RSV vaccine (Arexvy) cost in Sioux City, IA
In Sioux City, IA-NE-SD, 1 hospital lists a cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults: from $358.40 to $358.40, with a median of $358.40. Across Iowa, the median is $358.40 at 28 hospitals.
Cash prices at 1 facility for code 90679, 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 Jan 28, 2026.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| St Lukes Regional Medical Center Sioux City, IA · (712) 279-3500 PR RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $358.40 | $448.00 | $116.48–$316.40 | 20% | Jan 28, 2026 source file |
Outpatient: lowest $358.40, median $358.40, highest $358.40.
As an inpatient, the same code is billed by 1 facility here, median $358.40. 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 the one hospital here that publishes insurer rates for this code, the cash price is not 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
Arexvy is a single-dose RSV vaccine with an adjuvant, for older adults. The CDC recommends an RSV vaccine for everyone 75 and older and for adults 50 to 74 at higher risk; Arexvy is not used in pregnancy.
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).