High-dose flu shot (65+) cost in North Dakota
In North Dakota, 20 hospitals publish a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $32.50 to $135.68, with a median of $64.40. The lowest price is at CHI St Alexius Health (Bismarck). The highest price is 4.2× the lowest.
- The median here, $64.40, is 35% below the US median of $99.00.
- North Dakota ranks 3rd of 47 states by median, cheapest first.
- 6 of 20 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$32.50CHI St Alexius Health
Median$64.40half of hospitals charge less
Highest$135.68in North Dakota
Lowest saves$31.90vs the median
Hospitals in North Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| CHI St Alexius Health lowest Bismarck · Bismarck, ND HC FLU VACCINE INCREASED ANTIGEN PRESV FREE | $32.50 | $65.00 | Sep 30, 2026 source file |
| Southwest Healthcare Services Bowman · Bowman, ND FLU SHOT - HIGH DOSE | $34.20 | $38.00 | Oct 16, 2025 source file |
| Mercy Medical Center Williston · Williston, ND IIV NO PRS INCREASED AG IMCAR | $45.65 | $83.00 | Sep 30, 2026 source file |
| Lisbon Area Health Services Lisbon · Lisbon, ND IIV NO PRSV INCREASED AG IM | $46.20 | $84.00 | Sep 30, 2026 source file |
| Mercy Hospital of Valley City Valley City · Valley City, ND IIV NO PRSV INCREASED AG IM | $48.72 | $84.00 | Sep 30, 2026 source file |
| St Joseph's Hospital and Health Center Dickinson · Dickinson, ND IIV NO PRSV INCREASE AG IM FPC | $48.97 | $83.00 | Sep 30, 2026 source file |
| Carrington Health Center Carrington · Carrington, ND IIV NO PRSV INCREASED AG IM | $49.56 | $84.00 | Sep 30, 2026 source file |
| Altru Hospital Grand Forks · Grand Forks, ND-MN Influenza Virus Vac Split High-Dose PF Susp Pref Syr 0.5ML | $57.95 | $95.00 | Mar 1, 2026 source file |
| Altru Hospital Devils Lake Devils Lake · Devils Lake, ND Influenza Virus Vac Split High-Dose PF Susp Pref Syr 0.5ML | $57.95 | $95.00 | Mar 1, 2026 source file |
| Unity Medical Center Graften · Graften, ND PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $63.80 | $63.80 | Mar 5, 2026 source file |
| Nelson County Health System Hospital McVille · McVille, ND PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $65.00 | $65.00 | Jul 14, 2026 source file |
| Heart of America Medical Center Rugby · Rugby, ND INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $71.25 | $95.00 | Mar 31, 2026 source file |
| Northwood Deaconess Health Center Northwood · Grand Forks, ND-MN PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $78.00 | $98.00 | Jul 16, 2026 source file |
| Towner County Medical Center Cando · Cando, ND Pr Iiv Vaccine Preserv Free Increased Ag Content Im | $78.00 | $78.00 | — source file |
| Ashley Medical Center Ashley · Ashley, ND CLN - FLUZONE HIGHDOSE TRIVALENT 2024-25 | $79.50 | $79.50 | Oct 9, 2026 source file |
| McKenzie County Healthcare System Watford City · Watford City, ND CDMR FLU VACC PRSV FREE INC ANTIG | $90.35 | $139.00 | May 1, 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 |
| Tioga Medical Center Tioga · Williston, ND Iiv Vaccine Preserv Free Increased Ag Content Im | $108.00 | $108.00 | — 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 |
| St. Luke's Hospital Crosby · Crosby, ND PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $135.68 | $135.68 | Oct 6, 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 |
|---|---|---|---|
| Grand Forks, ND-MN | 2 | $57.95 | $67.98 |
| Williston, ND | 2 | $45.65 | $76.82 |
| Ashley, ND | 1 | $79.50 | $79.50 |
| Bowman, ND | 1 | $34.20 | $34.20 |
| Bismarck, ND | 1 | $32.50 | $32.50 |
| Cando, ND | 1 | $78.00 | $78.00 |
| Carrington, ND | 1 | $49.56 | $49.56 |
| Crosby, ND | 1 | $135.68 | $135.68 |
| Devils Lake, ND | 1 | $57.95 | $57.95 |
| Dickinson, ND | 1 | $48.97 | $48.97 |
| Fargo, ND-MN | 1 | $98.40 | $98.40 |
| Graften, ND | 1 | $63.80 | $63.80 |
| Hillsboro, ND | 1 | $130.67 | $130.67 |
| Lisbon, ND | 1 | $46.20 | $46.20 |
| McVille, ND | 1 | $65.00 | $65.00 |
| Rugby, ND | 1 | $71.25 | $71.25 |
| Valley City, ND | 1 | $48.72 | $48.72 |
| Watford City, ND | 1 | $90.35 | $90.35 |
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 Carolina$39.15
- 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.