High-dose flu shot (65+) cost in North Dakota
In North Dakota, 5 hospitals publish a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $33.15 to $130.67, with a median of $52.29. The lowest price is at St. Alexius Medical Center (Bismarck). The highest price is 3.9× 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 23, 2026.
Hospitals in North Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| St. Alexius Medical Center lowest Bismarck · Bismarck, ND HC FLU VACCINE INCREASED ANTIGMEN PRESV FREE | $33.15 | $65.00 | Feb 28, 2026 source file |
| Mercy Medical Center Williston · Williston, ND IIV NO PRS INCREASED AG IMCAR | $48.14 | $83.00 | Feb 28, 2026 source file |
| St Joseph's Hospital and Health Center Dickinson · Dickinson, ND IIV NO PRSV INCREASE AG IM FPC | $52.29 | $83.00 | Feb 28, 2026 source file |
| Sanford Fargo Medical Center Fargo · Fargo, ND-MN CDMR PF 90662 INFLU VACC PF ANTIGEN | $98.40 | $123.00 | Mar 4, 2026 source file |
| Sanford Hillsboro Medical Center Hillsboro · Hillsboro, ND Influenza Virus Vac Split High-Dose PF Susp Pref Syr 0.5ML | $130.67 | $163.33 | Mar 4, 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 |
|---|---|---|---|
| Bismarck, ND | 1 | $33.15 | $33.15 |
| Dickinson, ND | 1 | $52.29 | $52.29 |
| Fargo, ND-MN | 1 | $98.40 | $98.40 |
| Hillsboro, ND | 1 | $130.67 | $130.67 |
| Williston, ND | 1 | $48.14 | $48.14 |
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 Carolina$63.50
- 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.