High-dose flu shot (65+) cost in North Carolina
In North Carolina, 25 hospitals publish a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $32.65 to $570.80, with a median of $63.50. The lowest price is at Atrium Health Anson (Wadesboro) and 9 other hospitals. The highest price is 17.5× 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 24, 2026.
Lowest$32.65Atrium Health Anson + 9 more
Median$63.50half pay less
Highest$570.80in North Carolina
Lowest saves$30.85vs the median
Hospitals in North Carolina, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Atrium Health Anson lowest Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | Dec 1, 2025 source file |
| Atrium Health Cleveland lowest Shelby · Shelby-Kings Mountain, NC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | Dec 1, 2025 source file |
| Atrium Health Lincoln lowest Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | Dec 1, 2025 source file |
| Atrium Health Pineville lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | Dec 5, 2025 source file |
| Atrium Health Union lowest Monroe · Charlotte-Concord-Gastonia, NC-SC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | Dec 4, 2025 source file |
| Carolinas Medical Center lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | Dec 4, 2025 source file |
| Carolinas Medical Center-Northeast lowest Concord · Charlotte-Concord-Gastonia, NC-SC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | Dec 1, 2025 source file |
| Carolinas Rehabilitation lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | Dec 5, 2025 source file |
| Carolinas Rehabilitation lowest Belmont · Charlotte-Concord-Gastonia, NC-SC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | Dec 5, 2025 source file |
| Carolinas Rehabilitation lowest Concord · Concord, NC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $32.65 | $65.30 | Dec 5, 2025 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $33.00 | $66.00 | Sep 15, 2026 source file |
| Duke Regional Hospital Durham · Durham-Chapel Hill, NC Iiv Vaccine Preserv Free Increased Ag Count Im | $41.50 | $83.00 | — source file |
| Duke University Hospital Raleigh · Raleigh-Cary, NC Iiv Vaccine Preserv Free Increased Ag Count Im | $63.50 | $127.00 | — source file |
| Duke University Hospital Durham · Durham, NC Iiv Vaccine Preserv Free Increased Ag Count Im | $63.50 | $127.00 | — source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $103.50 | $207.00 | Oct 21, 2025 source file |
| Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $109.50 | $219.00 | Jul 16, 2026 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $109.50 | $219.00 | Oct 8, 2025 source file |
| North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $109.50 | $219.00 | Oct 8, 2025 source file |
| Wilkes Regional Medical Center North Wilkesboro · North Wilkesboro, NC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $109.50 | $219.00 | Oct 8, 2025 source file |
| Duke Health Lake Norman Hospital Mooresville · Charlotte-Concord-Gastonia, NC-SC FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $201.10 | $744.80 | — source file |
| AdventHealth Hendersonville Hendersonville · Asheville, NC FLUZONE HIGH-DOSE 0.5 ML IM SUSY | $258.42 | $258.42 | Apr 1, 2026 source file |
| AdventHealth Polk Columbus · Columbus, NC FLUZONE HIGH-DOSE 0.5 ML IM SUSY | $522.43 | $522.43 | Apr 1, 2026 source file |
| Gaston Memorial Hospital Gastonia · Charlotte-Concord-Gastonia, NC-SC FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $570.80 | $570.80 | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly · Charlotte-Concord-Gastonia, NC-SC FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $570.80 | $570.80 | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont · Charlotte-Concord-Gastonia, NC-SC FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $570.80 | $570.80 | May 11, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 12 | $32.65 | $32.65 |
| Winston-Salem, NC | 3 | $103.50 | $109.50 |
| Albemarle, NC | 1 | $33.00 | $33.00 |
| Asheville, NC | 1 | $258.42 | $258.42 |
| Columbus, NC | 1 | $522.43 | $522.43 |
| Concord, NC | 1 | $32.65 | $32.65 |
| Durham, NC | 1 | $63.50 | $63.50 |
| Durham-Chapel Hill, NC | 1 | $41.50 | $41.50 |
| Mount Airy, NC | 1 | $109.50 | $109.50 |
| North Wilkesboro, NC | 1 | $109.50 | $109.50 |
| Raleigh-Cary, NC | 1 | $63.50 | $63.50 |
| Shelby-Kings Mountain, NC | 1 | $32.65 | $32.65 |
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
- Missouri$236.14
- 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 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.