Vaccines CPT 90656 Inpatient — admitted to hospital

Flu shot cost in Spencer, IA — inpatient

In Spencer, IA, 1 hospital lists a cash price for flu shot, standard dose, preservative-free, for age 6 months and older as an inpatient: from $36.75 to $36.75, with a median of $36.75. Across Iowa, the median is $22.05 at 59 hospitals.

Cash prices at 1 facility for code 90656, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.

Lowest$36.75Spencer Municipal Hospital
Median$36.75half pay less
Highest$36.75in this market
Difference1.0×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Spencer, IA.

median
Lowest $36.75Highest $38.25

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Spencer Municipal Hospital lowest Spencer, IA · (712) 264-6198 Influenza (IIV3) Split PF 0.5 $36.75 $49.00 $20.89–$74.71 25% —
source file
Spencer Municipal Hospital Spencer, IA · (712) 264-6198 Influenza Vax(6 Mo+)V3 Pf .5Ml $38.25 $51.00 $20.89–$74.71 25% —
source file

Inpatient: lowest $36.75, median $36.75, highest $36.75.

As an outpatient, the same code is billed by 1 facility here, median $36.75 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

A standard-dose flu shot protects against the influenza strains expected in the coming season, and the formula changes every year. This code is the preservative-free version given to most people.

What the price covers

The price is for the vaccine dose. Giving the shot is usually a separate line (code 90471 for the first vaccine of the visit); Medicare bills use G0008 instead.