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Procedure price report · Prophylactic vaccinations and inoculations

High-dose flu shot for older adults

CPT 90662the billing code this page is about

Covers an inactivated influenza vaccine made with a higher amount of antigen, preservative-free, given as an injection into the muscle; the vaccine product only.

Hospitals typically charge $89 cash for this outpatient procedure — the median across 1,969 hospitals that filed a usable cash price; the average of the middle 60% is $100. Most fall between $50 and $196 (20th–80th percentile).

Hospitals
1,969
States
50
Filings dated
Dec 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 1,969 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
$33$58$89$157$310

The most expensive tenth of hospitals charges at least 9.5× what the cheapest tenth charges ($33 vs $310).

How the prices are spread

$23 – $31: 70 hospitals$23$31 – $42: 138 hospitals$42 – $57: 179 hospitals$42$57 – $77: 304 hospitals$77 – $104: 310 hospitals$77$104 – $140: 258 hospitals$140 – $188: 204 hospitals$140$188 – $254: 126 hospitals$254 – $343: 101 hospitals$254$343 – $462: 83 hospitals$343median $89price bands are equal on a log scale
Hospitals per price band (1,773 of 1,969 — the bands cover the 5th to 95th percentile)
FromToHospitals
$23$3170
$31$42138
$42$57179
$57$77304
$77$104310
$104$140258
$140$188204
$188$254126
$254$343101
$343$46283

By state

The median cash price in each state, against the national median of $89.

Alaska: median $110 across 14 hospitalsAK$110Maine: median $101 across 21 hospitalsME$101Vermont: median $120 across 10 hospitalsVT$120New Hampshire: median $71 across 17 hospitalsNH$71Washington: median $66 across 44 hospitalsWA$66Idaho: median $114 across 19 hospitalsID$114Montana: median $86 across 21 hospitalsMT$86North Dakota: median $78 across 19 hospitalsND$78Minnesota: median $78 across 69 hospitalsMN$78Illinois: median $77 across 79 hospitalsIL$77Wisconsin: median $79 across 75 hospitalsWI$79Michigan: median $68 across 49 hospitalsMI$68New York: median $112 across 68 hospitalsNY$112Massachusetts: median $110 across 29 hospitalsMA$110Oregon: median $69 across 44 hospitalsOR$69Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: median $67 across 11 hospitalsWY$67South Dakota: median $85 across 15 hospitalsSD$85Iowa: median $67 across 74 hospitalsIA$67Indiana: median $73 across 67 hospitalsIN$73Ohio: median $120 across 83 hospitalsOH$120Pennsylvania: median $87 across 76 hospitalsPA$87New Jersey: median $113 across 36 hospitalsNJ$113Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $125 across 98 hospitalsCA$125Utah: median $118 across 30 hospitalsUT$118Colorado: median $130 across 50 hospitalsCO$130Nebraska: median $95 across 52 hospitalsNE$95Missouri: median $104 across 51 hospitalsMO$104Kentucky: median $121 across 37 hospitalsKY$121West Virginia: median $101 across 31 hospitalsWV$101Virginia: median $168 across 27 hospitalsVA$168Maryland: median $171 across 22 hospitalsMD$171Delaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $53 across 16 hospitalsAZ$53New Mexico: median $101 across 19 hospitalsNM$101Kansas: median $87 across 59 hospitalsKS$87Arkansas: median $120 across 14 hospitalsAR$120Tennessee: median $85 across 39 hospitalsTN$85North Carolina: median $41 across 44 hospitalsNC$41South Carolina: median $56 across 30 hospitalsSC$56Oklahoma: median $129 across 34 hospitalsOK$129Louisiana: median $75 across 23 hospitalsLA$75Mississippi: median $43 across 39 hospitalsMS$43Alabama: median $137 across 20 hospitalsAL$137Georgia: median $172 across 32 hospitalsGA$172Hawaii: median $99 across 12 hospitalsHI$99Texas: median $148 across 142 hospitalsTX$148Florida: median $272 across 84 hospitalsFL$272
Cash price by state, most expensive first. National median $89. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL84$272+206%$80 – $491
Georgia GA32$172+93%$56 – $515
Maryland MD22$171+93%$92 – $222
Virginia VA27$168+89%$43 – $228
Texas TX142$148+66%$81 – $365
Alabama AL20$137+54%$49 – $175
Colorado CO50$130+46%$74 – $212
Oklahoma OK34$129+45%$56 – $374
California CA98$125+41%$51 – $201
Kentucky KY37$121+36%$49 – $549
Ohio OH83$120+35%$53 – $210
Arkansas AR14$120+35%$17 – $264
Vermont VT10$120+35%$52 – $146
Utah UT30$118+32%$118 – $118
Idaho ID19$114+28%$54 – $152
New Jersey NJ36$113+27%$35 – $402
New York NY68$112+26%$53 – $209
Alaska AK14$110+24%$64 – $264
Massachusetts MA29$110+24%$75 – $381
Missouri MO51$104+17%$53 – $219
West Virginia WV31$101+14%$68 – $168
Maine ME21$101+14%$47 – $251
New Mexico NM19$101+13%$38 – $260
Hawaii HI12$99+11%$93 – $160
Nebraska NE52$95+7%$64 – $147
Pennsylvania PA76$87−2%$50 – $161
Kansas KS59$87−3%$65 – $154
Montana MT21$86−4%$55 – $113
Tennessee TN39$85−4%$29 – $157
South Dakota SD15$85−4%$67 – $162
Wisconsin WI75$79−11%$52 – $83
Minnesota MN69$78−12%$42 – $111
North Dakota ND19$78−12%$48 – $105
Illinois IL79$77−13%$38 – $169
Louisiana LA23$75−16%$33 – $121
Indiana IN67$73−17%$25 – $180
New Hampshire NH17$71−20%$42 – $295
Oregon OR44$69−23%$31 – $106
Michigan MI49$68−24%$58 – $96
Wyoming WY11$67−25%$46 – $100
Iowa IA74$67−25%$52 – $150
Washington WA44$66−25%$53 – $106
South Carolina SC30$56−37%$49 – $82
Arizona AZ16$53−41%$15 – $103
Mississippi MS39$43−52%$17 – $80
North Carolina NC44$41−54%$33 – $176
Nevada NV9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Delaware DE4not 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 $89.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,333$97$49 – $231
Children’s17fewer than 20 hospitals
Critical access613$82$53 – $150
Ownership
For-profit243$146$73 – $370
Government386$83$47 – $154
Non-profit1,334$85$49 – $177
System affiliation
Part of a system1,590$90$50 – $210
Independent379$82$49 – $148

Cash price vs list price

Median list price (chargemaster)$138
Median cash price$89
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

1,347 hospitals filed a usable inpatient cash price for this code. The median is $90 and the average of the middle 60% is $102; most fall between $51 and $187.

Cash price percentiles, inpatient, across 1,347 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
$33$59$90$152$303

The most expensive tenth of hospitals charges at least 9.2× what the cheapest tenth charges ($33 vs $303).

Of the 1,459 hospitals that filed this code inpatient, 1,347 gave a usable cash price; 20 carried a plausibility flag, 16 filed a number their own filing marks as not a price, 0 gave an estimate, and 76 a list price only.

How complete is this

1,969 of the 3,956 hospitals with a price file in our corpus (50%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,112 hospitals that filed this code at all gave us
Usable cash price — counted1,969
Cash price carrying a plausibility flag — shown on the compare tool, excluded here34
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded17
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded92
Hospitals that filed this code2,112

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 July 20, 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 Iiv Vaccine Preserv Free Increased Ag Content 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, “High-dose flu shot for older adults (CPT 90662) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90662-high-dose-flu-shot-for-older-adults