High-dose flu shot (65+) cost in Washington
In Washington, 28 hospitals publish a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $14.40 to $265.64, with a median of $83.80. The lowest price is at Jefferson Healthcare (Port Townsend). The highest price is 18.4× the lowest.
- The median here, $83.80, is 15% below the US median of $99.00.
- Washington ranks 15th of 47 states by median, cheapest first.
- 3 of 28 hospitals list a cash price equal to their full list price, with no self-pay discount.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
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$14.40Jefferson Healthcare
Median$83.80half of hospitals charge less
Highest$265.64in Washington
Lowest saves$69.40vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Jefferson Healthcare lowest Port Townsend · Port Townsend, WA Influenza vaccine split virus, preservative free | $14.40 | $18.00 | Aug 6, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Iiv Vaccine Preserv Free Increased Ag Content Im | $35.00 | $50.00 | Mar 12, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Influenza vaccine split virus, preservative free | $38.34 | $71.00 | Aug 31, 2026 source file |
| Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC SVH IIV VACCINE PRESERV FREE INCREASED AG COUNT IM | $43.05 | $74.23 | Apr 14, 2026 source file |
| Willapa Harbor Hospital South Bend · South Bend, WA Fluzone High-Dose Quadrivalent 2023-2024 Formula | $54.29 | $77.56 | Feb 24, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA Fluzone High-Dose 2024-2025 Formula | $55.51 | $85.40 | Mar 20, 2026 source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA INFLUENZA VACCINE SPLIT VIRUS; PRESERVATIVE FREE | $59.35 | $91.31 | Mar 20, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA INFLUENZA VACCINE SPLIT VIRUS; PRESERVATIVE FREE | $59.35 | $91.31 | Mar 21, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Influenza vaccine split virus, preservative free | $62.40 | $73.41 | Jun 9, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA IIV NO PRSV INCREASED AG IM | $63.85 | $98.23 | Mar 21, 2026 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA IIV NO PRSV INCREASED AG IM | $63.85 | $98.23 | Mar 21, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC PR RX IIV VACCINE PF INCREASED AG CONTENT IM 1 EA | $70.40 | $128.00 | Jan 1, 2025 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC INFLUENZA VACCINE HI DOSE P/F | $72.80 | $91.00 | Mar 26, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA INFLUENZA VACCINE- HIGH DOSE | $81.60 | $96.00 | Sep 14, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA HC PR Rx Iiv Vaccine Pf Increased Ag Content Im 1 Ea | $86.00 | $86.00 | Jan 4, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Iiv Vaccine Preserv Free Increased Ag Count Im | $90.00 | $100.00 | Aug 10, 2026 source file |
| Lincoln Hospital Davenport · Davenport, WA Influenza vaccine split virus, preservative free | $94.50 | $105.00 | Sep 14, 2026 source file |
| Quincy Valley Medical Center Quincy · Moses Lake, WA Influenza vaccine split virus, preservative free | $95.00 | $95.00 | May 27, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA HIGH DOSE FLU SHOT-CASH ONLY | $100.80 | $126.00 | May 15, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA FLU VACCINE QS2023-24(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE | $105.78 | $211.57 | Apr 1, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC PR RX IIV VACCINE PF INCREASED AG CONTENT IM 1 EA | $106.50 | $142.00 | Oct 23, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Influenza vaccine split virus, preservative free | $120.70 | $142.00 | Oct 7, 2026 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA 90662 Influenza virus vaccine, split virus, preservative free, for intramuscular use | $131.85 | $175.80 | Mar 10, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Influenza vaccine split virus, preservative free | $143.22 | $231.00 | May 18, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Influenza vaccine split virus, preservative free | $160.30 | $200.38 | Oct 27, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Influenza vaccine split virus, preservative free | $182.78 | $182.78 | Sep 1, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA FLU VACC TS2024-25(65YR UP)-PF 180 MCG/0.5 ML IM SYRG [191713] | $237.00 | $296.25 | Mar 26, 2026 source file |
| Whitman Hospital and Medical Center Colfax · Pullman, WA Influenza vaccine split virus, preservative free | $265.64 | $332.05 | Jun 29, 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 |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 4 | $35.00 | $74.42 |
| Wenatchee-East Wenatchee, WA | 3 | $90.00 | $100.80 |
| Moses Lake, WA | 2 | $86.00 | $90.50 |
| Mount Vernon-Anacortes, WA | 2 | $63.85 | $68.32 |
| Port Townsend, WA | 2 | $14.40 | $87.35 |
| Pullman, WA | 2 | $62.40 | $164.02 |
| Aberdeen, WA | 1 | $38.34 | $38.34 |
| Bellingham, WA | 1 | $63.85 | $63.85 |
| Centralia, WA | 1 | $143.22 | $143.22 |
| Davenport, WA | 1 | $94.50 | $94.50 |
| Ellensburg, WA | 1 | $120.70 | $120.70 |
| Friday Harbor, WA | 1 | $59.35 | $59.35 |
| Ilwaco, WA | 1 | $106.50 | $106.50 |
| Kennewick-Richland, WA | 1 | $70.40 | $70.40 |
| Longview-Kelso, WA | 1 | $59.35 | $59.35 |
| Portland-Vancouver-Hillsboro, OR-WA | 1 | $55.51 | $55.51 |
| Republic, WA | 1 | $81.60 | $81.60 |
| South Bend, WA | 1 | $54.29 | $54.29 |
| Shelton, WA | 1 | $131.85 | $131.85 |
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
- Virginia$161.33
- West Virginia$80.00
- Wisconsin$79.32
- Wyoming$100.00
Median cash price across the state's hospitals.