Vaccines CPT 90656 Washington Outpatient

Flu shot cost in Washington

In Washington, 38 hospitals publish a cash price for flu shot, standard dose, preservative-free, for age 6 months and older: from $11.22 to $232.05, with a median of $28.83. The lowest price is at Virginia Mason Medical Center (Seattle). The highest price is 20.7× the lowest.

  • The median here, $28.83, is 22% below the US median of $36.75.
  • Washington ranks 10th of 49 states by median, cheapest first.
  • 4 of 38 hospitals list a cash price equal to their full list price, with no self-pay discount.

Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.

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$11.22Virginia Mason Medical Center
Median$28.83half of hospitals charge less
Highest$232.05in Washington
Lowest saves$17.61vs the median

Hospitals in Washington, cheapest first

HospitalCash priceList priceFile date
Virginia Mason Medical Center lowest Seattle · Seattle-Tacoma-Bellevue, WA FLU VAC, TRIVLNT(IIV3), SPLIT VIRUS,PF,0.5ML,IM(STATE SUPP) $11.22 $22.00 Jan 1, 2026
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Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage $12.75 $15.00 Oct 7, 2026
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Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC IIV3 VACC NO PRESV 0.5 ML IM (WVA) $14.40 $18.00 Mar 26, 2026
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Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE 0.500 ML SYRINGE $14.42 $50.00 Sep 30, 2026
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St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE 0.500 ML SYRINGE $15.21 $50.00 Sep 30, 2026
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Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE 0.500 ML SYRINGE $15.22 $50.00 Sep 30, 2026
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St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE 0.500 ML SYRINGE $15.38 $50.00 Sep 30, 2026
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Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use $15.40 $22.00 Mar 12, 2026
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Mason General Hospital & Family of Clinics Shelton · Shelton, WA 90656 VFC Influenza virus vaccine, trivalent, split virus, 6months+ $16.50 $22.00 Mar 10, 2026
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St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $16.56 $50.00 Feb 28, 2026
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Jefferson Healthcare Port Townsend · Port Townsend, WA Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage $17.60 $22.00 Aug 6, 2026
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St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE 0.500 ML SYRINGE $18.36 $50.00 Sep 30, 2026
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PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA Fluzone 2024-2025 Formula PFS $21.26 $32.70 Mar 20, 2026
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PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA Fluzone 2024-2025 Formula PFS $21.26 $32.70 Mar 21, 2026
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St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $22.07 $50.00 Feb 28, 2026
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Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY $22.50 $25.00 Aug 10, 2026
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Ocean Beach Hospital Ilwaco · Ilwaco, WA HC PR RX INFLUENZA TRIVALENT IIV3 SPLIT VIRUS PF IM 0.5 ML $27.00 $36.00 Oct 23, 2026
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Samaritan Hospital Moses Lake · Moses Lake, WA HC PR Rx Influenza Trivalent Iiv3 Split Virus Pf Im 0.5 Ml $27.00 $27.00 Jan 4, 2026
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Quincy Valley Medical Center Quincy · Moses Lake, WA Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage $27.56 $27.56 May 27, 2026
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Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC PR RX INFLUENZA TRIVALENT IIV3 SPLIT VIRUS PF IM 0.5 ML $30.10 $43.00 Apr 1, 2026
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Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC PR RX INFLUENZA TRIVALENT IIV3 SPLIT VIRUS PF IM 0.5 ML $30.10 $43.00 Apr 1, 2026
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Lincoln Hospital Davenport · Davenport, WA Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage $31.50 $35.00 Sep 14, 2026
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Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $35.10 $70.19 Apr 1, 2026
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PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA INFLUENZA VACCINE; TRIVALENT; SPLIT VIRUS; PRESERVATIVE-FREE; 0.5 ML DOSAGE $40.95 $63.00 Mar 20, 2026
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PeaceHealth St John Medical Center Longview · Longview-Kelso, WA Fluzone 2024-2025 Formula PFS $40.95 $63.00 Mar 21, 2026
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Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA FLU SHOT SPECIAL- CASH ONLY $42.40 $53.00 May 15, 2026
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Forks Community Hospital Forks · Port Townsend, WA Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage $44.21 $55.26 Oct 27, 2026
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Summit Pacific Medical Center Elma · Aberdeen, WA Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage $45.90 $85.00 Aug 31, 2026
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Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $50.30 $50.30 Mar 31, 2026
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Whitman Hospital and Medical Center Colfax · Pullman, WA Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage $50.30 $62.87 Jun 29, 2026
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Pullman Regional Hospital Pullman · Pullman, WA Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage $50.83 $59.81 Jun 9, 2026
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PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA IIV3 VACC NO PRSV 0.5 ML IM $52.59 $80.90 Mar 21, 2026
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Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage $56.34 $56.34 Sep 1, 2026
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Kadlec Regional Medical Center Richland · Kennewick-Richland, WA INFLUENZA VIRUS VACCINE SPLIT PF SUSP PREF SYRINGE 0.5 ML $59.68 $85.26 Apr 1, 2026
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Ferry County Memorial Hospital Republic · Republic, WA ADULT TRIVALENT FLU SHOT $60.11 $70.72 Sep 14, 2026
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Arbor Health Morton Hospital Morton · Centralia, WA Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage $62.00 $100.00 May 18, 2026
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Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA FLU VACC TS2024-25 6MOS UP(PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRG [191712] $103.32 $129.15 Mar 26, 2026
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Willapa Harbor Hospital South Bend · South Bend, WA Fluzone High-Dose 2025-2026 Formula $232.05 $331.50 Feb 24, 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
Seattle-Tacoma-Bellevue, WA 11 $11.22 $15.40
Wenatchee-East Wenatchee, WA 3 $22.50 $42.40
Moses Lake, WA 2 $27.00 $27.28
Mount Vernon-Anacortes, WA 2 $14.40 $33.50
Port Townsend, WA 2 $17.60 $30.90
Pullman, WA 2 $50.30 $50.56
Spokane-Spokane Valley, WA 2 $30.10 $30.10
Aberdeen, WA 1 $45.90 $45.90
Bellingham, WA 1 $21.26 $21.26
Bremerton-Silverdale-Port Orchard, WA 1 $22.07 $22.07
Centralia, WA 1 $62.00 $62.00
Davenport, WA 1 $31.50 $31.50
Ellensburg, WA 1 $12.75 $12.75
Friday Harbor, WA 1 $40.95 $40.95
Ilwaco, WA 1 $27.00 $27.00
Kennewick-Richland, WA 1 $59.68 $59.68
Longview-Kelso, WA 1 $40.95 $40.95
Portland-Vancouver-Hillsboro, OR-WA 1 $21.26 $21.26
Republic, WA 1 $60.11 $60.11
South Bend, WA 1 $232.05 $232.05
Shelton, WA 1 $16.50 $16.50
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.