High-dose flu shot (65+) cost in Virginia
In Virginia, 22 hospitals publish a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $43.40 to $877.48, with a median of $161.33. The lowest price is at Inova Alexandria Hospital (Alexandria) and 4 other hospitals. The highest price is 20.2× the lowest.
- The median here, $161.33, is 63% above the US median of $99.00.
- Virginia ranks 41st of 47 states by median, cheapest first.
- 11 of 22 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 1, 2026. See them on a map
Lowest$43.40Inova Alexandria Hospital + 4 more
Median$161.33half of hospitals charge less
Highest$877.48in Virginia
Lowest saves$117.93vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Inova Alexandria Hospital lowest Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV influenza trivalent 2025-2026 inactivated high-dose vaccine 0.5 ML Susy 0.5 mL Syringe | $43.40 | $86.80 | Apr 1, 2026 source file |
| Inova Fair Oaks Hospital lowest Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV influenza trivalent 2025-2026 inactivated high-dose vaccine 0.5 ML Susy 0.5 mL Syringe | $43.40 | $86.80 | Apr 1, 2026 source file |
| Inova Fairfax Hospital lowest Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV influenza trivalent 2025-2026 inactivated high-dose vaccine 0.5 ML Susy 0.5 mL Syringe | $43.40 | $86.80 | Apr 1, 2026 source file |
| Inova Loudoun Hospital lowest Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV influenza trivalent 2025-2026 inactivated high-dose vaccine 0.5 ML Susy 0.5 mL Syringe | $43.40 | $86.80 | Apr 1, 2026 source file |
| Inova Mount Vernon Hospital lowest Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV influenza trivalent 2025-2026 inactivated high-dose vaccine 0.5 ML Susy 0.5 mL Syringe | $43.40 | $86.80 | Apr 1, 2026 source file |
| Augusta Health Fishersville · Staunton-Stuarts Draft, VA Flu Vacc Prsv Free Inceas Ag | $45.48 | $90.95 | Apr 1, 2026 source file |
| Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Iiv no prsv increased ag im | $46.00 | $92.00 | Dec 30, 2024 source file |
| Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Iiv no prsv increased ag im | $46.00 | $92.00 | Dec 30, 2024 source file |
| Bath Community Hospital Hot Springs · Hot Springs, VA FLU VAC fluzone HD | $52.49 | $74.99 | Mar 25, 2026 source file |
| Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC Iiv Vaccine Preserv Free Increased Ag Count Im | $65.40 | $109.00 | Apr 1, 2026 source file |
| Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC Fluzone High-Dose Flu Vac | $105.66 | $211.31 | Mar 11, 2026 source file |
| Lewisgale Hospital Pulaski Pulaski · Blacksburg-Christiansburg-Radford, VA Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $217.00 | $217.00 | Sep 1, 2026 source file |
| Chippenham Hospital Chesterfield · Richmond, VA FLUZONE HD PF IM | $217.60 | $217.60 | Sep 1, 2026 source file |
| Henrico Doctors Hospital - Forest Mechanicsville · Richmond, VA FLUZONE HD PF IM | $217.60 | $217.60 | Sep 1, 2026 source file |
| Johnston-Willis Hospital Richmond · Richmond, VA Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $217.60 | $217.60 | Sep 1, 2026 source file |
| Parham Doctors Hospital Richmond · Richmond, VA Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $217.60 | $217.60 | Sep 1, 2026 source file |
| Retreat Doctors Hospital Richmond · Richmond, VA Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $217.60 | $217.60 | Sep 1, 2026 source file |
| Lewisgale Medical Center Roanoke · Roanoke, VA FLUZONE HD PF IM | $228.00 | $228.00 | Sep 1, 2026 source file |
| Lewisgale Hospital Montgomery Christiansburg · Blacksburg-Christiansburg-Radford, VA Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $258.00 | $258.00 | Sep 1, 2026 source file |
| Lewisgale Hospital Alleghany Low Moor · Low Moor, VA FLUZONE HD PF IM | $323.00 | $323.00 | Sep 1, 2026 source file |
| Reston Hospital Center Reston · Washington-Arlington-Alexandria, DC-VA-MD-WV FLUZONE HD PF IM | $388.25 | $388.25 | Sep 1, 2026 source file |
| Spotsylvania Regional Medical Center Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV FLUZONE HD PF IM | $877.48 | $877.48 | Sep 1, 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 |
|---|---|---|---|
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 9 | $43.40 | $43.40 |
| Richmond, VA | 6 | $65.40 | $217.60 |
| Blacksburg-Christiansburg-Radford, VA | 2 | $217.00 | $237.50 |
| Hot Springs, VA | 1 | $52.49 | $52.49 |
| Low Moor, VA | 1 | $323.00 | $323.00 |
| Roanoke, VA | 1 | $228.00 | $228.00 |
| Staunton-Stuarts Draft, VA | 1 | $45.48 | $45.48 |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 1 | $105.66 | $105.66 |
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
- 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
- Washington$83.80
- West Virginia$80.00
- Wisconsin$79.32
- Wyoming$100.00
Median cash price across the state's hospitals.