HRHospitalRates.comCompare prices

Procedure price report · Prophylactic vaccinations and inoculations

Flu shot, inactivated three-strain, half-milliliter dose

CPT 90658the billing code this page is about

Covers the influenza vaccine product itself — an inactivated three-strain flu vaccine given as a 0.5 mL injection into the muscle for people 3 years and older; the fee for administering it is billed separately.

Hospitals typically charge $23 cash for this outpatient procedure — the median across 758 hospitals that filed a usable cash price; the average of the middle 60% is $26. Most fall between $14 and $46 (20th–80th percentile).

Hospitals
758
States
50
Filings dated
Dec 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 758 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
$9$16$23$41$68

The most expensive tenth of hospitals charges at least 7.6× what the cheapest tenth charges ($9 vs $68).

How the prices are spread

$5 – $7: 14 hospitals$5$7 – $9: 25 hospitals$9 – $12: 37 hospitals$9$12 – $16: 93 hospitals$16 – $22: 134 hospitals$16$22 – $30: 139 hospitals$30 – $40: 88 hospitals$30$40 – $54: 73 hospitals$54 – $73: 46 hospitals$54$73 – $99: 36 hospitals$73median $23price bands are equal on a log scale
Hospitals per price band (685 of 758 — the bands cover the 5th to 95th percentile)
FromToHospitals
$5$714
$7$925
$9$1237
$12$1693
$16$22134
$22$30139
$30$4088
$40$5473
$54$7346
$73$9936

By state

The median cash price in each state, against the national median of $23.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $15 across 29 hospitalsWA$15Idaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $59 across 17 hospitalsMN$59Illinois: median $18 across 33 hospitalsIL$18Wisconsin: median $26 across 34 hospitalsWI$26Michigan: median $26 across 22 hospitalsMI$26New York: median $29 across 38 hospitalsNY$29Massachusetts: median $21 across 13 hospitalsMA$21Oregon: median $16 across 19 hospitalsOR$16Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $20 across 42 hospitalsIA$20Indiana: median $12 across 37 hospitalsIN$12Ohio: median $39 across 36 hospitalsOH$39Pennsylvania: median $27 across 35 hospitalsPA$27New Jersey: median $90 across 11 hospitalsNJ$90Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $23 across 56 hospitalsCA$23Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $31 across 13 hospitalsNE$31Missouri: median $26 across 16 hospitalsMO$26Kentucky: median $16 across 12 hospitalsKY$16West Virginia: median $17 across 10 hospitalsWV$17Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $22 across 12 hospitalsAZ$22New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $33 across 16 hospitalsKS$33Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $46 across 18 hospitalsNC$46South Carolina: median $23 across 12 hospitalsSC$23Oklahoma: median $20 across 17 hospitalsOK$20Louisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $14 across 16 hospitalsMS$14Alabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $22 across 13 hospitalsGA$22Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $20 across 32 hospitalsTX$20Florida: median $48 across 20 hospitalsFL$48
Cash price by state, most expensive first. National median $23. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ11$90+292%$59 – $95
Minnesota MN17$59+159%$19 – $65
Florida FL20$48+111%$45 – $62
North Carolina NC18$46+99%$13 – $46
Ohio OH36$39+68%$16 – $45
Kansas KS16$33+45%$18 – $70
Nebraska NE13$31+35%$14 – $58
New York NY38$29+28%$16 – $45
Pennsylvania PA35$27+18%$22 – $83
Michigan MI22$26+13%$14 – $34
Wisconsin WI34$26+13%$24 – $38
Missouri MO16$26+11%$10 – $90
California CA56$230%$22 – $40
South Carolina SC12$23−1%$19 – $23
Georgia GA13$22−4%$21 – $29
Arizona AZ12$22−6%$12 – $37
Massachusetts MA13$21−9%$15 – $99
Oklahoma OK17$20−12%$20 – $28
Iowa IA42$20−12%$18 – $25
Texas TX32$20−13%$8 – $94
Illinois IL33$18−20%$14 – $34
West Virginia WV10$17−28%$17 – $18
Kentucky KY12$16−30%$10 – $29
Oregon OR19$16−32%$4 – $17
Washington WA29$15−33%$3 – $24
Mississippi MS16$14−39%$9 – $29
Indiana IN37$12−50%$4 – $30
Louisiana LA9not enough hospitals filed a usable price
Maine ME9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Colorado CO8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
New Hampshire NH2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Delaware DE1not 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 $23.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care508$23$14 – $48
Children’s9fewer than 20 hospitals
Critical access238$23$15 – $39
Ownership
For-profit86$33$15 – $92
Government157$22$15 – $46
Non-profit512$23$14 – $44
System affiliation
Part of a system593$23$14 – $46
Independent165$23$14 – $46

Cash price vs list price

Median list price (chargemaster)$37
Median cash price$23
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

505 hospitals filed a usable inpatient cash price for this code. The median is $23 and the average of the middle 60% is $27; most fall between $15 and $46.

Cash price percentiles, inpatient, across 505 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
$12$18$23$45$67

The most expensive tenth of hospitals charges at least 5.8× what the cheapest tenth charges ($12 vs $67).

Of the 559 hospitals that filed this code inpatient, 505 gave a usable cash price; 12 carried a plausibility flag, 4 filed a number their own filing marks as not a price, 0 gave an estimate, and 38 a list price only.

How complete is this

758 of the 3,956 hospitals with a price file in our corpus (19%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 835 hospitals that filed this code at all gave us
Usable cash price — counted758
Cash price carrying a plausibility flag — shown on the compare tool, excluded here24
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded8
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded45
Hospitals that filed this code835

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 IIV3 VACCINE SPLT 0.5 ML 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 three-strain, half-milliliter dose (CPT 90658) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90658-flu-shot-inactivated-three-strain-half-milliliter-dose