Influenza Vaccine, Quadrivalent (Flu Shot)

CPT 9068696 Texas 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

$22to$60

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 $45.

$22$60

Log scale · this page only

Cash price (median)

$55

What you'd pay self-pay

Gross charge (median)

$91

The chargemaster sticker

vs Medicare

—

Coming with enrichment

Sourced from 96 Colorado hospitals publishing under 45 CFR §180.50.

Choose your insurance carrier

Medicare Advantage? Find your plan under More carriers; your MA rate differs from these chips.

Straight Medicare or uninsured? Carrier rates don’t apply; see the cash and methodology notes.

More carriers and specialty networks

Most patients pick a Major carrier. The networks below are repricers, employer plans, and specialty payers; choose one only if it’s printed on your insurance card.

At a glance

Code: CPT 90686
Code system: CPT (Current Procedural Terminology)
Typical setting: an outpatient setting
Hospitals reporting: 96
Medicare preventive: Yes — typically no cost-sharing

How they price Influenza Vaccine, Quadrivalent (Flu Shot)

Across 96 Texas hospitals that publish a commercial negotiated rate for CPT 90686, the typical insured price for Influenza Vaccine, Quadrivalent (Flu Shot) runs $22 to $60 (the 25th-to-75th percentile of per-hospital medians). The Texas median is $45 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $55, against a median gross charge of $91.

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.

Every reporting hospital on one scale

Where to get it

Ranked by price: by your carrier’s rate once you pick one, otherwise by the median. The ruler plots each hospital’s price band and median on a shared scale; the colors compare each price to the Texas median.

98 hospitals listed

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

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Hospital	Metro	Median · ledger Log scale · this page only	Your carrier's rate	Negotiated band	Cash	Payers
Pam Health Rehabilitation Hospital of Clear Lake Gross charge $11 Compare Metro Houston Metro Median negotiated $8far below the state median Your carrier's rate — 25th–75th $7 – $8 Cash $11 Payers 10	Houston Metro	$8far below the state median	—	$7 – $8	$11	10
Pam Health Rehabilitation Hospital of Allen Gross charge $11 Compare Metro Dallas–Fort Worth Median negotiated $8far below the state median Your carrier's rate — 25th–75th $5 – $8 Cash $11 Payers 11	Dallas–Fort Worth	$8far below the state median	—	$5 – $8	$11	11
Post Acute Medical Specialty Hospital Corpus Ch Gross charge $11 Compare Metro Corpus Christi Median negotiated $8far below the state median Your carrier's rate — 25th–75th $8 – $8 Cash $11 Payers 8	Corpus Christi	$8far below the state median	—	$8 – $8	$11	8
Pam Health Rehabilitation Hospital of Beaumont Gross charge $11 Compare Metro Beaumont–Port Arthur Median negotiated $8far below the state median Your carrier's rate — 25th–75th $6 – $8 Cash $11 Payers 9	Beaumont–Port Arthur	$8far below the state median	—	$6 – $8	$11	9
Pam Specialty Hospital of San Antonio Medical Cen Gross charge $11 Compare Metro San Antonio Median negotiated $8far below the state median Your carrier's rate — 25th–75th $8 – $9 Cash $11 Payers 12	San Antonio	$8far below the state median	—	$8 – $9	$11	12
Pam Health Specialty Hospital of San Antonio Gross charge $11 Compare Metro San Antonio Median negotiated $8far below the state median Your carrier's rate — 25th–75th $8 – $9 Cash $11 Payers 12	San Antonio	$8far below the state median	—	$8 – $9	$11	12
Pam Rehabilitation Hospital of Victoria Gross charge $11 Compare Metro Rest of Texas Median negotiated $8far below the state median Your carrier's rate — 25th–75th $7 – $8 Cash $11 Payers 10	Rest of Texas	$8far below the state median	—	$7 – $8	$11	10
Pam Rehabilitation Hospital of Corpus Christi Gross charge $11 Compare Metro Corpus Christi Median negotiated $8far below the state median Your carrier's rate — 25th–75th $8 – $8 Cash $11 Payers 8	Corpus Christi	$8far below the state median	—	$8 – $8	$11	8
Post Acute Medical Specialty Hospital of Texarkana Gross charge $11 Compare Metro Rest of Texas Median negotiated $8far below the state median Your carrier's rate — 25th–75th $8 – $9 Cash $11 Payers 12	Rest of Texas	$8far below the state median	—	$8 – $9	$11	12
New Braunfels Regional Rehabilitation Hospital Gross charge $11 Compare Metro San Antonio Median negotiated $8far below the state median Your carrier's rate — 25th–75th $7 – $9 Cash $11 Payers 12	San Antonio	$8far below the state median	—	$7 – $9	$11	12
Pam Health Rehabilitation Hospital of Sugar Land Gross charge $11 Compare Metro Houston Metro Median negotiated $8far below the state median Your carrier's rate — 25th–75th $7 – $8 Cash $11 Payers 7	Houston Metro	$8far below the state median	—	$7 – $8	$11	7
Pam Health Specialty Hospital of Victoria North Gross charge $11 Compare Metro Rest of Texas Median negotiated $8far below the state median Your carrier's rate — 25th–75th $7 – $9 Cash $11 Payers 16	Rest of Texas	$8far below the state median	—	$7 – $9	$11	16
Warm Springs Specialty Hospital of New Braunfels Gross charge $11 Compare Metro San Antonio Median negotiated $8far below the state median Your carrier's rate — 25th–75th $7 – $9 Cash $11 Payers 12	San Antonio	$8far below the state median	—	$7 – $9	$11	12
Pam Health Specialty and Rehabilitation Hospital of New Braunfels Gross charge $11 Compare Metro San Antonio Median negotiated $8far below the state median Your carrier's rate — 25th–75th $7 – $9 Cash $11 Payers 12	San Antonio	$8far below the state median	—	$7 – $9	$11	12
Pam Health Specialty Hospital of San Antonio Medical Center Gross charge $11 Compare Metro San Antonio Median negotiated $8far below the state median Your carrier's rate — 25th–75th $8 – $9 Cash $11 Payers 12	San Antonio	$8far below the state median	—	$8 – $9	$11	12
Pam Health Rehabilitation Hospital of Houston Heights Gross charge $20 Compare Metro Houston Metro Median negotiated $15far below the state median Your carrier's rate — 25th–75th $10 – $15 Cash $20 Payers 7	Houston Metro	$15far below the state median	—	$10 – $15	$20	7
Pam Health Rehabilitation Hospital of El Paso Gross charge $20 Compare Metro El Paso Median negotiated $15far below the state median Your carrier's rate — 25th–75th $15 – $15 Cash $20 Payers 5	El Paso	$15far below the state median	—	$15 – $15	$20	5
Peterson Regional Medical Center Compare Metro Rest of Texas Median negotiated $17far below the state median Your carrier's rate — 25th–75th $17 – $17 Cash — Payers 1	Rest of Texas	$17far below the state median	—	$17 – $17	—	1
Permian Regional Medical Center Andrews County Ho Compare Metro Rest of Texas Median negotiated $17far below the state median Your carrier's rate — 25th–75th $16 – $22 Cash — Payers 2	Rest of Texas	$17far below the state median	—	$16 – $22	—	2
Christus Saint Michael Rehabilitation Hospital Compare Metro Rest of Texas Median negotiated $19far below the state median Your carrier's rate — 25th–75th $16 – $25 Cash — Payers 4	Rest of Texas	$19far below the state median	—	$16 – $25	—	4
Ascension Seton Edgar B Davis Compare Metro Austin Median negotiated $22far below the state median Your carrier's rate — 25th–75th $22 – $58 Cash — Payers 2	Austin	$22far below the state median	—	$22 – $58	—	2
Dell Children S Medical Center Compare Metro Austin Median negotiated $22far below the state median Your carrier's rate — 25th–75th $22 – $58 Cash — Payers 2	Austin	$22far below the state median	—	$22 – $58	—	2
Ascension Seton Southwest Hospital Compare Metro Austin Median negotiated $22far below the state median Your carrier's rate — 25th–75th $22 – $58 Cash — Payers 2	Austin	$22far below the state median	—	$22 – $58	—	2
Dell Seton Medical Center at the University of Texas Compare Metro Austin Median negotiated $22far below the state median Your carrier's rate — 25th–75th $22 – $57 Cash — Payers 2	Austin	$22far below the state median	—	$22 – $57	—	2
Ascension Seton Cedar Park Hospital Compare Metro Austin Median negotiated $22far below the state median Your carrier's rate — 25th–75th $22 – $58 Cash — Payers 2	Austin	$22far below the state median	—	$22 – $58	—	2
Ascension Seton Northwest Hospital Compare Metro Austin Median negotiated $22far below the state median Your carrier's rate — 25th–75th $22 – $58 Cash — Payers 2	Austin	$22far below the state median	—	$22 – $58	—	2
Ascension Seton Medical Center Austin Compare Metro Austin Median negotiated $22far below the state median Your carrier's rate — 25th–75th $22 – $58 Cash — Payers 2	Austin	$22far below the state median	—	$22 – $58	—	2
Ascension Seton Hays Compare Metro Austin Median negotiated $22far below the state median Your carrier's rate — 25th–75th $22 – $58 Cash — Payers 2	Austin	$22far below the state median	—	$22 – $58	—	2
Ascension Seton Highland Lakes Compare Metro Rest of Texas Median negotiated $22far below the state median Your carrier's rate — 25th–75th $22 – $58 Cash — Payers 2	Rest of Texas	$22far below the state median	—	$22 – $58	—	2
Baylor Scott White Surgical Hospital at Sherman Compare Metro Rest of Texas Median negotiated $25far below the state median Your carrier's rate — 25th–75th $25 – $25 Cash — Payers 1	Rest of Texas	$25far below the state median	—	$25 – $25	—	1
River Crest Hospital Compare Metro Rest of Texas Median negotiated $27below the state median Your carrier's rate — 25th–75th $26 – $27 Cash — Payers 1	Rest of Texas	$27below the state median	—	$26 – $27	—	1
Shannon Medical Center Compare Metro Rest of Texas Median negotiated $27below the state median Your carrier's rate — 25th–75th $26 – $27 Cash — Payers 1	Rest of Texas	$27below the state median	—	$26 – $27	—	1
Citizens Medical Center Gross charge $254 Compare Metro Rest of Texas Median negotiated $32below the state median Your carrier's rate — 25th–75th $32 – $32 Cash $127 Payers 1	Rest of Texas	$32below the state median	—	$32 – $32	$127	1
Las Palmas Medical Center Compare Metro El Paso Median negotiated $33below the state median Your carrier's rate — 25th–75th $25 – $40 Cash — Payers 2	El Paso	$33below the state median	—	$25 – $40	—	2
Clay County Memorial Hospital Gross charge $47 Compare Metro Rest of Texas Median negotiated $35below the state median Your carrier's rate — 25th–75th $25 – $38 Cash $47 Payers 8	Rest of Texas	$35below the state median	—	$25 – $38	$47	8
St David S Children S Hospital Compare Metro Austin Median negotiated $37below the state median Your carrier's rate — 25th–75th $27 – $40 Cash — Payers 1	Austin	$37below the state median	—	$27 – $40	—	1
St David S North Austin Medical Center Compare Metro Austin Median negotiated $37below the state median Your carrier's rate — 25th–75th $27 – $40 Cash — Payers 1	Austin	$37below the state median	—	$27 – $40	—	1
St David S Medical Center Compare Metro Austin Median negotiated $37below the state median Your carrier's rate — 25th–75th $27 – $40 Cash — Payers 1	Austin	$37below the state median	—	$27 – $40	—	1
St David S Rehabilitation Hospital Compare Metro Austin Median negotiated $37below the state median Your carrier's rate — 25th–75th $27 – $40 Cash — Payers 1	Austin	$37below the state median	—	$27 – $40	—	1
North Austin Medical Center Compare Metro Austin Median negotiated $37below the state median Your carrier's rate — 25th–75th $27 – $40 Cash — Payers 1	Austin	$37below the state median	—	$27 – $40	—	1
St David S Georgetown Hospital Compare Metro Austin Median negotiated $37below the state median Your carrier's rate — 25th–75th $27 – $40 Cash — Payers 1	Austin	$37below the state median	—	$27 – $40	—	1
Driscoll Children S Hospital Rio Grande Valley Compare Metro McAllen–Edinburg–Mission Median negotiated $41below the state median Your carrier's rate — 25th–75th $35 – $56 Cash — Payers 3	McAllen–Edinburg–Mission	$41below the state median	—	$35 – $56	—	3
Valley Regional Medical Center Compare Metro Brownsville–Harlingen Median negotiated $41below the state median Your carrier's rate — 25th–75th $35 – $56 Cash — Payers 3	Brownsville–Harlingen	$41below the state median	—	$35 – $56	—	3
Ascension Providence Hospital Compare Metro Waco Median negotiated $43below the state median Your carrier's rate — 25th–75th $41 – $47 Cash — Payers 2	Waco	$43below the state median	—	$41 – $47	—	2
Methodist Hospital Compare Metro San Antonio Median negotiated $45about the state median Your carrier's rate — 25th–75th $40 – $55 Cash — Payers 2	San Antonio	$45about the state median	—	$40 – $55	—	2
Methodist Mansfield Medical Center Compare Metro Dallas–Fort Worth Median negotiated $45about the state median Your carrier's rate — 25th–75th $40 – $55 Cash — Payers 2	Dallas–Fort Worth	$45about the state median	—	$40 – $55	—	2
Methodist Stone Oak Hospital Compare Metro San Antonio Median negotiated $45about the state median Your carrier's rate — 25th–75th $40 – $55 Cash — Payers 2	San Antonio	$45about the state median	—	$40 – $55	—	2
Methodist Midlothian Medical Center Compare Metro Dallas–Fort Worth Median negotiated $45about the state median Your carrier's rate — 25th–75th $40 – $55 Cash — Payers 2	Dallas–Fort Worth	$45about the state median	—	$40 – $55	—	2
Methodist Richardson Medical Center Compare Metro Dallas–Fort Worth Median negotiated $45about the state median Your carrier's rate — 25th–75th $40 – $55 Cash — Payers 2	Dallas–Fort Worth	$45about the state median	—	$40 – $55	—	2
Methodist Hospital Stone Oak Rehabilitation Center Compare Metro San Antonio Median negotiated $45about the state median Your carrier's rate — 25th–75th $40 – $55 Cash — Payers 2	San Antonio	$45about the state median	—	$40 – $55	—	2
Methodist Southlake Medical Center Compare Metro Dallas–Fort Worth Median negotiated $45about the state median Your carrier's rate — 25th–75th $40 – $55 Cash — Payers 2	Dallas–Fort Worth	$45about the state median	—	$40 – $55	—	2
Methodist Charlton Medical Center Compare Metro Dallas–Fort Worth Median negotiated $45about the state median Your carrier's rate — 25th–75th $40 – $55 Cash — Payers 2	Dallas–Fort Worth	$45about the state median	—	$40 – $55	—	2
Methodist Richardson Medical Center Campus for Continuing Care Compare Metro Dallas–Fort Worth Median negotiated $45about the state median Your carrier's rate — 25th–75th $40 – $55 Cash — Payers 2	Dallas–Fort Worth	$45about the state median	—	$40 – $55	—	2
Methodist Hospital Atascosa Compare Metro San Antonio Median negotiated $45about the state median Your carrier's rate — 25th–75th $40 – $55 Cash — Payers 2	San Antonio	$45about the state median	—	$40 – $55	—	2
Methodist Celina Medical Center Compare Metro Dallas–Fort Worth Median negotiated $45about the state median Your carrier's rate — 25th–75th $40 – $55 Cash — Payers 2	Dallas–Fort Worth	$45about the state median	—	$40 – $55	—	2
William P Clements Jr University Hospital Gross charge $87 Compare Metro Dallas–Fort Worth Median negotiated $46above the state median Your carrier's rate — 25th–75th $25 – $63 Cash $43 Payers 14	Dallas–Fort Worth	$46above the state median	—	$25 – $63	$43	14
Texas Orthopedic Hospital Compare Metro Houston Metro Median negotiated $49above the state median Your carrier's rate — 25th–75th $45 – $66 Cash — Payers 3	Houston Metro	$49above the state median	—	$45 – $66	—	3
Hca Houston Healthcare Medical Center Compare Metro Houston Metro Median negotiated $49above the state median Your carrier's rate — 25th–75th $45 – $66 Cash — Payers 3	Houston Metro	$49above the state median	—	$45 – $66	—	3
Hca Houston Healthcare Clear Lake Compare Metro Houston Metro Median negotiated $49above the state median Your carrier's rate — 25th–75th $45 – $66 Cash — Payers 3	Houston Metro	$49above the state median	—	$45 – $66	—	3
Children S Hospital of San Antonio Compare Metro San Antonio Median negotiated $52above the state median Your carrier's rate — 25th–75th $52 – $52 Cash — Payers 1	San Antonio	$52above the state median	—	$52 – $52	—	1
Christus Santa Rosa Hospital Westover Hills Compare Metro San Antonio Median negotiated $53above the state median Your carrier's rate — 25th–75th $40 – $56 Cash — Payers 3	San Antonio	$53above the state median	—	$40 – $56	—	3
Christus Santa Rosa Hospital Alamo Heights Compare Metro San Antonio Median negotiated $53above the state median Your carrier's rate — 25th–75th $40 – $56 Cash — Payers 3	San Antonio	$53above the state median	—	$40 – $56	—	3
Hca Houston Healthcare Kingwood Compare Metro Houston Metro Median negotiated $55above the state median Your carrier's rate — 25th–75th $45 – $66 Cash — Payers 3	Houston Metro	$55above the state median	—	$45 – $66	—	3
Texas Health Arlington Memorial Gross charge $91 Compare Metro Dallas–Fort Worth Median negotiated $59above the state median Your carrier's rate — 25th–75th $38 – $76 Cash $55 Payers 13	Dallas–Fort Worth	$59above the state median	—	$38 – $76	$55	13
Texas Health Harris Methodist Hurst Euless Bedford Gross charge $91 Compare Metro Dallas–Fort Worth Median negotiated $59above the state median Your carrier's rate — 25th–75th $38 – $76 Cash $55 Payers 13	Dallas–Fort Worth	$59above the state median	—	$38 – $76	$55	13
Texas Health Denton Gross charge $91 Compare Metro Dallas–Fort Worth Median negotiated $60above the state median Your carrier's rate — 25th–75th $40 – $76 Cash $55 Payers 12	Dallas–Fort Worth	$60above the state median	—	$40 – $76	$55	12
Texas Health Flower Mound Gross charge $91 Compare Metro Dallas–Fort Worth Median negotiated $60above the state median Your carrier's rate — 25th–75th $40 – $76 Cash $55 Payers 12	Dallas–Fort Worth	$60above the state median	—	$40 – $76	$55	12
Texas Health Harris Methodist Hospital Southlake Gross charge $91 Compare Metro Dallas–Fort Worth Median negotiated $60above the state median Your carrier's rate — 25th–75th $40 – $76 Cash $55 Payers 12	Dallas–Fort Worth	$60above the state median	—	$40 – $76	$55	12
Texas Health Heart Vascular Hospital Arlington Gross charge $91 Compare Metro Dallas–Fort Worth Median negotiated $60above the state median Your carrier's rate — 25th–75th $40 – $76 Cash $55 Payers 12	Dallas–Fort Worth	$60above the state median	—	$40 – $76	$55	12
Texas Health Alliance Gross charge $91 Compare Metro Dallas–Fort Worth Median negotiated $60above the state median Your carrier's rate — 25th–75th $40 – $76 Cash $55 Payers 12	Dallas–Fort Worth	$60above the state median	—	$40 – $76	$55	12
Texas Health Frisco Gross charge $91 Compare Metro Dallas–Fort Worth Median negotiated $60above the state median Your carrier's rate — 25th–75th $40 – $76 Cash $55 Payers 13	Dallas–Fort Worth	$60above the state median	—	$40 – $76	$55	13
Texas Health Plano Gross charge $91 Compare Metro Dallas–Fort Worth Median negotiated $60above the state median Your carrier's rate — 25th–75th $40 – $76 Cash $55 Payers 13	Dallas–Fort Worth	$60above the state median	—	$40 – $76	$55	13
Texas Health Center for Diagnostics Surgery Gross charge $91 Compare Metro Dallas–Fort Worth Median negotiated $60above the state median Your carrier's rate — 25th–75th $40 – $76 Cash $55 Payers 13	Dallas–Fort Worth	$60above the state median	—	$40 – $76	$55	13
Texas Health Presbyterian Hospital Dallas Gross charge $91 Compare Metro Dallas–Fort Worth Median negotiated $60above the state median Your carrier's rate — 25th–75th $40 – $76 Cash $55 Payers 13	Dallas–Fort Worth	$60above the state median	—	$40 – $76	$55	13
Texas Health Harris Methodist Hospital Southwest F Gross charge $91 Compare Metro Dallas–Fort Worth Median negotiated $61above the state median Your carrier's rate — 25th–75th $40 – $76 Cash $55 Payers 12	Dallas–Fort Worth	$61above the state median	—	$40 – $76	$55	12
Texas Health Harris Methodist Fort Worth Gross charge $91 Compare Metro Dallas–Fort Worth Median negotiated $61above the state median Your carrier's rate — 25th–75th $40 – $76 Cash $55 Payers 12	Dallas–Fort Worth	$61above the state median	—	$40 – $76	$55	12
Texas Health Presbyterian Hospital Allen Gross charge $91 Compare Metro Dallas–Fort Worth Median negotiated $61above the state median Your carrier's rate — 25th–75th $40 – $76 Cash $55 Payers 13	Dallas–Fort Worth	$61above the state median	—	$40 – $76	$55	13
Texas Health Azle Gross charge $91 Compare Metro Dallas–Fort Worth Median negotiated $61above the state median Your carrier's rate — 25th–75th $40 – $76 Cash $55 Payers 12	Dallas–Fort Worth	$61above the state median	—	$40 – $76	$55	12
Texas Health Kaufman Gross charge $91 Compare Metro Dallas–Fort Worth Median negotiated $61above the state median Your carrier's rate — 25th–75th $40 – $76 Cash $55 Payers 13	Dallas–Fort Worth	$61above the state median	—	$40 – $76	$55	13
Texas Health Cleburne Gross charge $91 Compare Metro Dallas–Fort Worth Median negotiated $61above the state median Your carrier's rate — 25th–75th $40 – $76 Cash $55 Payers 12	Dallas–Fort Worth	$61above the state median	—	$40 – $76	$55	12
Texas Health Harris Methodist Hospital Stephenvill Gross charge $91 Compare Metro Rest of Texas Median negotiated $62above the state median Your carrier's rate — 25th–75th $40 – $76 Cash $55 Payers 12	Rest of Texas	$62above the state median	—	$40 – $76	$55	12
Christus Santa Rosa Hospital San Marcos Compare Metro Austin Median negotiated $71above the state median Your carrier's rate — 25th–75th $66 – $73 Cash — Payers 2	Austin	$71above the state median	—	$66 – $73	—	2
Christus Santa Rosa Hospital New Braunfels Compare Metro San Antonio Median negotiated $72above the state median Your carrier's rate — 25th–75th $71 – $80 Cash — Payers 1	San Antonio	$72above the state median	—	$71 – $80	—	1
Christus Saint Michael Hospital Atlanta Compare Metro Rest of Texas Median negotiated $73above the state median Your carrier's rate — 25th–75th $21 – $80 Cash — Payers 5	Rest of Texas	$73above the state median	—	$21 – $80	—	5
Christus Saint Michael Hospital Compare Metro Rest of Texas Median negotiated $73above the state median Your carrier's rate — 25th–75th $21 – $80 Cash — Payers 5	Rest of Texas	$73above the state median	—	$21 – $80	—	5
Texas Health Specialty Hospital Fort Worth Gross charge $91 Compare Metro Dallas–Fort Worth Median negotiated $75above the state median Your carrier's rate — 25th–75th $61 – $77 Cash $55 Payers 9	Dallas–Fort Worth	$75above the state median	—	$61 – $77	$55	9
Christus Southeast Texas Saint Elizabeth Compare Metro Beaumont–Port Arthur Median negotiated $82above the state median Your carrier's rate — 25th–75th $70 – $88 Cash — Payers 2	Beaumont–Port Arthur	$82above the state median	—	$70 – $88	—	2
The Medical Center of Southeast Texas Compare Metro Beaumont–Port Arthur Median negotiated $82above the state median Your carrier's rate — 25th–75th $70 – $88 Cash — Payers 2	Beaumont–Port Arthur	$82above the state median	—	$70 – $88	—	2
Christus Good Shepherd Medical Center Marshall Compare Metro Longview Median negotiated $97more than twice the state median Your carrier's rate — 25th–75th $45 – $105 Cash — Payers 2	Longview	$97more than twice the state median	—	$45 – $105	—	2
Christus Good Shepherd Medical Center Longview Compare Metro Longview Median negotiated $97more than twice the state median Your carrier's rate — 25th–75th $45 – $105 Cash — Payers 2	Longview	$97more than twice the state median	—	$45 – $105	—	2
Hendrick Medical Center Gross charge $220 Compare Metro Rest of Texas Median negotiated $97more than twice the state median Your carrier's rate — 25th–75th $59 – $149 Cash $220 Payers 10	Rest of Texas	$97more than twice the state median	—	$59 – $149	$220	10
Medical City Green Oaks Hospital Compare Metro Dallas–Fort Worth Median negotiated $136more than twice the state median Your carrier's rate — 25th–75th $136 – $136 Cash — Payers 1	Dallas–Fort Worth	$136more than twice the state median	—	$136 – $136	—	1
Hendrick Medical Center Brownwood Gross charge $195 Compare Metro Rest of Texas Median negotiated $142more than twice the state median Your carrier's rate — 25th–75th $112 – $167 Cash $195 Payers 6	Rest of Texas	$142more than twice the state median	—	$112 – $167	$195	6
North Central Surgical Center Hospital Gross charge $119 Compare Metro Dallas–Fort Worth Median negotiated $7,584more than five times the state median Your carrier's rate — 25th–75th $5,646 – $8,006 Cash $71 Payers 1	Dallas–Fort Worth	$7,584more than five times the state median	—	$5,646 – $8,006	$71	1
Baylor Surgical Hospital at Las Colinas Compare Metro Dallas–Fort Worth Median negotiated $7,584more than five times the state median Your carrier's rate — 25th–75th $5,646 – $8,006 Cash — Payers 1	Dallas–Fort Worth	$7,584more than five times the state median	—	$5,646 – $8,006	—	1
Baylor Scott White Medical Center Trophy Club Compare Metro Dallas–Fort Worth Median negotiated $7,584more than five times the state median Your carrier's rate — 25th–75th $5,646 – $8,006 Cash — Payers 1	Dallas–Fort Worth	$7,584more than five times the state median	—	$5,646 – $8,006	—	1
Pam Voyages Behavioral Health of Conroe Gross charge $119 Compare Metro Houston Metro Median negotiated — Your carrier's rate — 25th–75th — Cash $119 Payers —	Houston Metro	—	—	—	$119	—
Columbus Community Hospital Gross charge $128 Compare Metro Rest of Texas Median negotiated — Your carrier's rate — 25th–75th — Cash $122 Payers —	Rest of Texas	—	—	—	$122	—

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Prices by metro: Houston MetroDallas–Fort WorthSan AntonioAustinEl PasoMcAllen–Edinburg–MissionCorpus ChristiBeaumont–Port ArthurBrownsville–HarlingenWacoLongviewRest of Texas

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 Texas?

Across 96 Texas hospitals that publish a commercial negotiated rate, the median is $45. The middle half of hospitals fall between $22 and $60 — 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. Texas hospitals publish negotiated rates for Influenza Vaccine, Quadrivalent (Flu Shot) under 54 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 Texas hospitals is $55. 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.

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