Vaccines CPT 90691 Inpatient — admitted to hospital

Typhoid vaccine cost in Des Moines, IA — inpatient

In Des Moines-West Des Moines, IA, 4 hospitals list a cash price for typhoid vaccine, injectable (Vi polysaccharide) as an inpatient: from $113.75 to $184.00, with a median of $123.00. The lowest listed price is at Mercy Medical Center - Newton — $9.25 less than the median here. Across Iowa, the median is $126.40 at 25 hospitals.

Cash prices at 4 facilities across 3 cities for code 90691, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Mar 31, 2026.

Lowest$113.75Mercy Medical Center - Newton
Median$123.00half pay less
Highest$184.00in this market
Difference1.6×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 Des Moines-West Des Moines, IA.

median
Lowest $113.75Highest $225.44

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Medical Center - Newton lowest Newton, IA · (641) 792-1273 HC Vaccine Typhoid Vicps Im $113.75 $175.00 $101.32–$175.00 35% Mar 31, 2026
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MercyOne Des Moines Medical Center Des Moines, IA · (515) 247-4436 HC Vaccine Typhoid Vicps Im $119.60 $184.00 $36.98–$184.00 35% Mar 31, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines, IA · (515) 343-1000 PR TYPHOID VACCINE, IM $126.40 $158.00 $101.32–$157.74 20% Jan 28, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines, IA · (515) 343-1000 PR TYPHOID VACCINE, IM $126.40 $158.00 $101.32–$157.74 20% Jan 28, 2026
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Catholic Health Initiatives-Iowa West Des Moines, IA HC Vaccine Typhoid Vicps Im $184.00 $184.00 $36.98–$184.00 — Mar 31, 2026
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MercyOne Des Moines Medical Center Des Moines, IA · (515) 247-4436 PR Vaccine Typhoid Vicps Im $225.44 — $73.27–$225.44 — Mar 31, 2026
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Inpatient: lowest $113.75, median $123.00, highest $184.00 — a 1.6× difference within the same market.

As an outpatient, the same code is billed by 4 facilities here, median $123.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 3 of 4 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

The injectable typhoid vaccine protects travelers going to places where typhoid fever is common. One dose is given at least two weeks before travel and lasts about two years.

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).