High-dose flu shot (65+) cost in Missouri
In Missouri, 19 hospitals publish a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $53.30 to $386.16, with a median of $236.14. The lowest price is at Fitzgibbon Hospital (Marshall). The highest price is 7.2× the lowest.
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 Sep 25, 2026.
Lowest$53.30Fitzgibbon Hospital
Median$236.14half pay less
Highest$386.16in Missouri
Lowest saves$182.84vs the median
Hospitals in Missouri, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Fitzgibbon Hospital lowest Marshall · Marshall, MO Influenza vaccine split virus, preservative free | $53.30 | $66.63 | Feb 2, 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 |
| Mercy Hospital Southeast Cape Girardeau · Cape Girardeau, MO-IL Iiv Vaccine Preserv Free Increased Ag Content Im | $95.25 | $127.00 | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry · St. Louis, MO-IL Iiv Vaccine Preserv Free Increased Ag Content Im | $99.75 | $133.00 | Jun 12, 2026 source file |
| Mercy Hospitals East Communities Washington · St. Louis, MO-IL Iiv Vaccine Preserv Free Increased Ag Content Im | $99.75 | $133.00 | Jun 12, 2026 source file |
| Mercy Hospital Stoddard Bernie · Bernie, MO Iiv Vaccine Preserv Free Increased Ag Content Im | $101.25 | $135.00 | Jun 12, 2026 source file |
| Mercy Hospital Stoddard Dexter · Dexter, MO Iiv Vaccine Preserv Free Increased Ag Content Im | $101.25 | $135.00 | Jun 12, 2026 source file |
| Mercy Hospital Perry Perryville · Perryville, MO Iiv Vaccine Preserv Free Increased Ag Content Im | $110.25 | $147.00 | Jun 12, 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 |
| 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 | — 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 | — 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 | — source file |
| Mercy Hospital Springfield Ozark · Springfield, MO FLU VACCINE TRIV 2025-26 (65YR UP)(PF)180 MCG/0.5 ML IM SYRINGE | $258.37 | $397.49 | — 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 | — 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 | — 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 | — 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 | — 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 | — 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 | — source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| St. Louis, MO-IL | 6 | $99.75 | $256.98 |
| Joplin, MO-KS | 3 | $84.42 | $361.15 |
| Cape Girardeau, MO-IL | 2 | $95.25 | $186.53 |
| Springfield, MO | 2 | $258.37 | $258.37 |
| Bernie, MO | 1 | $101.25 | $101.25 |
| Dexter, MO | 1 | $101.25 | $101.25 |
| Kansas City, MO-KS | 1 | $130.73 | $130.73 |
| Lebanon, MO | 1 | $258.37 | $258.37 |
| Marshall, MO | 1 | $53.30 | $53.30 |
| Perryville, MO | 1 | $110.25 | $110.25 |
What it is
The high-dose flu shot contains four times the antigen of a standard shot, which gives older adults a stronger immune response. It is one of three flu vaccines the CDC prefers for people 65 and older.
What the price covers
The price is for the vaccine dose. Giving the shot is usually a separate line (code 90471 for the first vaccine of the visit); Medicare bills use G0008 instead.
High-dose flu shot, preservative-free, mainly for age 65 and older in other states
- Alabama$151.00
- Alaska$151.05
- Arizona$185.85
- Arkansas$115.13
- California$125.44
- Colorado$1,825.49
- Connecticut$207.54
- Delaware$273.23
- Florida$463.20
- Georgia$462.00
- Hawaii$99.00
- Idaho$152.00
- Illinois$55.00
- Indiana$179.55
- Iowa$88.59
- Kansas$866.95
- Kentucky$638.20
- Louisiana$33.90
- Maine$74.00
- Maryland$76.00
- Massachusetts$380.95
- Michigan$67.55
- Minnesota$64.03
- Mississippi$22.84
- Montana$85.58
- Nebraska$31.50
- Nevada$174.35
- New Hampshire$55.09
- New Jersey$274.00
- New Mexico$92.28
- New York$117.60
- North Carolina$63.50
- North Dakota$52.29
- Ohio$132.15
- Oklahoma$373.94
- Oregon$63.85
- Pennsylvania$104.84
- Rhode Island$77.25
- South Carolina$169.46
- South Dakota$59.04
- Tennessee$44.44
- Texas$81.00
- Utah$33.62
- Vermont$102.83
- Virginia$43.40
- Washington$63.85
- West Virginia$79.50
- Wisconsin$79.32
- Wyoming$45.76
Median cash price across the state's hospitals.