Vaccine administration fee cost in Iowa
In Iowa, 87 hospitals publish a cash price for vaccine administration fee (giving the shot), first vaccine of the visit: from $6.80 to $128.60, with a median of $34.30. The lowest price is at Hawarden Regional Healthcare (Harwarden). The highest price is 18.9× the lowest.
- The median here, $34.30, is 41% below the US median of $58.54.
- That is 0.5× Medicare's 2026 national rate for the same service ($73.56).
- Iowa ranks 5th of 50 states by median, cheapest first.
- 11 of 87 hospitals list a cash price equal to their full list price, with no self-pay discount.
Outpatient cash prices, one line per hospital — its lowest listed price for code 90471. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 7, 2026. See them on a map
Lowest$6.80Hawarden Regional Healthcare
Median$34.30half of hospitals charge less
Highest$128.60in Iowa
Lowest saves$27.50vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Hawarden Regional Healthcare lowest Harwarden · Harwarden, IA OCC HEALTH INJECTION FEE | $6.80 | $8.00 | Apr 24, 2026 source file |
| CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA HC ADMIN STATE NEWBORN HEPATITIS B VACCINE | $8.17 | $19.00 | Sep 30, 2026 source file |
| Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA HC ADMIN STATE NEWBORN HEPATITIS B VACCINE | $8.55 | $19.00 | Sep 30, 2026 source file |
| Clarinda Regional Health Center Clarinda · Clarinda, IA Administration of vaccine | $9.00 | $12.00 | Oct 23, 2026 source file |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA HC ADMIN STATE NEWBORN HEPATITIS B VACCINE | $9.50 | $19.00 | Sep 30, 2026 source file |
| Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Vfc Administration Immunization 1 Vaccine | $12.79 | $19.68 | Mar 31, 2026 source file |
| MercyOne Clinton Medical Center Clinton · Clinton, IA HC Vfc Administration Immunization 1 Vaccine | $12.79 | $19.68 | Mar 31, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Vfc Administration Immunization 1 Vaccine | $12.79 | $19.68 | Mar 31, 2026 source file |
| MercyOne Dubuque Medical Center Dubuque · Dubuque, IA HC Vfc Administration Immunization 1 Vaccine | $12.79 | $19.68 | Mar 31, 2026 source file |
| MercyOne Dyersville Medical Center Dyersville · Dubuque, IA HC Vfc Administration Immunization 1 Vaccine | $12.79 | $19.68 | Mar 31, 2026 source file |
| MercyOne Elkader Medical Center Elkader · Elkader, IA HC Vfc Administration Immunization 1 Vaccine | $12.79 | $19.68 | Mar 31, 2026 source file |
| MercyOne Newton Medical Center Newton · Des Moines-West Des Moines, IA HC Vfc Administration Immunization 1 Vaccine | $12.79 | $19.68 | Mar 31, 2026 source file |
| MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Vfc Administration Immunization 1 Vaccine | $12.79 | $19.68 | Mar 31, 2026 source file |
| MercyOne Oelwein Medical Center Oelwein · Oelwein, IA HC Vfc Administration Immunization 1 Vaccine | $12.79 | $19.68 | Mar 31, 2026 source file |
| MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Vfc Administration Immunization 1 Vaccine | $12.79 | $19.68 | Mar 31, 2026 source file |
| Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC Vfc Administration Immunization 1 Vaccine | $12.79 | $19.68 | Mar 31, 2026 source file |
| Humboldt County Memorial Hospital Humboldt · Humboldt, IA HC IMMUNIZATION ADM 1 VACCINE | $13.50 | $15.00 | Mar 30, 2026 source file |
| University of Iowa Health Care Medical Center Down Iowa City · Iowa City, IA HB INJECTION, VFC, SINGLE | $13.78 | $19.68 | Mar 11, 2026 source file |
| University of Iowa Hospital & Clinics Iowa City · Iowa City, IA HB INJECTION, VFC, SINGLE | $13.78 | $19.68 | Mar 11, 2026 source file |
| Hansen Family Hospital Iowa Falls · Iowa Falls, IA Administration of vaccine | $14.00 | $14.00 | Jul 10, 2026 source file |
| Spencer Municipal Hospital Spencer · Spencer, IA Immunization Admin Hepatitis | $14.25 | $19.00 | Jan 1, 2026 source file |
| Dallas County Hospital Perry · Des Moines-West Des Moines, IA PERRY-VFC ADMIN PNEUM VACC SQ/IM, SING | $15.00 | $23.00 | May 29, 2026 source file |
| Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Administration of vaccine | $15.74 | $19.68 | Oct 21, 2026 source file |
| Cherokee Regional Medical Center Cherokee · Cherokee, IA INFLUENZA VAC SPLIT QUAD 0.5 ML IM SUSY | $16.00 | $16.00 | Mar 31, 2026 source file |
| Greene County Medical Center Jefferson · Jefferson, IA HC IMMUNIZATION ADM 1 VACCINE | $16.24 | $29.00 | Mar 26, 2026 source file |
| Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA PR FLU SHOT ADMINISTRATION | $17.82 | $30.00 | Jun 27, 2026 source file |
| Audubon County Memorial Hospital Audubon · Audubon, IA Administration of vaccine | $19.00 | $19.00 | Sep 14, 2026 source file |
| Sioux Center Health Sioux Center · Sioux Center, IA | $19.09 | $19.00 | Apr 1, 2026 source file |
| Broadlawns Medical Center Des Moines · Des Moines-West Des Moines, IA Flu Admin w/ Counseling | $19.68 | $19.68 | Sep 1, 2026 source file |
| MercyOne Centerville Medical Center Centerville · Centerville, IA HC Vfc Administration Immunization 1 Vaccine | $19.68 | $19.68 | Mar 31, 2026 source file |
| MercyOne West Des Moines Medical Center West Des Moines · Des Moines-West Des Moines, IA HC Vfc Administration Immunization 1 Vaccine | $19.68 | $19.68 | Mar 31, 2026 source file |
| Shelby County Chris A Myrtue Memorial Hospital Harlan · Harlan, IA Administration of vaccine | $23.20 | $40.00 | Apr 21, 2026 source file |
| Rawford County Memorial Hospital Denison · Denison, IA Administration of vaccine | $24.00 | $30.00 | Jul 27, 2026 source file |
| Regional Medical Center Manchester · Manchester, IA IMMUNIZATION ADMIN | $24.00 | $30.00 | Feb 20, 2026 source file |
| Van Diest Medical Center Webster City · Webster City, IA ADM VACC 1ST | $24.00 | $30.00 | Feb 5, 2026 source file |
| Wayne County Hospital Corydon · Corydon, IA Administration of vaccine | $25.00 | $25.00 | Jun 10, 2026 source file |
| Waverly Health Center Waverly · Waterloo-Cedar Falls, IA Administration of vaccine | $27.04 | $52.00 | Oct 19, 2026 source file |
| Methodist Jennie Edmundson Hospital Council Bluffs · Omaha, NE-IA Immunization Administration Vaccine/Toxoids | $27.90 | $93.00 | Feb 15, 2026 source file |
| Adair County Memorial Hospital Greenfield · Greenfield, IA Administration of vaccine | $30.00 | $40.00 | Sep 2, 2026 source file |
| Kossuth Regional Health Center Algona · Algona, IA Administration of vaccine | $31.20 | $39.00 | Jul 16, 2026 source file |
| Shenandoah Medical Center Shenandoah · Shenandoah, IA Administration of vaccine | $32.50 | $50.00 | Sep 21, 2026 source file |
| Boone County Hospital Boone · Ames, IA Administration of vaccine | $33.60 | $42.00 | Jul 27, 2026 source file |
| Manning Regional Healthcare Center Manning · Carroll, IA Administration of vaccine | $34.17 | $51.00 | Oct 16, 2026 source file |
| Cass County Memorial Hospital Atlantic · Atlantic, IA Administration of vaccine | $34.30 | $49.00 | Jun 1, 2026 source file |
| WinnMed Decorah · Decorah, IA Administration of vaccine | $35.00 | $50.00 | Oct 13, 2026 source file |
| Knoxville Hospital & Clinics Knoxville · Pella, IA Administration of vaccine | $42.60 | $71.00 | Jan 24, 2026 source file |
| MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL GHS IMMUNIZATION ADMIN - INITIAL | $43.20 | $72.00 | Mar 31, 2026 source file |
| Jefferson County Hospital Fairfield · Fairfield, IA Administration of vaccine | $43.80 | $73.00 | Aug 20, 2026 source file |
| Loring Hospital Sac City · Sac City, IA HC ADMIN INFLUENZA VIRUS VACCINE | $44.80 | $56.00 | Aug 25, 2026 source file |
| Washington County Hospital Washington · Iowa City, IA Administration of vaccine | $45.75 | $61.00 | Oct 20, 2026 source file |
| Orange City Municipal Hospital Orange City · Orange City, IA Administration of vaccine | $47.20 | $59.00 | Sep 23, 2026 source file |
| Hancock County Health System Britt · Britt, IA Administration of vaccine | $48.00 | $64.00 | Oct 20, 2026 source file |
| Monroe County Hospital Albia · Albia, IA Administration of vaccine | $49.80 | $83.00 | Sep 9, 2026 source file |
| MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA GHS CC INFLUENZA VACCINE ADMIN | $49.80 | $83.00 | Mar 31, 2026 source file |
| Stewart Memorial Community Hospital Lake City · Lake City, IA ADMIN INFLUENZA VIRUS VACCINE | $50.00 | $63.00 | Oct 8, 2024 source file |
| Decatur County Hospital Leon · Leon, IA Administration of vaccine | $51.20 | $64.00 | Mar 4, 2026 source file |
| MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL GHS ID CLINIC HEP B VACCINE ADMIN INITIAL | $52.80 | $88.00 | Mar 31, 2026 source file |
| The Finley Hospital Dubuque · Dubuque, IA HC IMMUNIZATION ADM 1 VACCINE | $53.39 | $66.73 | Nov 4, 2026 source file |
| UnityPoint Health - Jones Regional Medical Center Anamosa · Cedar Rapids, IA HC IMMUNIZATION ADM 1 VACCINE | $53.44 | $66.80 | Jan 28, 2026 source file |
| Palo Alto County Hospital Emmetsburg · Emmetsburg, IA Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) | $56.25 | $75.00 | Mar 31, 2026 source file |
| Belmond Community Hospital Belmond · Belmond, IA Administration of vaccine | $57.60 | $96.00 | Apr 22, 2026 source file |
| Franklin General Hospital Hampton · Hampton, IA Administration of vaccine | $58.50 | $65.00 | Nov 3, 2026 source file |
| Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA HC IMMUNIZATION ADM 1 VACCINE | $59.26 | $74.07 | Nov 4, 2026 source file |
| Community Memorial Hospital Medical Center Sumner · Waterloo-Cedar Falls, IA HC ADMIN PNEUMONIA VACCINE | $60.00 | $75.00 | Jun 18, 2026 source file |
| Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Administration of vaccine | $60.00 | $100.00 | Jun 11, 2026 source file |
| Pocahontas Community Hospital Pocahontas · Pocahontas, IA HC IMMUNIZATION ADM 1 VACCINE | $63.00 | $63.00 | Mar 29, 2026 source file |
| Buena Vista Regional Medical Center Storm Lake · Storm Lake, IA HC IMMUNIZATION ADM 1 VACCINE | $72.80 | $91.00 | Mar 31, 2026 source file |
| Floyd County Memorial Hospital Commission Charles City · Charles City, IA Administration of vaccine | $73.60 | $184.00 | Sep 30, 2026 source file |
| Grundy County Memorial Hospital Grundy Center · Waterloo-Cedar Falls, IA HC IMMUNIZATION ADM 1 VACCINE | $74.40 | $93.00 | Jun 29, 2026 source file |
| Jackson County Regional Health Center Maquoketa · Maquoketa, IA GHS IMMUNIZATION ADMIN - INITIAL | $75.00 | $75.00 | Aug 11, 2026 source file |
| Avera Holy Family Hospital Estherville · Estherville, IA | $76.63 | $79.00 | — source file |
| Virginia Gay Hospital Vinton · Cedar Rapids, IA Administration of vaccine | $76.80 | $96.00 | Aug 13, 2026 source file |
| Trinity - Bettendorf Bettendorf · Davenport-Moline-Rock Island, IA-IL HC IMMUNIZATION ADM 1 VACCINE | $77.98 | $97.47 | Nov 4, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA HC IMMUNIZATION ADM 1 VACCINE | $77.98 | $97.47 | Nov 4, 2026 source file |
| Grinnell Regional Medical Center Grinnell · Grinnell, IA HC IMMUNIZATION ADM 1 VACCINE | $79.72 | $99.65 | Nov 4, 2026 source file |
| Story County Hospital Nevada · Ames, IA HC IMMUNIZATION ADM 1 VACCINE | $80.00 | $100.00 | Mar 30, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD HC IMMUNIZATION ADM 1 VACCINE | $93.83 | $117.28 | Nov 4, 2026 source file |
| Guttenberg Municipal Hospital Guttenberg · Guttenberg, IA HC IMMUNIZATION ADM 1 VACCINE | $96.00 | $120.00 | Mar 31, 2026 source file |
| Avera Merrill Pioneer Rock Rapids · Rock Rapids, IA | $96.03 | $99.00 | — source file |
| Sanford Sheldon Medical Center Sheldon · Sheldon, IA ADMIN INFLUENZA VIR VAC | $96.80 | $121.00 | Mar 4, 2026 source file |
| St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Administration of vaccine | $100.00 | $100.00 | Nov 3, 2026 source file |
| Lakes Regional Hospital Spirit Lake · Spirit Lake, IA | $103.55 | $109.00 | Apr 1, 2026 source file |
| St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA HC IMMUNIZATION ADM 1 VACCINE | $116.49 | $145.61 | Jan 28, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA HC IMMUNIZATION ADM 1 VACCINE | $119.72 | $149.64 | Nov 4, 2026 source file |
| Veterans Memorial Hospital City of Waukon Ia Waukon · Waukon, IA Administration of vaccine | $120.27 | $211.00 | Oct 8, 2026 source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA HC IMMUNIZATION ADM 1 VACCINE | $128.60 | $160.74 | Nov 4, 2026 source file |
| UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA HC IMMUNIZATION ADM 1 VACCINE | $128.60 | $160.74 | Nov 4, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Des Moines-West Des Moines, IA | 7 | $12.79 | $15.74 |
| Waterloo-Cedar Falls, IA | 6 | $12.79 | $43.52 |
| Davenport-Moline-Rock Island, IA-IL | 3 | $43.20 | $52.80 |
| Dubuque, IA | 3 | $12.79 | $12.79 |
| Iowa City, IA | 3 | $13.78 | $13.78 |
| Omaha, NE-IA | 3 | $8.17 | $9.50 |
| Ames, IA | 2 | $33.60 | $56.80 |
| Carroll, IA | 2 | $34.17 | $67.08 |
| Cedar Rapids, IA | 2 | $53.44 | $65.12 |
| Clinton, IA | 2 | $12.79 | $31.30 |
| Albia, IA | 1 | $49.80 | $49.80 |
| Algona, IA | 1 | $31.20 | $31.20 |
| Atlantic, IA | 1 | $34.30 | $34.30 |
| Audubon, IA | 1 | $19.00 | $19.00 |
| Belmond, IA | 1 | $57.60 | $57.60 |
| Britt, IA | 1 | $48.00 | $48.00 |
| Cedar Rapids, IA | 1 | $116.49 | $116.49 |
| Centerville, IA | 1 | $19.68 | $19.68 |
| Charles City, IA | 1 | $73.60 | $73.60 |
| Cherokee, IA | 1 | $16.00 | $16.00 |
| Clarinda, IA | 1 | $9.00 | $9.00 |
| Clarion, IA | 1 | $60.00 | $60.00 |
| Corning, IA | 1 | $8.55 | $8.55 |
| Corydon, IA | 1 | $25.00 | $25.00 |
| Decorah, IA | 1 | $35.00 | $35.00 |
| Denison, IA | 1 | $24.00 | $24.00 |
| Elkader, IA | 1 | $12.79 | $12.79 |
| Emmetsburg, IA | 1 | $56.25 | $56.25 |
| Estherville, IA | 1 | $76.63 | $76.63 |
| Fairfield, IA | 1 | $43.80 | $43.80 |
| Fort Dodge, IA | 1 | $59.26 | $59.26 |
| Greenfield, IA | 1 | $30.00 | $30.00 |
| Grinnell, IA | 1 | $79.72 | $79.72 |
| Guttenberg, IA | 1 | $96.00 | $96.00 |
| Hampton, IA | 1 | $58.50 | $58.50 |
| Harlan, IA | 1 | $23.20 | $23.20 |
| Harwarden, IA | 1 | $6.80 | $6.80 |
| Humboldt, IA | 1 | $13.50 | $13.50 |
| Iowa Falls, IA | 1 | $14.00 | $14.00 |
| Jefferson, IA | 1 | $16.24 | $16.24 |
| Lake City, IA | 1 | $50.00 | $50.00 |
| Leon, IA | 1 | $51.20 | $51.20 |
| Manchester, IA | 1 | $24.00 | $24.00 |
| Maquoketa, IA | 1 | $75.00 | $75.00 |
| Marshalltown, IA | 1 | $128.60 | $128.60 |
| Mason City, IA | 1 | $12.79 | $12.79 |
| Muscatine, IA | 1 | $77.98 | $77.98 |
| New Hampton, IA | 1 | $12.79 | $12.79 |
| Oelwein, IA | 1 | $12.79 | $12.79 |
| Orange City, IA | 1 | $47.20 | $47.20 |
| Pocahontas, IA | 1 | $63.00 | $63.00 |
| Pella, IA | 1 | $42.60 | $42.60 |
| Rock Rapids, IA | 1 | $96.03 | $96.03 |
| Sac City, IA | 1 | $44.80 | $44.80 |
| Sheldon, IA | 1 | $96.80 | $96.80 |
| Shenandoah, IA | 1 | $32.50 | $32.50 |
| Sioux Center, IA | 1 | $19.09 | $19.09 |
| Sioux City, IA-NE-SD | 1 | $93.83 | $93.83 |
| Spencer, IA | 1 | $14.25 | $14.25 |
| Spirit Lake, IA | 1 | $103.55 | $103.55 |
| Storm Lake, IA | 1 | $72.80 | $72.80 |
| Waukon, IA | 1 | $120.27 | $120.27 |
| Webster City, IA | 1 | $24.00 | $24.00 |
| West Union, IA | 1 | $17.82 | $17.82 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What vaccine administration fee is, what the price covers and why prices differ: Vaccine administration fee explained.
Vaccine administration fee (giving the shot), first vaccine of the visit in other states
- Alabama$59.65
- Alaska$83.70
- Arizona$51.83
- Arkansas$26.54
- California$104.60
- Colorado$69.31
- Connecticut$83.20
- Delaware$135.83
- District of Columbia$123.19, 3 hospitals
- Florida$120.18
- Georgia$48.35
- Hawaii$119.45
- Idaho$53.63
- Illinois$57.34
- Indiana$61.60
- Kansas$38.08
- Kentucky$70.80
- Louisiana$40.38
- Maine$18.30
- Maryland$72.09
- Massachusetts$109.75
- Michigan$23.03
- Minnesota$41.05
- Mississippi$54.40
- Missouri$57.40
- Montana$48.75
- Nebraska$44.10
- Nevada$88.15
- New Hampshire$31.50
- New Jersey$72.00
- New Mexico$46.62
- New York$84.22
- North Carolina$72.00
- North Dakota$48.00
- Ohio$40.69
- Oklahoma$56.56
- Oregon$57.82
- Pennsylvania$63.73
- Puerto Rico$155.50, 4 hospitals
- Rhode Island$143.40
- South Carolina$55.25
- South Dakota$51.83
- Tennessee$36.30
- Texas$74.52
- Utah$267.90
- Vermont$48.00
- Virginia$56.40
- Washington$42.86
- West Virginia$43.50
- Wisconsin$38.69
- Wyoming$56.57
Median cash price across the state's hospitals.