Nasal flu vaccine (FluMist) cost in Des Moines, IA
In Des Moines-West Des Moines, IA, 1 hospital lists a cash price for nasal spray flu vaccine, live (FluMist): from $28.00 to $28.00, with a median of $28.00. Across Iowa, the median is $30.63 at 20 hospitals.
Cash prices at 1 facility for code 90660, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Sep 23, 2026 and Sep 23, 2026.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Madison County Memorial Hospital Winterset, IA · (515) 462-2373 Influenza vaccine, trivalent for nasal administration | $28.00 | $35.00 | $15.05–$68.20 | 20% | Sep 23, 2026 source file |
Outpatient: lowest $28.00, median $28.00, highest $28.00.
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
FluMist is a live flu vaccine sprayed into the nose instead of injected, for healthy people aged 2 to 49 who are not pregnant.
What the price covers
The price is for the vaccine dose. Giving an oral or nasal vaccine is billed as 90473 rather than the injection fee 90471; ask whether it is included.