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Procedure price report · Prophylactic vaccinations and inoculations

Flu shot, full dose, preservative free

CPT 90656the billing code this page is about

One injected full-volume dose of split-virus influenza vaccine without preservative, given in the muscle.

Hospitals typically charge $32 cash for this outpatient procedure — the median across 2,412 hospitals that filed a usable cash price; the average of the middle 60% is $37. Most fall between $18 and $72 (20th–80th percentile).

Hospitals
2,412
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 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 2,412 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
$13$21$32$64$112

The most expensive tenth of hospitals charges at least 8.6× what the cheapest tenth charges ($13 vs $112).

How the prices are spread

$8 – $11: 74 hospitals$8$11 – $15: 149 hospitals$15 – $20: 251 hospitals$15$20 – $28: 410 hospitals$28 – $37: 345 hospitals$28$37 – $50: 261 hospitals$50 – $67: 253 hospitals$50$67 – $91: 214 hospitals$91 – $122: 133 hospitals$91$122 – $164: 82 hospitals$122median $32price bands are equal on a log scale
Hospitals per price band (2,172 of 2,412 — the bands cover the 5th to 95th percentile)
FromToHospitals
$8$1174
$11$15149
$15$20251
$20$28410
$28$37345
$37$50261
$50$67253
$67$91214
$91$122133
$122$16482

By state

The median cash price in each state, against the national median of $32.

Alaska: median $52 across 13 hospitalsAK$52Maine: median $22 across 21 hospitalsME$22Vermont: median $36 across 12 hospitalsVT$36New Hampshire: median $19 across 18 hospitalsNH$19Washington: median $21 across 46 hospitalsWA$21Idaho: median $36 across 17 hospitalsID$36Montana: median $24 across 22 hospitalsMT$24North Dakota: median $27 across 24 hospitalsND$27Minnesota: median $22 across 81 hospitalsMN$22Illinois: median $34 across 98 hospitalsIL$34Wisconsin: median $26 across 80 hospitalsWI$26Michigan: median $26 across 58 hospitalsMI$26New York: median $28 across 73 hospitalsNY$28Massachusetts: median $34 across 33 hospitalsMA$34Oregon: median $26 across 44 hospitalsOR$26Nevada: median $37 across 12 hospitalsNV$37Wyoming: median $23 across 10 hospitalsWY$23South Dakota: median $23 across 28 hospitalsSD$23Iowa: median $22 across 79 hospitalsIA$22Indiana: median $29 across 78 hospitalsIN$29Ohio: median $46 across 90 hospitalsOH$46Pennsylvania: median $42 across 89 hospitalsPA$42New Jersey: median $27 across 35 hospitalsNJ$27Connecticut: median $58 across 20 hospitalsCT$58Rhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $34 across 156 hospitalsCA$34Utah: median $30 across 31 hospitalsUT$30Colorado: median $26 across 41 hospitalsCO$26Nebraska: median $30 across 64 hospitalsNE$30Missouri: median $38 across 68 hospitalsMO$38Kentucky: median $32 across 47 hospitalsKY$32West Virginia: median $20 across 37 hospitalsWV$20Virginia: median $39 across 43 hospitalsVA$39Maryland: median $61 across 27 hospitalsMD$61Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $92 across 36 hospitalsAZ$92New Mexico: median $81 across 21 hospitalsNM$81Kansas: median $30 across 62 hospitalsKS$30Arkansas: median $24 across 34 hospitalsAR$24Tennessee: median $30 across 57 hospitalsTN$30North Carolina: median $48 across 69 hospitalsNC$48South Carolina: median $22 across 40 hospitalsSC$22Oklahoma: median $22 across 37 hospitalsOK$22Louisiana: median $33 across 40 hospitalsLA$33Mississippi: median $48 across 30 hospitalsMS$48Alabama: median $49 across 30 hospitalsAL$49Georgia: median $56 across 50 hospitalsGA$56Hawaii: median $50 across 18 hospitalsHI$50Texas: median $42 across 146 hospitalsTX$42Florida: median $74 across 138 hospitalsFL$74
Cash price by state, most expensive first. National median $32. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ36$92+186%$23 – $159
New Mexico NM21$81+154%$36 – $81
Florida FL138$74+131%$33 – $135
Maryland MD27$61+89%$40 – $71
Connecticut CT20$58+82%$40 – $66
Georgia GA50$56+75%$31 – $121
Alaska AK13$52+61%$33 – $94
Hawaii HI18$50+55%$32 – $65
Alabama AL30$49+52%$20 – $115
Mississippi MS30$48+51%$14 – $63
North Carolina NC69$48+48%$20 – $158
Ohio OH90$46+43%$20 – $69
Pennsylvania PA89$42+30%$23 – $83
Texas TX146$42+30%$26 – $107
Virginia VA43$39+21%$8 – $71
Missouri MO68$38+20%$21 – $64
Nevada NV12$37+16%$22 – $68
Vermont VT12$36+13%$15 – $63
Idaho ID17$36+12%$12 – $37
Massachusetts MA33$34+5%$21 – $165
California CA156$34+5%$21 – $86
Illinois IL98$34+5%$21 – $66
Louisiana LA40$33+4%$16 – $48
Kentucky KY47$32+1%$24 – $55
Tennessee TN57$30−5%$15 – $86
Kansas KS62$30−6%$22 – $52
Nebraska NE64$30−6%$17 – $59
Utah UT31$30−8%$30 – $42
Indiana IN78$29−9%$8 – $53
New York NY73$28−13%$14 – $50
North Dakota ND24$27−14%$20 – $46
New Jersey NJ35$27−16%$8 – $95
Oregon OR44$26−18%$12 – $56
Colorado CO41$26−19%$17 – $102
Michigan MI58$26−19%$16 – $34
Wisconsin WI80$26−19%$21 – $44
Montana MT22$24−26%$19 – $35
Arkansas AR34$24−26%$14 – $61
South Dakota SD28$23−29%$21 – $35
Wyoming WY10$23−30%$17 – $28
Iowa IA79$22−30%$20 – $32
Maine ME21$22−30%$14 – $42
Minnesota MN81$22−30%$17 – $35
South Carolina SC40$22−31%$15 – $63
Oklahoma OK37$22−31%$19 – $71
Washington WA46$21−33%$15 – $31
West Virginia WV37$20−39%$13 – $60
New Hampshire NH18$19−40%$16 – $90
Delaware DE6not enough hospitals filed a usable price
Rhode Island RI3not 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 $32.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,677$34$18 – $81
Children’s38$31$15 – $48
Critical access688$30$19 – $58
Ownership
For-profit341$59$27 – $118
Government428$30$18 – $59
Non-profit1,634$30$18 – $67
System affiliation
Part of a system1,994$34$19 – $75
Independent418$30$17 – $58

Cash price vs list price

Median list price (chargemaster)$54
Median cash price$32
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

1,641 hospitals filed a usable inpatient cash price for this code. The median is $34 and the average of the middle 60% is $38; most fall between $20 and $72.

Cash price percentiles, inpatient, across 1,641 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
$13$22$34$64$114

The most expensive tenth of hospitals charges at least 8.5× what the cheapest tenth charges ($13 vs $114).

Of the 1,778 hospitals that filed this code inpatient, 1,641 gave a usable cash price; 32 carried a plausibility flag, 12 filed a number their own filing marks as not a price, 0 gave an estimate, and 93 a list price only.

How complete is this

2,412 of the 3,956 hospitals with a price file in our corpus (61%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,584 hospitals that filed this code at all gave us
Usable cash price — counted2,412
Cash price carrying a plausibility flag — shown on the compare tool, excluded here45
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded15
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded112
Hospitals that filed this code2,584

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 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 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 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use.

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, full dose, preservative free (CPT 90656) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90656-flu-shot-full-dose-preservative-free