What is the typical price for Influenza Vaccine, Quadrivalent (Flu Shot) in Colorado?

Across 34 Colorado hospitals reporting a commercial negotiated rate for CPT 90686, the 25th-to-75th percentile band runs $38 to $83 per hospital median. The 50th-percentile (Colorado median) is $61.

Why is the price range for Influenza Vaccine, Quadrivalent (Flu Shot) so wide?

Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 2.2× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.

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

Influenza Vaccine, Quadrivalent (Flu Shot) is on Medicare's preventive-services list, which generally means no patient cost-sharing under Original Medicare or Medicare Advantage when the eligibility rules are met. Verify with your specific plan — frequency limits and clinical criteria still apply.

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 offer a self-pay rate that's 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.

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 MRF reports rates against this code.

Influenza Vaccine, Quadrivalent (Flu Shot)

CPT 9068634 Colorado hospitals reporting

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 — half of negotiated 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, anaesthesia, 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

Pin a plan

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

Common questions

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

What is the typical price for Influenza Vaccine, Quadrivalent (Flu Shot) in Colorado?: Across 34 Colorado hospitals reporting a commercial negotiated rate for CPT 90686, the 25th-to-75th percentile band runs $38 to $83 per hospital median. The 50th-percentile (Colorado median) is $61.
Why is the price range for Influenza Vaccine, Quadrivalent (Flu Shot) so wide?: Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 2.2× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.
Is Influenza Vaccine, Quadrivalent (Flu Shot) covered by Medicare?: Influenza Vaccine, Quadrivalent (Flu Shot) is on Medicare's preventive-services list, which generally means no patient cost-sharing under Original Medicare or Medicare Advantage when the eligibility rules are met. Verify with your specific plan — frequency limits and clinical criteria still apply.
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 offer a self-pay rate that's 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.
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 MRF 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.