High-dose flu shot (65+) cost in North Carolina
In North Carolina, 38 hospitals publish a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $33.00 to $570.80, with a median of $39.15. The lowest price is at Atrium Health Anson (Wadesboro) and 9 other hospitals. The highest price is 17.3× the lowest.
- The median here, $39.15, is 60% below the US median of $99.00.
- North Carolina has the lowest median of 47 states with at least 5 hospitals pricing this code.
- 10 of 38 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 11, 2026. See them on a map
Lowest$33.00Atrium Health Anson + 9 more
Median$39.15half of hospitals charge less
Highest$570.80in North Carolina
Lowest saves$6.15vs 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 | $33.00 | $66.00 | Oct 28, 2026 source file |
| Atrium Health Cleveland lowest Shelby · Shelby-Kings Mountain, NC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $33.00 | $66.00 | Oct 28, 2026 source file |
| Atrium Health Lincoln lowest Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $33.00 | $66.00 | Oct 29, 2026 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $33.00 | $66.00 | Oct 29, 2026 source file |
| Atrium Health Pineville lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $33.00 | $66.00 | Oct 29, 2026 source file |
| Atrium Health Union lowest Monroe · Charlotte-Concord-Gastonia, NC-SC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $33.00 | $66.00 | Oct 29, 2026 source file |
| Atrium Health University City lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $33.00 | $66.00 | Oct 29, 2026 source file |
| Carolinas Medical Center lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $33.00 | $66.00 | Oct 29, 2026 source file |
| Carolinas Medical Center-Northeast lowest Concord · Charlotte-Concord-Gastonia, NC-SC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $33.00 | $66.00 | Nov 4, 2026 source file |
| Stanly Regional Medical Center lowest Albermarle · Albemarle, NC HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M | $33.00 | $66.00 | Oct 29, 2026 source file |
| Betsy Johnson Hospital Dunn · Anderson Creek, NC IIV NO PRSV INCREASED AG IM | $35.40 | $59.00 | Apr 7, 2026 source file |
| Cape Fear Valley - Bladen County Hospital Elizabethtown · Elizabethtown, NC IIV NO PRSV INCREASED AG IM | $35.40 | $59.00 | Mar 21, 2026 source file |
| Cape Fear Valley - Hoke Hospital Raeford · Fayetteville, NC IIV NO PRSV INCREASED AG IM | $35.40 | $59.00 | Mar 30, 2026 source file |
| Cape Fear Valley Medical Center Fayetteville · Fayetteville, NC IIV NO PRSV INCREASED AG IM | $35.40 | $59.00 | Mar 21, 2026 source file |
| Highsmith-Rainey Specialty Hospital Fayetteville · Fayetteville, NC IIV NO PRSV INCREASED AG IM | $35.40 | $59.00 | Mar 22, 2026 source file |
| High Point Regional Health High Point · Greensboro-High Point, NC FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | Oct 30, 2026 source file |
| Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | Oct 30, 2026 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | Oct 30, 2026 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | Oct 30, 2026 source file |
| Northern Regional Hospital Mount Airy · Mount Airy, NC Flu Shot High Dose-NRH Fam Mbr | $40.80 | $60.00 | Nov 12, 2025 source file |
| Harris Regional Hospital Sylva · Sylva, NC Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $51.22 | $128.06 | Jul 10, 2026 source file |
| Duke University Hospital Durham · Durham, NC Iiv Vaccine Preserv Free Increased Ag Content Im | $87.99 | $325.88 | Apr 1, 2026 source file |
| Duke Health Raleigh Hospital Raleigh · Raleigh-Cary, NC Iiv Vaccine Preserv Free Increased Ag Content Im | $87.99 | $325.88 | Apr 1, 2026 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 Regional Hospital Durham · Durham-Chapel Hill, NC FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $114.40 | $423.70 | Apr 1, 2026 source file |
| Angel Medical Center Franklin · Franklin, NC Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $175.60 | $175.60 | Sep 1, 2026 source file |
| Blue Ridge Regional Hospital Spruce Pine · Spruce Pine, NC FLUZONE HD PF IM | $175.60 | $175.60 | Sep 1, 2026 source file |
| Highlands-Cashiers Hospital Highlands · Highlands, NC Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $175.60 | $175.60 | Sep 1, 2026 source file |
| Mission Hospital Asheville · Asheville, NC FLUZONE HD PF IM | $175.60 | $175.60 | Sep 1, 2026 source file |
| Mission Hospital McDowell Marion · Marion, NC Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $175.60 | $175.60 | Sep 1, 2026 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 | Apr 1, 2026 source file |
| AdventHealth Hendersonville Hendersonville · Asheville, NC FLUZONE HIGH-DOSE 0.5 ML IM SUSY | $258.42 | $258.42 | Apr 1, 2026 source file |
| Alleghany County Memorial Hospital Sparta · Sparta, NC FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $422.00 | $844.00 | Aug 12, 2025 source file |
| AdventHealth Polk Columbus · Columbus, NC FLUZONE HIGH-DOSE 0.5 ML IM SUSY | $522.43 | $522.43 | Apr 1, 2026 source file |
| CaroMont Regional Medical Center - Gastonia 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 |
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 |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 12 | $33.00 | $33.00 |
| Fayetteville, NC | 3 | $35.40 | $35.40 |
| Winston-Salem, NC | 3 | $37.50 | $37.50 |
| Asheville, NC | 2 | $175.60 | $217.01 |
| Mount Airy, NC | 2 | $37.50 | $39.15 |
| Albemarle, NC | 1 | $33.00 | $33.00 |
| Anderson Creek, NC | 1 | $35.40 | $35.40 |
| Columbus, NC | 1 | $522.43 | $522.43 |
| Durham, NC | 1 | $87.99 | $87.99 |
| Durham-Chapel Hill, NC | 1 | $114.40 | $114.40 |
| Elizabethtown, NC | 1 | $35.40 | $35.40 |
| Franklin, NC | 1 | $175.60 | $175.60 |
| Greensboro-High Point, NC | 1 | $37.50 | $37.50 |
| Highlands, NC | 1 | $175.60 | $175.60 |
| Marion, NC | 1 | $175.60 | $175.60 |
| North Wilkesboro, NC | 1 | $109.50 | $109.50 |
| Raleigh-Cary, NC | 1 | $87.99 | $87.99 |
| Sparta, NC | 1 | $422.00 | $422.00 |
| Spruce Pine, NC | 1 | $175.60 | $175.60 |
| Sylva, NC | 1 | $51.22 | $51.22 |
| Shelby-Kings Mountain, NC | 1 | $33.00 | $33.00 |
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
- Missouri$91.21
- 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 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.