Vaccines CPT 90656 Outpatient

Flu shot cost in Waterloo, IA

In Waterloo-Cedar Falls, IA, 3 hospitals list a cash price for flu shot, standard dose, preservative-free, for age 6 months and older: from $20.80 to $22.40, with a median of $20.80. The lowest listed price is at Covenant Medical Center and 1 other hospital. Across Iowa, the median is $22.40 at 34 hospitals.

Cash prices at 3 facilities across 2 cities for code 90656, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Mar 31, 2026.

Lowest$20.80Covenant Medical Center + 1 more
Median$20.80half pay less
Highest$22.40in this market
Difference1.1×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 Waterloo-Cedar Falls, IA.

median
Lowest $20.80Highest $102.45

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Covenant Medical Center lowest Waterloo, IA HC Vaccine Influenza Preservative Free Trivalent (Iiv3) 0.5ml Dose Im $20.80 $32.00 $7.52–$82.06 35% Mar 31, 2026
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Sartori Memorial Hospital lowest Cedar Falls, IA · (319) 268-3000 HC Vaccine Influenza Preservative Free Trivalent (Iiv3) 0.5ml Dose Im $20.80 $32.00 $7.52–$82.06 35% Mar 31, 2026
source file
Allen Hospital Waterloo, IA · (319) 235-3941 PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $22.40 $28.00 $19.61–$33.19 20% Jan 28, 2026
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Covenant Medical Center Waterloo, IA PR Vaccine Influenza Preservative Free Trivalent (Iiv3) 0.5ml Dose Im $49.00 $49.00 $16.05–$49.00 — Mar 31, 2026
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Covenant Medical Center Waterloo, IA FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $102.45 $102.45 $20.26–$102.45 — Mar 31, 2026
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Sartori Memorial Hospital Cedar Falls, IA · (319) 268-3000 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $102.45 $102.45 $20.26–$102.45 — Mar 31, 2026
source file

Outpatient: lowest $20.80, median $20.80, highest $22.40 — a 1.1× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $20.80. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 3 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. 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.