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Procedure price report · Prophylactic vaccinations and inoculations

Flu shot, inactivated with booster ingredient

CPT 90653the billing code this page is about

One injected dose of inactivated influenza vaccine that includes an added ingredient to strengthen the immune response, given in the muscle.

Hospitals typically charge $95 cash for this outpatient procedure — the median across 981 hospitals that filed a usable cash price; the average of the middle 60% is $105. Most fall between $52 and $204 (20th–80th percentile).

Hospitals
981
States
50
Filings dated
Nov 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 981 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$37$58$95$171$316

The most expensive tenth of hospitals charges at least 8.6× what the cheapest tenth charges ($37 vs $316).

How the prices are spread

$25 – $35: 47 hospitals$25$35 – $47: 68 hospitals$47 – $64: 125 hospitals$47$64 – $87: 179 hospitals$87 – $119: 112 hospitals$87$119 – $162: 148 hospitals$162 – $220: 83 hospitals$162$220 – $300: 65 hospitals$300 – $408: 28 hospitals$300$408 – $555: 31 hospitals$408median $95price bands are equal on a log scale
Hospitals per price band (886 of 981 — the bands cover the 5th to 95th percentile)
FromToHospitals
$25$3547
$35$4768
$47$64125
$64$87179
$87$119112
$119$162148
$162$22083
$220$30065
$300$40828
$408$55531

By state

The median cash price in each state, against the national median of $95.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: median $123 across 11 hospitalsVT$123New Hampshire: median $68 across 11 hospitalsNH$68Washington: median $83 across 18 hospitalsWA$83Idaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 7 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: median $129 across 19 hospitalsND$129Minnesota: median $77 across 50 hospitalsMN$77Illinois: median $90 across 46 hospitalsIL$90Wisconsin: median $67 across 12 hospitalsWI$67Michigan: median $74 across 33 hospitalsMI$74New York: median $118 across 40 hospitalsNY$118Massachusetts: median $141 across 19 hospitalsMA$141Oregon: median $96 across 19 hospitalsOR$96Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $81 across 31 hospitalsSD$81Iowa: median $73 across 46 hospitalsIA$73Indiana: median $58 across 13 hospitalsIN$58Ohio: median $64 across 33 hospitalsOH$64Pennsylvania: median $98 across 30 hospitalsPA$98New Jersey: 4 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: median $118 across 15 hospitalsCT$118Rhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $141 across 91 hospitalsCA$141Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $71 across 25 hospitalsCO$71Nebraska: median $78 across 27 hospitalsNE$78Missouri: median $25 across 13 hospitalsMO$25Kentucky: median $188 across 18 hospitalsKY$188West Virginia: median $73 across 20 hospitalsWV$73Virginia: median $25 across 10 hospitalsVA$25Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: median $261 across 14 hospitalsNM$261Kansas: median $85 across 13 hospitalsKS$85Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $88 across 20 hospitalsTN$88North Carolina: median $167 across 29 hospitalsNC$167South Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $30 across 17 hospitalsOK$30Louisiana: median $102 across 25 hospitalsLA$102Mississippi: median $99 across 17 hospitalsMS$99Alabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $215 across 20 hospitalsGA$215Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $81 across 65 hospitalsTX$81Florida: median $212 across 40 hospitalsFL$212
Cash price by state, most expensive first. National median $95. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Mexico NM14$261+176%$84 – $261
Georgia GA20$215+128%$61 – $263
Florida FL40$212+124%$82 – $555
Kentucky KY18$188+98%$33 – $251
North Carolina NC29$167+77%$121 – $686
California CA91$141+49%$125 – $571
Massachusetts MA19$141+49%$35 – $349
North Dakota ND19$129+37%$58 – $172
Vermont VT11$123+30%$53 – $209
New York NY40$118+25%$53 – $211
Connecticut CT15$118+25%$66 – $303
Louisiana LA25$102+8%$62 – $157
Mississippi MS17$99+5%$38 – $279
Pennsylvania PA30$98+4%$90 – $167
Oregon OR19$96+1%$14 – $290
Illinois IL46$90−5%$39 – $123
Tennessee TN20$88−7%$38 – $97
Kansas KS13$85−10%$68 – $606
Washington WA18$83−13%$62 – $177
South Dakota SD31$81−14%$66 – $136
Texas TX65$81−14%$48 – $159
Nebraska NE27$78−17%$59 – $109
Minnesota MN50$77−19%$54 – $131
Michigan MI33$74−22%$47 – $197
Iowa IA46$73−22%$54 – $82
West Virginia WV20$73−23%$58 – $110
Colorado CO25$71−25%$54 – $299
New Hampshire NH11$68−28%$48 – $70
Wisconsin WI12$67−29%$58 – $179
Ohio OH33$64−33%$38 – $118
Indiana IN13$58−38%$35 – $179
Oklahoma OK17$30−68%$30 – $37
Virginia VA10$25−73%$25 – $68
Missouri MO13$25−74%$18 – $120
Alaska AK8not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
New Jersey NJ4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $95.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care698$98$52 – $225
Children’s5fewer than 20 hospitals
Critical access275$85$52 – $160
Ownership
For-profit62$84$50 – $353
Government149$89$51 – $174
Non-profit767$96$53 – $204
System affiliation
Part of a system851$96$53 – $209
Independent130$85$43 – $179

Cash price vs list price

Median list price (chargemaster)$158
Median cash price$95
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

740 hospitals filed a usable inpatient cash price for this code. The median is $97 and the average of the middle 60% is $111; most fall between $52 and $232.

Cash price percentiles, inpatient, across 740 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$37$57$97$186$409

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($37 vs $409).

Of the 776 hospitals that filed this code inpatient, 740 gave a usable cash price; 12 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 23 a list price only.

How complete is this

981 of the 3,956 hospitals with a price file in our corpus (25%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,055 hospitals that filed this code at all gave us
Usable cash price — counted981
Cash price carrying a plausibility flag — shown on the compare tool, excluded here20
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded11
A list price only, no cash figure — excluded41
Hospitals that filed this code1,055

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Prophylactic vaccinations and inoculations family.

Hospitals file this code under descriptions such as IIV ADJUVANT VACCINE IM.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Flu shot, inactivated with booster ingredient (CPT 90653) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90653-flu-shot-inactivated-with-booster-ingredient