Vaccine cost in Iowa without insurance
In Iowa, the median cash price for Shingles vaccine (Shingrix) is $212.00 across 31 hospitals, from $169.00 to $394.13. The lowest is at Central Community Hospital (Elkader) and 4 other hospitals. The US median is $220.00.
A vaccine's code is the dose itself; giving the shot is a separate administration fee (90471 for the first vaccine of a visit), so add the two lines to get a total. Pharmacies and health departments give most routine vaccines and often charge less than hospitals, which makes a hospital's cash price one point of comparison rather than the only option.
Collected Sep 23, 2026 One price per hospital: its lowest outpatient cash price for the code
Vaccine prices in Iowa by type
Each vaccine has its own code, and series vaccines (shingles, hepatitis, HPV, MenB) need two or three doses, so multiply the per-dose price. Flu, pneumonia and COVID-19 shots are covered by Medicare Part B, and the shingles, Tdap and RSV vaccines by Part D plans with nothing to pay.
| Procedure | Hospitals | Range | Median | US median |
|---|---|---|---|---|
| Shingles vaccine (Shingrix) Shingles vaccine (Shingrix), recombinant, one dose · code 90750 | 31 | $169.00–$394.13 | $212.00 | $220.00 |
| Flu shot Flu shot, standard dose, preservative-free, for age 6 months and older · code 90656 | 34 | $18.90–$2,681.10 | $22.40 | $32.50 |
| High-dose flu shot (65+) High-dose flu shot, preservative-free, mainly for age 65 and older · code 90662 | 35 | $31.50–$2,285.70 | $88.59 | $93.69 |
| Adjuvanted flu shot (65+) Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older · code 90653 | 31 | $37.80–$142.36 | $76.00 | $95.70 |
| Tdap vaccine Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older · code 90715 | 35 | $27.92–$157.24 | $53.30 | $84.15 |
| Tetanus shot (Td) Td vaccine (tetanus and diphtheria booster), age 7 and older · code 90714 | 34 | $35.05–$94.95 | $57.20 | $67.00 |
| Pneumonia vaccine (Prevnar 20) Pneumonia vaccine, 20-valent conjugate (Prevnar 20) · code 90677 | 34 | $266.11–$936.39 | $535.86 | $501.93 |
| Pneumonia vaccine (Pneumovax 23) Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) · code 90732 | 33 | $81.80–$418.00 | $219.79 | $168.22 |
| RSV vaccine (Abrysvo) RSV vaccine (Abrysvo), one dose for older adults or during pregnancy · code 90678 | 29 | $251.55–$555.82 | $403.20 | $442.80 |
| RSV vaccine (Arexvy) RSV vaccine with adjuvant (Arexvy), one dose for older adults · code 90679 | 28 | $239.20–$555.02 | $358.40 | $353.00 |
| RSV antibody shot for babies RSV antibody shot for infants, seasonal dose (0.5 mL) · code 90380 | 32 | $421.85–$1,288.54 | $792.00 | $968.03 |
| MMR vaccine MMR vaccine (measles, mumps and rubella), live · code 90707 | 33 | $60.37–$209.90 | $86.40 | $156.00 |
| Chickenpox vaccine (Varivax) Chickenpox (varicella) vaccine, live (Varivax) · code 90716 | 30 | $89.10–$301.40 | $165.60 | $242.15 |
| Hepatitis B vaccine (adult) Hepatitis B vaccine, adult dose (3-dose schedule) · code 90746 | 34 | $37.05–$221.00 | $105.60 | $108.72 |
| Hepatitis A vaccine (adult) Hepatitis A vaccine, adult dose · code 90632 | 33 | $59.52–$381.21 | $122.86 | $123.60 |
| Hepatitis A and B vaccine (Twinrix) Hepatitis A and B combination vaccine, adult (Twinrix) · code 90636 | 29 | $107.51–$220.65 | $119.20 | $172.95 |
| Meningitis vaccine (MenACWY) Meningococcal ACWY (MenACWY) vaccine · code 90734 | 32 | $128.30–$624.68 | $289.86 | $230.85 |
| Meningitis B vaccine (Bexsero) Meningococcal B vaccine (Bexsero), 2-dose schedule · code 90620 | 32 | $180.70–$432.42 | $209.60 | $328.20 |
| HPV vaccine (Gardasil 9) HPV vaccine, 9-valent (Gardasil 9) · code 90651 | 30 | $203.74–$557.26 | $278.40 | $415.22 |
| Rabies vaccine Rabies vaccine, one dose · code 90675 | 35 | $219.66–$1,667.00 | $501.98 | $659.39 |
| Typhoid vaccine Typhoid vaccine, injectable (Vi polysaccharide) · code 90691 | 25 | $113.75–$186.65 | $126.40 | $173.14 |
| COVID-19 vaccine (Pfizer) COVID-19 vaccine (Pfizer-BioNTech), age 12 and older · code 91320 | 31 | $98.15–$274.01 | $218.26 | $191.10 |
| COVID-19 vaccine (Moderna) COVID-19 vaccine (Moderna), age 12 and older · code 91322 | 29 | $157.14–$441.00 | $263.57 | $204.96 |
| Vaccine administration fee Vaccine administration fee (giving the shot), first vaccine of the visit · code 90471 | 37 | $7.98–$96.80 | $35.00 | $50.00 |
| Additional vaccine administration Vaccine administration fee, each additional vaccine at the same visit · code 90472 | 37 | $12.79–$142.59 | $27.20 | $34.20 |
Outpatient cash prices in Iowa. Each hospital counts once, at its lowest cash price for the code; prices for both sides of the body and inpatient prices are not mixed in. Pick a procedure to compare every hospital in the state.
Lowest Shingles vaccine (Shingrix) prices in Iowa
- Central Community Hospital, Elkader$169.00
- Mercy Medical Center - Dyersville, Dyersville$169.00
- Mercy Medical Center - New Hampton, New Hampton$169.00
- Mercy Medical Center - Newton, Newton$169.00
- MercyOne Oelwein Medical Center, Oelwein$169.00
Vaccine cost by metro area in Iowa
- Davenport, IA6 hospitals
- Des Moines, IA4 hospitals
- Dubuque, IA3 hospitals
- Waterloo, IA3 hospitals
- Clinton, IA2 hospitals
Vaccine cost in other states
- Alabama
- Alaska
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- Florida
- Georgia
- Idaho
- Illinois
- Indiana
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Missouri
- Montana
- Nebraska
- New Hampshire
- New Jersey
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- Tennessee
- Texas
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Paying cash: what to do
- Ask whether the self-pay price is per dose and whether it includes the injection fee (90471), then multiply by the number of doses in the series.
- Compare with a pharmacy's cash price and your local health department, which often charge less for routine vaccines.
- For a rabies or tetanus shot after an injury, ask whether later doses can be given at a clinic instead of the emergency department.