Adjuvanted flu shot (65+) cost in Iowa
In Iowa, 31 hospitals publish a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $37.80 to $142.36, with a median of $76.00. The lowest price is at CHI Health Mercy Council Bluffs (Council Bluffs). The highest price is 3.8× the lowest.
Outpatient cash prices, one line per hospital — its lowest listed price for code 90653. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 23, 2026.
Lowest$37.80CHI Health Mercy Council Bluffs
Median$76.00half pay less
Highest$142.36in Iowa
Lowest saves$38.20vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| CHI Health Mercy Council Bluffs lowest Council Bluffs · Omaha, NE-IA FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $37.80 | $90.00 | Feb 28, 2026 source file |
| Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $43.20 | $90.00 | Feb 28, 2026 source file |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $44.10 | $90.00 | Feb 28, 2026 source file |
| Central Community Hospital Elkader · Elkader, IA HC Vaccine Influenza Inactivated Adjuvant Im | $53.95 | $83.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Dyersville Dyersville · Dubuque, IA HC Vaccine Influenza Inactivated Adjuvant Im | $53.95 | $83.00 | Mar 31, 2026 source file |
| Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Vaccine Influenza Inactivated Adjuvant Im | $53.95 | $83.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Newton Newton · Des Moines-West Des Moines, IA HC Vaccine Influenza Inactivated Adjuvant Im | $53.95 | $83.00 | Mar 31, 2026 source file |
| MercyOne Oelwein Medical Center Oelwein · Oelwein, IA HC Vaccine Influenza Inactivated Adjuvant Im | $53.95 | $83.00 | Mar 31, 2026 source file |
| Sanford Sheldon Medical Center Sheldon · Sheldon, IA Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML | $54.00 | $67.50 | Mar 4, 2026 source file |
| Mercy Medical Center - Dubuque Dubuque · Dubuque, IA HC Vaccine Influenza Inactivated Adjuvant Im | $56.55 | $87.00 | Mar 31, 2026 source file |
| MercyOne Clinton Medical Center Clinton · Clinton, IA HC Vaccine Influenza Inactivated Adjuvant Im | $56.55 | $87.00 | Mar 31, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Vaccine Influenza Inactivated Adjuvant Im | $56.55 | $87.00 | Mar 31, 2026 source file |
| MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Vaccine Influenza Inactivated Adjuvant Im | $56.55 | $87.00 | Mar 31, 2026 source file |
| MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Vaccine Influenza Inactivated Adjuvant Im | $56.55 | $87.00 | Mar 31, 2026 source file |
| Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC Vaccine Influenza Inactivated Adjuvant Im | $56.55 | $87.00 | Mar 31, 2026 source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $76.00 | $95.00 | Jan 28, 2026 source file |
| Grinnell Regional Medical Center Grinnell · Grinnell, IA PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $76.00 | $95.00 | Jan 28, 2026 source file |
| St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $76.00 | $95.00 | Jan 28, 2026 source file |
| St Luke'sJones Regional Medical Center Anamosa · Cedar Rapids, IA PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $76.00 | $95.00 | Jan 28, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $76.00 | $95.00 | Jan 28, 2026 source file |
| The Finley Hospital Dubuque · Dubuque, IA PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $76.00 | $95.00 | Jan 28, 2026 source file |
| Trinity Medical Center Bettendorf · Davenport-Moline-Rock Island, IA-IL PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $76.00 | $95.00 | Jan 28, 2026 source file |
| Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $76.00 | $95.00 | Jan 28, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $76.00 | $95.00 | Jan 28, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $76.00 | $95.00 | Jan 28, 2026 source file |
| UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $76.00 | $95.00 | Jan 28, 2026 source file |
| Avera Holy Family Hospital Estherville · Estherville, IA | $80.99 | $83.00 | — source file |
| St. Joseph's Mercy Hospital, Centerville Centerville · Centerville, IA HC Vaccine Influenza Inactivated Adjuvant Im | $83.00 | $83.00 | Mar 31, 2026 source file |
| Catholic Health Initiatives-Iowa West Des Moines · Des Moines-West Des Moines, IA HC Vaccine Influenza Inactivated Adjuvant Im | $87.00 | $87.00 | Mar 31, 2026 source file |
| MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL influenza virus vaccine (Fluad), inactivated adjuvanted PF TIV 0 | $142.36 | $237.26 | Mar 31, 2026 source file |
| MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA influenza virus vaccine (Fluad), inactivated adjuvanted PF TIV 0 | $142.36 | $237.26 | Mar 31, 2026 source file |
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 | $53.95 | $66.28 |
| Dubuque, IA | 3 | $53.95 | $56.55 |
| Waterloo-Cedar Falls, IA | 3 | $56.55 | $56.55 |
| Clinton, IA | 2 | $56.55 | $99.46 |
| Davenport-Moline-Rock Island, IA-IL | 2 | $76.00 | $109.18 |
| Omaha, NE-IA | 2 | $37.80 | $40.95 |
| Cedar Rapids, IA | 1 | $76.00 | $76.00 |
| Centerville, IA | 1 | $83.00 | $83.00 |
| Corning, IA | 1 | $43.20 | $43.20 |
| Cedar Rapids, IA | 1 | $76.00 | $76.00 |
| Elkader, IA | 1 | $53.95 | $53.95 |
| Estherville, IA | 1 | $80.99 | $80.99 |
| Fort Dodge, IA | 1 | $76.00 | $76.00 |
| Grinnell, IA | 1 | $76.00 | $76.00 |
| Marshalltown, IA | 1 | $76.00 | $76.00 |
| Mason City, IA | 1 | $56.55 | $56.55 |
| Muscatine, IA | 1 | $76.00 | $76.00 |
| New Hampton, IA | 1 | $53.95 | $53.95 |
| Oelwein, IA | 1 | $53.95 | $53.95 |
| Sheldon, IA | 1 | $54.00 | $54.00 |
| Sioux City, IA-NE-SD | 1 | $76.00 | $76.00 |
What it is
The adjuvanted flu shot contains an added ingredient (MF59) that strengthens the immune response. It is one of three flu vaccines the CDC prefers for people 65 and older.
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); Medicare bills use G0008 instead.
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older in other states
- Alabama$46.20
- Alaska$409.03
- Arkansas$102.00
- California$141.28
- Colorado$806.14
- Connecticut$117.90
- Delaware$303.45
- Florida$249.65
- Georgia$215.27
- Idaho$27.95
- Illinois$83.20
- Indiana$68.36
- Kansas$606.39
- Kentucky$44.11
- Louisiana$53.90
- Maine$13.98
- Maryland$75.00
- Massachusetts$206.01
- Michigan$46.64
- Minnesota$67.93
- Mississippi$177.97
- Missouri$75.00
- Montana$53.55
- Nebraska$69.91
- New Hampshire$58.24
- New Jersey$150.83
- New Mexico$508.57
- New York$141.00
- North Carolina$685.55
- North Dakota$87.33
- Ohio$77.95
- Oklahoma$36.94
- Oregon$95.70
- Pennsylvania$336.70
- Rhode Island$113.00
- South Dakota$51.86
- Tennessee$54.00
- Texas$81.00
- Utah$89.98
- Vermont$123.04
- Virginia$154.42
- Washington$84.04
- West Virginia$73.00
- Wisconsin$62.93
- Wyoming$43.40
Median cash price across the state's hospitals.