High-dose flu shot (65+) cost in Washington
In Washington, 12 hospitals publish a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $14.27 to $553.70, with a median of $63.85. The lowest price is at Legacy Salmon Creek Medical Center (Vancouver). The highest price is 38.8× 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 Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Legacy Salmon Creek Medical Center lowest Vancouver · Portland-Vancouver-Hillsboro, OR-WA PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $14.27 | $21.96 | Apr 1, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Influenza vaccine split virus, preservative free | $14.40 | $18.00 | Aug 6, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA Fluzone High-Dose 2024-2025 Formula | $55.51 | $85.40 | — source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA INFLUENZA VACCINE SPLIT VIRUS; PRESERVATIVE FREE | $59.35 | $91.31 | — source file |
| St. John Medical Center Longview · Longview-Kelso, WA INFLUENZA VACCINE SPLIT VIRUS; PRESERVATIVE FREE | $59.35 | $91.31 | — source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA IIV NO PRSV INCREASED AG IM | $63.85 | $98.23 | — source file |
| St. Joseph Medical Center Bellingham · Bellingham, WA IIV NO PRSV INCREASED AG IM | $63.85 | $98.23 | — source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC INFLUENZA VACCINE HI DOSE P/F | $72.80 | $91.00 | — source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $90.00 | $100.00 | — 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 |
| 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 | — source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA INFLUENZA VAC SPLIT HIGH-DOSE QUAD PF SUSP PREF SYR 0.7 ML | $553.70 | $791.00 | Apr 1, 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 |
|---|---|---|---|
| Mount Vernon-Anacortes, WA | 2 | $63.85 | $68.32 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $14.27 | $34.89 |
| Seattle-Tacoma-Bellevue, WA | 2 | $105.78 | $171.39 |
| Bellingham, WA | 1 | $63.85 | $63.85 |
| Friday Harbor, WA | 1 | $59.35 | $59.35 |
| Longview-Kelso, WA | 1 | $59.35 | $59.35 |
| Port Townsend, WA | 1 | $14.40 | $14.40 |
| Spokane-Spokane Valley, WA | 1 | $553.70 | $553.70 |
| Wenatchee-East Wenatchee, WA | 1 | $90.00 | $90.00 |
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
- North Dakota$52.29
- 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
- West Virginia$79.50
- Wisconsin$79.32
- Wyoming$45.76
Median cash price across the state's hospitals.