High-dose flu shot (65+) cost in Missouri
In Missouri, 40 hospitals publish a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $12.20 to $439.43, with a median of $91.21. The lowest price is at Cox-Monett Hospital (Monett). The highest price is 36.0× the lowest.
- The median here, $91.21, is 8% below the US median of $99.00.
- Missouri ranks 20th of 47 states by median, cheapest first.
- 5 of 40 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 90662. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 8, 2026. See them on a map
Lowest$12.20Cox-Monett Hospital
Median$91.21half of hospitals charge less
Highest$439.43in Missouri
Lowest saves$79.01vs the median
Hospitals in Missouri, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Cox-Monett Hospital lowest Monett · Monett, MO IIV NO PRSV INCREASED AG IM | $12.20 | $40.00 | Apr 24, 2026 source file |
| Cox Barton County Hospital Lamar · Lamar, MO IIV NO PRSV INCREASED AG IM | $12.76 | $40.00 | Apr 24, 2026 source file |
| Nevada City Hospital Nevada · Nevada, MO influenza hi-dose(Fluzone HD-IIV3) 0.5mL | $27.00 | $60.00 | Jan 14, 2025 source file |
| Phelps Health Rolla · Rolla, MO IIV NO PRSV INCREASED AG IM | $27.44 | $39.20 | Feb 26, 2026 source file |
| Cass Regional Medical Center Harrisonville · Kansas City, MO-KS Flu Vaccine HD 2018 | $31.50 | $45.00 | Apr 7, 2026 source file |
| Ste. Genevieve County Memorial Hospital Ste. Genevieve · Ste. Genevieve, MO High Dose Flu Vac | $38.50 | $77.00 | May 19, 2026 source file |
| Golden Valley Memorial Hospital Clinton · Clinton, MO IIV NO PRSV INCREASED AG IM | $41.72 | $69.54 | Jul 1, 2026 source file |
| Moberly Regional Medical Center Moberly · Moberly, MO FLU VAC NOPRSV ANTIG | $46.92 | $173.79 | Apr 1, 2026 source file |
| Fitzgibbon Hospital Marshall · Marshall, MO Influenza vaccine split virus, preservative free | $53.30 | $66.63 | Feb 2, 2026 source file |
| Hermann Area Hospital District Hermann · Hermann, MO Influenza vaccine split virus, preservative free | $57.60 | $96.00 | Oct 28, 2026 source file |
| Citizens Memorial Hospital Bolivar · Springfield, MO Fluzone High-Dose 2024-2025 Formula | $60.00 | $75.00 | Mar 25, 2026 source file |
| Pike County Memorial Hospital Lousiana · Lousiana, MO 90662 Influenza virus vaccine High Dose, Inactivated PF Trivalent | $67.20 | $84.00 | May 5, 2026 source file |
| Heartland Long Term Acute Hospital St. Joseph · St. Joseph, MO-KS FLU VACCINE QS2020-21(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE | $73.10 | $86.00 | Jun 23, 2026 source file |
| Mosaic Life Care at St Joseph Medical Center St. Joseph · St. Joseph, MO-KS FLU VACCINE QS2020-21(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE | $73.10 | $86.00 | Sep 26, 2025 source file |
| Mosaic Medical Center Albany Albany · Albany, MO FLU VACCINE QS2020-21(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE | $73.10 | $86.00 | Sep 26, 2025 source file |
| Mosaic Medical Center Maryville Maryville · Maryville, MO FLU VACCINE QS2020-21(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE | $73.10 | $86.00 | Sep 26, 2025 source file |
| Madison Medical Center Fredericktown · Fredericktown, MO CL- HIGHDOSE FLU 65+ | $81.00 | $90.00 | Oct 13, 2026 source file |
| Freeman Health System - Freeman West Joplin · Joplin, MO-KS INFLUENZA VAC HD TRI PF 0.5 ML | $84.42 | $211.05 | Sep 1, 2026 source file |
| Freeman Health System - Freeman West Joplin · Joplin, MO-KS INFLUENZA VAC HD TRI PF 0.5 ML | $84.42 | $211.05 | Sep 1, 2026 source file |
| Freeman Neosho Hospital Neosho · Joplin, MO-KS INFLUENZA VAC HD TRI PF 0.5 ML | $84.42 | $211.05 | Sep 1, 2026 source file |
| Bates County Memorial Hospital Butler · Kansas City, MO-KS INFLUENZA VIRUS VACCINE (IIV), SPLIT VIRUS, PRESERVATIVE FREE, ENHANCED IMMUNOGENICITY VIA INCREASED ANTIGEN CONTENT, FOR INTRAMUSCULAR USE | $98.00 | $140.00 | Apr 20, 2026 source file |
| Community Hospital Association Fairfax · Fairfax, MO CL-INFLUENZA VACC HIGH DOSE 65 YR & OLD | $101.50 | $145.00 | Aug 21, 2026 source file |
| Northeast Regional Medical Center Kirksville · Kirksville, MO FLU VAC NOPRSV ANTIG | $103.86 | $432.73 | Apr 1, 2026 source file |
| Lafayette Regional Health Center Lexington · Kansas City, MO-KS Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $112.56 | $112.56 | Sep 1, 2026 source file |
| NKC Health North Kansas City · Kansas City, MO-KS Influenza Virus Vaccine, Inact High-Dose-Trivalent PF Inj | $130.73 | $450.80 | Mar 6, 2026 source file |
| Belton Regional Medical Center Kansas City · Kansas City, MO-KS Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $133.93 | $133.93 | Sep 1, 2026 source file |
| Research Medical Center Kansas City · Kansas City, MO-KS Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $135.86 | $135.86 | Sep 1, 2026 source file |
| Poplar Bluff Regional Medical Center Poplar Bluff · Poplar Bluff, MO 49281-0403-65 - influenza virus vaccine, inactivat | $183.71 | $874.80 | Apr 1, 2026 source file |
| Mercy Hospital St Louis Saint Louis · St. Louis, MO-IL FLU VACCINE TRIV 2025-26 (65YR UP)(PF)180 MCG/0.5 ML IM SYRINGE | $236.14 | $363.29 | Jun 4, 2026 source file |
| Mercy Hospital Lebanon Lebanon · Lebanon, MO FLU VACCINE TRIV 2025-26 (65YR UP)(PF)180 MCG/0.5 ML IM SYRINGE | $258.37 | $397.49 | Jun 10, 2026 source file |
| Mercy Hospital Springfield Springfield · Springfield, MO FLU VACCINE TRIV 2025-26 (65YR UP)(PF)180 MCG/0.5 ML IM SYRINGE | $258.37 | $397.49 | Jun 4, 2026 source file |
| Mercy Orthopedic Hospital Springfield Ozark · Springfield, MO FLU VACCINE TRIV 2025-26 (65YR UP)(PF)180 MCG/0.5 ML IM SYRINGE | $258.37 | $397.49 | Jun 4, 2026 source file |
| Mercy Hospital Lincoln Troy · St. Louis, MO-IL FLU VACCINE TRIV 2025-26 (65YR UP)(PF)180 MCG/0.5 ML IM SYRINGE | $277.81 | $427.40 | Jun 10, 2026 source file |
| Mercy Hospital Southeast Cape Girardeau · Cape Girardeau, MO-IL FLU VACCINE TRIV 2025-26 (65YR UP)(PF)180 MCG/0.5 ML IM SYRINGE | $277.81 | $427.40 | Jun 11, 2026 source file |
| Mercy Hospital Washington Washington · St. Louis, MO-IL FLU VACCINE TRIV 2025-26 (65YR UP)(PF)180 MCG/0.5 ML IM SYRINGE | $277.81 | $427.40 | Jun 10, 2026 source file |
| Centerpoint Medical Center Independence · Kansas City, MO-KS Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $331.19 | $331.19 | Sep 1, 2026 source file |
| Mercy Hospital Carthage Carthage · Joplin, MO-KS FLU VACCINE TRIV 2025-26 (65YR UP)(PF)180 MCG/0.5 ML IM SYRINGE | $361.15 | $555.62 | Jun 9, 2026 source file |
| Mercy Hospital Joplin Joplin · Joplin, MO-KS FLU VACCINE TRIV 2025-26 (65YR UP)(PF)180 MCG/0.5 ML IM SYRINGE | $361.15 | $555.62 | Jun 9, 2026 source file |
| Mercy Hospital South Saint Louis · St. Louis, MO-IL FLU VACCINE TRIV 2025-26 (65YR UP)(PF)180 MCG/0.5 ML IM SYRINGE | $386.16 | $594.09 | Jun 10, 2026 source file |
| Western Missouri Medical Center Warrensburg · Warrensburg, MO influenza virus vaccine, inactivated high-dose preservative-free trivalent Sus | $439.43 | $439.43 | 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.
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 |
|---|---|---|---|
| Kansas City, MO-KS | 7 | $31.50 | $130.73 |
| Joplin, MO-KS | 5 | $84.42 | $84.42 |
| St. Louis, MO-IL | 4 | $236.14 | $277.81 |
| Springfield, MO | 3 | $60.00 | $258.37 |
| St. Joseph, MO-KS | 2 | $73.10 | $73.10 |
| Albany, MO | 1 | $73.10 | $73.10 |
| Clinton, MO | 1 | $41.72 | $41.72 |
| Cape Girardeau, MO-IL | 1 | $277.81 | $277.81 |
| Fairfax, MO | 1 | $101.50 | $101.50 |
| Fredericktown, MO | 1 | $81.00 | $81.00 |
| Hermann, MO | 1 | $57.60 | $57.60 |
| Kirksville, MO | 1 | $103.86 | $103.86 |
| Lamar, MO | 1 | $12.76 | $12.76 |
| Lousiana, MO | 1 | $67.20 | $67.20 |
| Lebanon, MO | 1 | $258.37 | $258.37 |
| Monett, MO | 1 | $12.20 | $12.20 |
| Marshall, MO | 1 | $53.30 | $53.30 |
| Maryville, MO | 1 | $73.10 | $73.10 |
| Moberly, MO | 1 | $46.92 | $46.92 |
| Nevada, MO | 1 | $27.00 | $27.00 |
| Poplar Bluff, MO | 1 | $183.71 | $183.71 |
| Rolla, MO | 1 | $27.44 | $27.44 |
| Ste. Genevieve, MO | 1 | $38.50 | $38.50 |
| Warrensburg, MO | 1 | $439.43 | $439.43 |
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 high-dose flu shot (65+) is, what the price covers and why prices differ: High-dose flu shot (65+) explained.
High-dose flu shot, preservative-free, mainly for age 65 and older in other states
- Alabama$129.43
- Alaska$158.95
- Arizona$67.29
- Arkansas$131.13
- California$125.44
- Colorado$212.12
- Connecticut$237.66, 3 hospitals
- Delaware$273.23, 4 hospitals
- District of Columbia$157.97, 2 hospitals
- Florida$279.16
- Georgia$110.62
- Hawaii$121.80
- Idaho$114.42
- Illinois$77.00
- Indiana$179.55
- Iowa$75.00
- Kansas$98.43
- Kentucky$112.91
- Louisiana$75.50
- Maine$86.40
- Maryland$120.72
- Massachusetts$219.00
- Michigan$79.60
- Minnesota$64.90
- Mississippi$42.00
- Montana$85.00
- Nebraska$109.05
- Nevada$228.55
- New Hampshire$111.00
- New Jersey$114.67
- New Mexico$92.04
- New York$111.15
- North Carolina$39.15
- North Dakota$64.40
- Ohio$103.39
- Oklahoma$170.42
- Oregon$71.70
- Pennsylvania$87.36
- Rhode Island$77.25, 3 hospitals
- South Carolina$82.00
- South Dakota$73.30
- Tennessee$85.43
- Texas$149.21
- Utah$98.64
- Vermont$102.00
- Virginia$161.33
- Washington$83.80
- West Virginia$80.00
- Wisconsin$79.32
- Wyoming$100.00
Median cash price across the state's hospitals.