HPV vaccine (Gardasil 9) cost in Iowa
In Iowa, 55 hospitals publish a cash price for HPV vaccine, 9-valent (Gardasil 9): from $144.00 to $1,166.10, with a median of $313.98. The lowest price is at Jefferson County Hospital (Fairfield). The highest price is 8.1× the lowest.
- The median here, $313.98, is 26% below the US median of $423.00.
- Iowa ranks 10th of 45 states by median, cheapest first.
- 6 of 55 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 90651. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 7, 2026. See them on a map
Lowest$144.00Jefferson County Hospital
Median$313.98half of hospitals charge less
Highest$1,166.10in Iowa
Lowest saves$169.98vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Jefferson County Hospital lowest Fairfield · Fairfield, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $144.00 | $240.00 | Aug 20, 2026 source file |
| Cass County Memorial Hospital Atlantic · Atlantic, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $145.13 | $207.32 | Jun 1, 2026 source file |
| Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA PR HUMAN PAPILLOMAVIRUS VACCINE, NONAVALENT (9VHPV), 2 OR 3 DOSE | $203.74 | $343.00 | Jun 27, 2026 source file |
| Regional Medical Center Manchester · Manchester, IA 9VHPV VACCINE 2/3 DOSE IM | $219.20 | $274.00 | Feb 20, 2026 source file |
| Van Buren County Hospital Keosauqua · Keosauqua, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $235.80 | $336.86 | Jul 20, 2026 source file |
| Stewart Memorial Community Hospital Lake City · Lake City, IA HPV VIRUS VACCINE 9 VAL IM | $243.00 | $304.00 | Oct 8, 2024 source file |
| Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Vaccine Hpv Types 6/11/16/18/31/33/45/52/58 Nonvalent (9vhpv) 2 or 3 Dose Im | $245.05 | $377.00 | Mar 31, 2026 source file |
| MercyOne Dyersville Medical Center Dyersville · Dubuque, IA HC Vaccine Hpv Types 6/11/16/18/31/33/45/52/58 Nonvalent (9vhpv) 2 or 3 Dose Im | $245.05 | $377.00 | Mar 31, 2026 source file |
| MercyOne Elkader Medical Center Elkader · Elkader, IA HC Vaccine Hpv Types 6/11/16/18/31/33/45/52/58 Nonvalent (9vhpv) 2 or 3 Dose Im | $245.05 | $377.00 | Mar 31, 2026 source file |
| MercyOne Newton Medical Center Newton · Des Moines-West Des Moines, IA HC Vaccine Hpv Types 6/11/16/18/31/33/45/52/58 Nonvalent (9vhpv) 2 or 3 Dose Im | $245.05 | $377.00 | Mar 31, 2026 source file |
| MercyOne Oelwein Medical Center Oelwein · Oelwein, IA HC Vaccine Hpv Types 6/11/16/18/31/33/45/52/58 Nonvalent (9vhpv) 2 or 3 Dose Im | $245.05 | $377.00 | Mar 31, 2026 source file |
| Floyd County Memorial Hospital Commission Charles City · Charles City, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $253.20 | $633.00 | Sep 30, 2026 source file |
| MercyOne Clinton Medical Center Clinton · Clinton, IA HC Vaccine Hpv Types 6/11/16/18/31/33/45/52/58 Nonvalent (9vhpv) 2 or 3 Dose Im | $257.40 | $396.00 | Mar 31, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Vaccine Hpv Types 6/11/16/18/31/33/45/52/58 Nonvalent (9vhpv) 2 or 3 Dose Im | $257.40 | $396.00 | Mar 31, 2026 source file |
| MercyOne Dubuque Medical Center Dubuque · Dubuque, IA HC Vaccine Hpv Types 6/11/16/18/31/33/45/52/58 Nonvalent (9vhpv) 2 or 3 Dose Im | $257.40 | $396.00 | Mar 31, 2026 source file |
| MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Vaccine Hpv Types 6/11/16/18/31/33/45/52/58 Nonvalent (9vhpv) 2 or 3 Dose Im | $257.40 | $396.00 | Mar 31, 2026 source file |
| MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Vaccine Hpv Types 6/11/16/18/31/33/45/52/58 Nonvalent (9vhpv) 2 or 3 Dose Im | $257.40 | $396.00 | Mar 31, 2026 source file |
| Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC Vaccine Hpv Types 6/11/16/18/31/33/45/52/58 Nonvalent (9vhpv) 2 or 3 Dose Im | $257.40 | $396.00 | Mar 31, 2026 source file |
| Franklin General Hospital Hampton · Hampton, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $260.10 | $289.00 | Nov 3, 2026 source file |
| Hancock County Health System Britt · Britt, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $273.00 | $364.00 | Oct 20, 2026 source file |
| Avera Holy Family Hospital Estherville · Estherville, IA | $274.51 | $283.00 | — source file |
| Sioux Center Health Sioux Center · Sioux Center, IA | $284.21 | $293.00 | Apr 1, 2026 source file |
| Boone County Hospital Boone · Ames, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $287.20 | $359.00 | Jul 27, 2026 source file |
| Hawarden Regional Healthcare Harwarden · Harwarden, IA CLN HPV 9 | $293.16 | $344.89 | Apr 24, 2026 source file |
| Palo Alto County Hospital Emmetsburg · Emmetsburg, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use | $294.00 | $392.00 | Mar 31, 2026 source file |
| WinnMed Decorah · Decorah, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $297.22 | $424.60 | Oct 13, 2026 source file |
| Rawford County Memorial Hospital Denison · Denison, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $308.00 | $385.00 | Jul 27, 2026 source file |
| St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $313.98 | $313.98 | Nov 3, 2026 source file |
| Orange City Municipal Hospital Orange City · Orange City, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $316.00 | $395.00 | Sep 23, 2026 source file |
| Lakes Regional Hospital Spirit Lake · Spirit Lake, IA | $323.00 | $340.00 | Apr 1, 2026 source file |
| Knoxville Hospital & Clinics Knoxville · Pella, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $343.80 | $573.00 | Jan 24, 2026 source file |
| Greene County Medical Center Jefferson · Jefferson, IA PR 9VHPV VACC 2/3 DOSE SCHED IM USE | $347.76 | $621.00 | Mar 26, 2026 source file |
| Story County Hospital Nevada · Ames, IA PR 9VHPV VACC 2/3 DOSE SCHED IM USE | $372.00 | $465.00 | Mar 30, 2026 source file |
| MercyOne Centerville Medical Center Centerville · Centerville, IA HC Vaccine Hpv Types 6/11/16/18/31/33/45/52/58 Nonvalent (9vhpv) 2 or 3 Dose Im | $377.00 | $377.00 | Mar 31, 2026 source file |
| Adair County Memorial Hospital Greenfield · Greenfield, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $386.25 | $515.00 | Sep 2, 2026 source file |
| Spencer Municipal Hospital Spencer · Spencer, IA 9vHPV 3 dose | $388.50 | $518.00 | Jan 1, 2026 source file |
| MercyOne West Des Moines Medical Center West Des Moines · Des Moines-West Des Moines, IA HC Vaccine Hpv Types 6/11/16/18/31/33/45/52/58 Nonvalent (9vhpv) 2 or 3 Dose Im | $396.00 | $396.00 | Mar 31, 2026 source file |
| Veterans Memorial Hospital City of Waukon Ia Waukon · Waukon, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $432.50 | $758.77 | Oct 8, 2026 source file |
| Clarinda Regional Health Center Clarinda · Clarinda, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $444.89 | $593.18 | Oct 23, 2026 source file |
| Manning Regional Healthcare Center Manning · Carroll, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $461.13 | $688.25 | Oct 16, 2026 source file |
| Van Diest Medical Center Webster City · Webster City, IA human papillomavirus vaccine 9-valent Sus[VDMC] | $483.62 | $604.53 | Feb 5, 2026 source file |
| MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL Human Papillomavirus Vaccine 9-valent Susp 0.5 ml | $521.70 | $869.50 | Mar 31, 2026 source file |
| Kossuth Regional Health Center Algona · Algona, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $523.20 | $654.00 | Jul 16, 2026 source file |
| MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL Human Papillomavirus Vaccine 9-valent Susp 0.5 ml | $557.26 | $928.76 | Mar 31, 2026 source file |
| MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA Human Papillomavirus Vaccine 9-valent Susp 0.5 ml | $557.26 | $928.76 | Mar 31, 2026 source file |
| Shelby County Chris A Myrtue Memorial Hospital Harlan · Harlan, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $571.31 | $985.02 | Apr 21, 2026 source file |
| Belmond Community Hospital Belmond · Belmond, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $591.01 | $985.02 | Apr 22, 2026 source file |
| Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $591.01 | $985.02 | Jun 11, 2026 source file |
| Trinity - Bettendorf Bettendorf · Davenport-Moline-Rock Island, IA-IL HPV 9-VALENT RECOMB VACCINE IM SUSY | $596.56 | $745.70 | Nov 4, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA HPV 9-VALENT RECOMB VACCINE IM SUSY | $596.56 | $745.70 | Nov 4, 2026 source file |
| Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $693.60 | $867.00 | Oct 21, 2026 source file |
| Audubon County Memorial Hospital Audubon · Audubon, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $704.44 | $704.44 | Sep 14, 2026 source file |
| Washington County Hospital Washington · Iowa City, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $711.43 | $948.57 | Oct 20, 2026 source file |
| Jackson County Regional Health Center Maquoketa · Maquoketa, IA HUMAN PAPILLOMAVIRUS VACCINE 9-VALENT SUSP 0.5 ML | $895.59 | $895.59 | Aug 11, 2026 source file |
| Wayne County Hospital Corydon · Corydon, IA Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $1,166.10 | $1,166.10 | Jun 10, 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.
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 | 4 | $245.05 | $326.70 |
| Davenport-Moline-Rock Island, IA-IL | 3 | $521.70 | $557.26 |
| Ames, IA | 2 | $287.20 | $329.60 |
| Carroll, IA | 2 | $313.98 | $387.56 |
| Clinton, IA | 2 | $257.40 | $407.33 |
| Dubuque, IA | 2 | $245.05 | $251.22 |
| Waterloo-Cedar Falls, IA | 2 | $257.40 | $257.40 |
| Algona, IA | 1 | $523.20 | $523.20 |
| Atlantic, IA | 1 | $145.13 | $145.13 |
| Audubon, IA | 1 | $704.44 | $704.44 |
| Belmond, IA | 1 | $591.01 | $591.01 |
| Britt, IA | 1 | $273.00 | $273.00 |
| Centerville, IA | 1 | $377.00 | $377.00 |
| Charles City, IA | 1 | $253.20 | $253.20 |
| Clarinda, IA | 1 | $444.89 | $444.89 |
| Clarion, IA | 1 | $591.01 | $591.01 |
| Corydon, IA | 1 | $1,166.10 | $1,166.10 |
| Decorah, IA | 1 | $297.22 | $297.22 |
| Denison, IA | 1 | $308.00 | $308.00 |
| Elkader, IA | 1 | $245.05 | $245.05 |
| Emmetsburg, IA | 1 | $294.00 | $294.00 |
| Estherville, IA | 1 | $274.51 | $274.51 |
| Fairfield, IA | 1 | $144.00 | $144.00 |
| Greenfield, IA | 1 | $386.25 | $386.25 |
| Hampton, IA | 1 | $260.10 | $260.10 |
| Harlan, IA | 1 | $571.31 | $571.31 |
| Harwarden, IA | 1 | $293.16 | $293.16 |
| Iowa City, IA | 1 | $711.43 | $711.43 |
| Jefferson, IA | 1 | $347.76 | $347.76 |
| Keosauqua, IA | 1 | $235.80 | $235.80 |
| Lake City, IA | 1 | $243.00 | $243.00 |
| Manchester, IA | 1 | $219.20 | $219.20 |
| Maquoketa, IA | 1 | $895.59 | $895.59 |
| Mason City, IA | 1 | $257.40 | $257.40 |
| Muscatine, IA | 1 | $596.56 | $596.56 |
| New Hampton, IA | 1 | $245.05 | $245.05 |
| Oelwein, IA | 1 | $245.05 | $245.05 |
| Orange City, IA | 1 | $316.00 | $316.00 |
| Pella, IA | 1 | $343.80 | $343.80 |
| Sioux Center, IA | 1 | $284.21 | $284.21 |
| Spencer, IA | 1 | $388.50 | $388.50 |
| Spirit Lake, IA | 1 | $323.00 | $323.00 |
| Waukon, IA | 1 | $432.50 | $432.50 |
| Webster City, IA | 1 | $483.62 | $483.62 |
| West Union, IA | 1 | $203.74 | $203.74 |
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 HPV vaccine (Gardasil 9) is, what the price covers and why prices differ: HPV vaccine (Gardasil 9) explained.
HPV vaccine, 9-valent (Gardasil 9) in other states
- Alabama$1,288.15
- Alaska$484.25
- Arizona$446.36
- Arkansas$321.77
- California$387.50
- Colorado$853.17
- Connecticut$571.65
- Delaware$822.15, 3 hospitals
- District of Columbia$699.30, 2 hospitals
- Florida$943.84
- Georgia$1,109.31
- Hawaii$456.75
- Idaho$390.84
- Illinois$490.01
- Indiana$630.84
- Kansas$423.50
- Kentucky$389.47
- Louisiana$270.54
- Maine$160.57
- Maryland$436.61
- Massachusetts$620.15
- Michigan$334.43
- Minnesota$379.34
- Mississippi$169.62
- Missouri$328.95
- Montana$349.36
- Nebraska$358.07
- Nevada$690.00, 1 hospital
- New Hampshire$278.12
- New Jersey$238.70
- New Mexico$418.86
- New York$498.77
- North Carolina$386.50
- North Dakota$352.75
- Ohio$519.00
- Oklahoma$240.00
- Oregon$324.38
- Pennsylvania$253.60
- Rhode Island$404.00, 2 hospitals
- South Carolina$342.93
- South Dakota$385.31
- Tennessee$169.62
- Texas$546.94
- Utah$266.88, 3 hospitals
- Vermont$617.20, 4 hospitals
- Virginia$836.25
- Washington$272.00
- West Virginia$316.79
- Wisconsin$318.64
- Wyoming$476.75
Median cash price across the state's hospitals.