecticut$61.50
- Delaware$82.45
- District of Columbia$55.55, 2 hospitals
- Florida$74.05
- Georgia$41.88
- Hawaii$31.50
- Idaho$36.00
- Illinois$35.21
- Indiana$39.00
- Iowa$22.40
- Kansas$35.61
- Kentucky$33.74
- Louisiana$30.04
- Maine$23.02
- Maryland$50.79
- Massachusetts$52.25
- Michigan$31.70
- Minnesota$22.17
- Mississippi$55.97
- Missouri$46.84
- Montana$24.23
- Nebraska$32.00
- Nevada$65.59
- New Hampshire$26.62
- New Jersey$42.18
- New Mexico$46.09
- New York$28.38
- North Carolina$39.56
- Ohio$45.75
- Oklahoma$50.94
- Oregon$35.25
- Pennsylvania$66.60
- Rhode Island$75.37, 2 hospitals
- South Carolina$22.72
- South Dakota$31.00
- Tennessee$34.30
- Texas$37.98
- Utah$61.94
- Vermont$36.89
- Virginia$34.40
- Washington$28.83
- West Virginia$19.50
- Wisconsin$31.92
- Wyoming$22.54
Median cash price across the state's hospitals.