Influenza Vaccine, Quadrivalent (Flu Shot)

CPT 9068634 Colorado hospitals reporting a negotiated rate

Annual quadrivalent flu vaccine for adults. CDC recommends for everyone 6 months and older, with high-dose variants for adults 65+.

Typical insured price · Colorado

$38to$83

What hospitals actually accept from insurers, between the 25th and 75th percentile of per-hospital medians — half of reporting hospitals’ median rates fall in this window with a median of $61.

$38$83

Cash price (median)

$91

What you'd pay self-pay

Gross charge (median)

$122

The chargemaster sticker

vs Medicare

—

Coming with enrichment

Sourced from 34 Colorado hospitals publishing under 45 CFR §180.50.

At a glance

Code: CPT 90686
Code system: CPT (Current Procedural Terminology)
Typical setting: an outpatient setting
Hospitals reporting: 34
Medicare preventive: Yes — typically no cost-sharing

How they price Influenza Vaccine, Quadrivalent (Flu Shot)

Across 34 Colorado hospitals that publish a commercial negotiated rate for CPT 90686, the typical insured price for Influenza Vaccine, Quadrivalent (Flu Shot) runs $38 to $83 (the 25th-to-75th percentile of per-hospital medians). The Colorado median is $61 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $91, against a median gross charge of $122.

What affects the price

Structural and contractual factors that move the price for this code — not clinical reasons.

Outpatient setting (hospital outpatient department, ambulatory surgery center, or office) is the single biggest non-clinical price driver — the same code in a hospital outpatient department often costs 2–4× the ambulatory-surgery-center rate.
In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
Bundled vs unbundled billing — the rate may or may not include radiology read, anesthesia, or pathology. Ask which professional services are included.

Where to get it

Sorted by median negotiated rate, low to high. The bar shows each hospital’s position in the Colorado range.

36 hospitals listed

Medians shown combine all commercial payers; your plan's rate may differ. Choose your insurance carrier to filter.

Choose your insurance carrier

Carriers named by their MRF label. Confirm in-network status with your insurer before scheduling.

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Hospital	Metro	Position · Median	Your carrier's rate	Negotiated band	Cash	Payers
Boulder Community Health Foothills Hospital Gross charge $34 Compare Metro Boulder Median negotiated $24 Your carrier's rate — 25th–75th $14 – $29 Cash $17 Payers 28	Boulder	$24	—	$14 – $29	$17	28
Children S Hospital Colorado Colorado Springs Compare Metro Colorado Springs Median negotiated $25 Your carrier's rate — 25th–75th $25 – $25 Cash — Payers 1	Colorado Springs	$25	—	$25 – $25	—	1
Uchealth University of Colorado Hospital Aurora Compare Metro Denver Metro Median negotiated $33 Your carrier's rate — 25th–75th $27 – $46 Cash — Payers 3	Denver Metro	$33	—	$27 – $46	—	3
Uchealth Memorial Hospital North Colorado Springs Compare Metro Colorado Springs Median negotiated $36 Your carrier's rate — 25th–75th $29 – $46 Cash — Payers 3	Colorado Springs	$36	—	$29 – $46	—	3
Uchealth Memorial Hospital Central Colorado Springs Compare Metro Colorado Springs Median negotiated $36 Your carrier's rate — 25th–75th $29 – $46 Cash — Payers 3	Colorado Springs	$36	—	$29 – $46	—	3
Uchealth Parkview Medical Center Pueblo Compare Metro Rest of Colorado Median negotiated $37 Your carrier's rate — 25th–75th $35 – $37 Cash — Payers 3	Rest of Colorado	$37	—	$35 – $37	—	3
Uchealth Longs Peak Hospital Longmont Compare Metro Boulder Median negotiated $37 Your carrier's rate — 25th–75th $31 – $50 Cash — Payers 3	Boulder	$37	—	$31 – $50	—	3
Uchealth Grandview Hospital Colorado Springs Compare Metro Colorado Springs Median negotiated $38 Your carrier's rate — 25th–75th $34 – $47 Cash — Payers 3	Colorado Springs	$38	—	$34 – $47	—	3
Denver Health Medical Center Gross charge $18 Compare Metro Denver Metro Median negotiated $38 Your carrier's rate — 25th–75th $8 – $40 Cash $6 Payers 5	Denver Metro	$38	—	$8 – $40	$6	5
Pikes Peak Regional Hospital Woodland Park Compare Metro Colorado Springs Median negotiated $40 Your carrier's rate — 25th–75th $33 – $88 Cash — Payers 2	Colorado Springs	$40	—	$33 – $88	—	2
Uchealth Highlands Ranch Hospital Compare Metro Denver Metro Median negotiated $40 Your carrier's rate — 25th–75th $34 – $51 Cash — Payers 3	Denver Metro	$40	—	$34 – $51	—	3
Family Health West Hospital Fruita Compare Metro Rest of Colorado Median negotiated $41 Your carrier's rate — 25th–75th $30 – $62 Cash — Payers 2	Rest of Colorado	$41	—	$30 – $62	—	2
Uchealth Estes Valley Medical Center Estes Park Gross charge $43 Compare Metro Fort Collins Median negotiated $41 Your carrier's rate — 25th–75th $34 – $42 Cash $32 Payers 15	Fort Collins	$41	—	$34 – $42	$32	15
Hca Healthone Presbyterian St Luke S Medical Center Gross charge $117 Compare Metro Denver Metro Median negotiated $56 Your carrier's rate — 25th–75th $30 – $79 Cash $117 Payers 14	Denver Metro	$56	—	$30 – $79	$117	14
Uchealth Greeley Hospital Compare Metro Rest of Colorado Median negotiated $57 Your carrier's rate — 25th–75th $48 – $61 Cash — Payers 3	Rest of Colorado	$57	—	$48 – $61	—	3
Uchealth Poudre Valley Hospital Fort Collins Compare Metro Fort Collins Median negotiated $60 Your carrier's rate — 25th–75th $50 – $63 Cash — Payers 3	Fort Collins	$60	—	$50 – $63	—	3
Uchealth Medical Center of the Rockies Loveland Compare Metro Fort Collins Median negotiated $60 Your carrier's rate — 25th–75th $50 – $63 Cash — Payers 3	Fort Collins	$60	—	$50 – $63	—	3
Uchealth Yampa Valley Medical Center Steamboat Springs Compare Metro Rest of Colorado Median negotiated $63 Your carrier's rate — 25th–75th $58 – $75 Cash — Payers 2	Rest of Colorado	$63	—	$58 – $75	—	2
Commonspirit Orthocolorado Hospital Gross charge $110 Compare Metro Denver Metro Median negotiated $66 Your carrier's rate — 25th–75th $50 – $107 Cash $44 Payers 11	Denver Metro	$66	—	$50 – $107	$44	11
Commonspirit St Anthony North Hospital Gross charge $169 Compare Metro Denver Metro Median negotiated $68 Your carrier's rate — 25th–75th $44 – $93 Cash $67 Payers 11	Denver Metro	$68	—	$44 – $93	$67	11
Commonspirit St Francis Hospital Gross charge $169 Compare Metro Colorado Springs Median negotiated $70 Your carrier's rate — 25th–75th $50 – $104 Cash $67 Payers 10	Colorado Springs	$70	—	$50 – $104	$67	10
Commonspirit St Anthony Hospital Lakewood Gross charge $169 Compare Metro Denver Metro Median negotiated $70 Your carrier's rate — 25th–75th $44 – $93 Cash $67 Payers 12	Denver Metro	$70	—	$44 – $93	$67	12
Hca Healthone Rose Medical Center Gross charge $111 Compare Metro Denver Metro Median negotiated $71 Your carrier's rate — 25th–75th $28 – $78 Cash $111 Payers 14	Denver Metro	$71	—	$28 – $78	$111	14
Commonspirit Longmont United Hospital Gross charge $169 Compare Metro Boulder Median negotiated $74 Your carrier's rate — 25th–75th $44 – $96 Cash $67 Payers 10	Boulder	$74	—	$44 – $96	$67	10
Commonspirit St Francis Hospital Interquest Gross charge $169 Compare Metro Colorado Springs Median negotiated $81 Your carrier's rate — 25th–75th $54 – $114 Cash $67 Payers 9	Colorado Springs	$81	—	$54 – $114	$67	9
Commonspirit St Mary Corwin Hospital Pueblo Gross charge $169 Compare Metro Rest of Colorado Median negotiated $84 Your carrier's rate — 25th–75th $55 – $114 Cash $67 Payers 10	Rest of Colorado	$84	—	$55 – $114	$67	10
Commonspirit St Thomas More Hospital Ca on City Gross charge $169 Compare Metro Rest of Colorado Median negotiated $94 Your carrier's rate — 25th–75th $38 – $187 Cash $67 Payers 14	Rest of Colorado	$94	—	$38 – $187	$67	14
Commonspirit St Anthony Summit Medical Center Gross charge $228 Compare Metro Rest of Colorado Median negotiated $95 Your carrier's rate — 25th–75th $66 – $144 Cash $91 Payers 10	Rest of Colorado	$95	—	$66 – $144	$91	10
Commonspirit Mercy Hospital Durango Gross charge $228 Compare Metro Rest of Colorado Median negotiated $96 Your carrier's rate — 25th–75th $71 – $172 Cash $91 Payers 12	Rest of Colorado	$96	—	$71 – $172	$91	12
Commonspirit St Elizabeth Hospital Fort Morgan Gross charge $228 Compare Metro Rest of Colorado Median negotiated $106 Your carrier's rate — 25th–75th $84 – $197 Cash $91 Payers 9	Rest of Colorado	$106	—	$84 – $197	$91	9
Hca Healthone Aurora Medical Center of Aurora Gross charge $280 Compare Metro Denver Metro Median negotiated $133 Your carrier's rate — 25th–75th $72 – $196 Cash $280 Payers 13	Denver Metro	$133	—	$72 – $196	$280	13
Hca Healthone Sky Ridge Medical Center Gross charge $285 Compare Metro Denver Metro Median negotiated $155 Your carrier's rate — 25th–75th $73 – $200 Cash $285 Payers 12	Denver Metro	$155	—	$73 – $200	$285	12
Hca Healthone Mountain Ridge Thornton Gross charge $337 Compare Metro Denver Metro Median negotiated $216 Your carrier's rate — 25th–75th $101 – $236 Cash $337 Payers 14	Denver Metro	$216	—	$101 – $236	$337	14
Hca Healthone Swedish Medical Center Gross charge $484 Compare Metro Denver Metro Median negotiated $218 Your carrier's rate — 25th–75th $124 – $339 Cash $484 Payers 13	Denver Metro	$218	—	$124 – $339	$484	13
Community Hospital Grand Junction Gross charge $128 Compare Metro Rest of Colorado Median negotiated — Your carrier's rate — 25th–75th — Cash $72 Payers —	Rest of Colorado	—	—	—	$72	—
Prowers Medical Center Lamar Gross charge $25 Compare Metro Rest of Colorado Median negotiated — Your carrier's rate — 25th–75th — Cash $15 Payers —	Rest of Colorado	—	—	—	$15	—

0 of 3 hospitals selected

Pick up to 3 hospitals from the table to compare.

Prices by metro: Denver MetroColorado SpringsFort CollinsBoulderRest of Colorado

What to do next

Ask the hospital for a Good Faith Estimate — under the federal No Surprises Act, hospitals must give uninsured and self-pay patients a written estimate for scheduled care. If you're insured, ask your insurer for your expected cost-sharing in advance, confirm the hospital is in-network, and bring your insurance card.

Know your rights under the No Surprises Act (CMS) →

Common questions

Short answers, derived from the data on this page. See the full FAQ for site-wide questions.

How much does Influenza Vaccine, Quadrivalent (Flu Shot) cost in Colorado?

Across 34 Colorado hospitals that publish a commercial negotiated rate, the median is $61. The middle half of hospitals fall between $38 and $83 — the 25th-to-75th percentile of per-hospital medians.

Is the doctor's fee included in these prices?

Vaccines are usually administered by hospital staff with no separate physician fee — the price shown is typically for the vaccine itself. Confirm when scheduling whether an office-visit or administration fee applies.

Does insurance change what I'd pay?

Yes. The negotiated rate depends on which insurer and plan you have, and what you actually pay depends on your deductible, coinsurance, and whether the hospital is in your network. Colorado hospitals publish negotiated rates for Influenza Vaccine, Quadrivalent (Flu Shot) under 60 different payer names. Verify coverage with your insurer before scheduling. Choose your insurance carrier above the hospital table to see per-insurer rates.

What's the cash price for Influenza Vaccine, Quadrivalent (Flu Shot) if I don't have insurance?

The median discounted cash price across reporting Colorado hospitals is $91. Hospitals are required to publish any discounted cash price they offer self-pay patients — often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.

Is Influenza Vaccine, Quadrivalent (Flu Shot) covered by Medicare?

Influenza Vaccine, Quadrivalent (Flu Shot) is generally eligible for Medicare preventive coverage when it's performed as a covered screening or immunization and you meet Medicare's eligibility rules — in those cases there's typically no cost-sharing. The same procedure done for diagnostic or treatment reasons is billed normally against your deductible and coinsurance. Verify with your plan — the coverage pathway, frequency limits, and clinical criteria all matter.

Is this a price quote?

No. These are rates hospitals have published under the federal price-transparency rule — they show what insurers have negotiated, not what you will be billed. Your bill depends on your plan, deductible, in-network status, and clinical circumstances. Verify the price with the hospital and confirm coverage with your insurer before scheduling.

What are my rights if the bill doesn't match?

If you're uninsured or paying cash, the federal No Surprises Act gives you the right to a written Good Faith Estimate before scheduled care — and if the final bill is at least $400 over that estimate, you can dispute it. Most insured patients are also protected from surprise bills for emergency care and certain out-of-network care at in-network facilities.

Know your rights under the No Surprises Act (CMS) →

What does CPT 90686 mean?

CPT 90686 is the CPT (Current Procedural Terminology) code for Influenza Vaccine, Quadrivalent (Flu Shot). It identifies the procedure for billing and price-disclosure purposes — every hospital's machine-readable file reports rates against this code.

Browse related collections

The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.