Yes as a vaccine wouldn't be considered standard treatment if you are coming in for surgery. I sure hope they aren't doing this here in the states. I haven't seen any evidence that this is happening. When a person gets most kind of vaccines(except tetanus), a Z23 diagnosis code must be added to cover the charge for the vaccine. I've not seen many of those this summer as they are usually done during flu season. The hospitals are not going to give it without charging for it.