Adjuvanted flu shot (65+) cost in Iowa
In Iowa, 34 hospitals publish a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $46.50 to $148.74, with a median of $56.55. The lowest price is at Hancock County Health System (Britt). The highest price is 3.2× the lowest.
- The median here, $56.55, is 37% below the US median of $90.00.
- Iowa ranks 5th of 38 states by median, cheapest first.
- 4 of 34 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 90653. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 5, 2026. See them on a map
Lowest$46.50Hancock County Health System
Median$56.55half of hospitals charge less
Highest$148.74in Iowa
Lowest saves$10.05vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Hancock County Health System lowest Britt · Britt, IA Influenza vaccine, inactivated | $46.50 | $62.00 | Oct 20, 2026 source file |
| CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $46.87 | $109.00 | Sep 30, 2026 source file |
| Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $49.05 | $109.00 | Sep 30, 2026 source file |
| Knoxville Hospital & Clinics Knoxville · Pella, IA Influenza vaccine, inactivated | $51.00 | $85.00 | Jan 24, 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 |
| MercyOne Dyersville Medical Center Dyersville · Dubuque, IA HC Vaccine Influenza Inactivated Adjuvant Im | $53.95 | $83.00 | Mar 31, 2026 source file |
| MercyOne Elkader Medical Center Elkader · Elkader, IA HC Vaccine Influenza Inactivated Adjuvant Im | $53.95 | $83.00 | Mar 31, 2026 source file |
| MercyOne Newton Medical Center 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 |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $54.50 | $109.00 | Sep 30, 2026 source file |
| Sioux Center Health Sioux Center · Sioux Center, IA | $56.26 | $58.00 | Apr 1, 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 Dubuque Medical Center Dubuque · Dubuque, 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 |
| Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Influenza vaccine, inactivated | $60.00 | $75.00 | Oct 21, 2026 source file |
| Orange City Municipal Hospital Orange City · Orange City, IA Influenza vaccine, inactivated | $60.80 | $76.00 | Sep 23, 2026 source file |
| St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Influenza vaccine, inactivated | $66.91 | $66.91 | Nov 3, 2026 source file |
| Humboldt County Memorial Hospital Humboldt · Humboldt, IA HC IIV ADJUVANT VACCINE IM | $67.50 | $75.00 | Mar 30, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD INFLUENZA VAC AB SURF ANT ADJ 0.5 ML IM SUSY | $69.00 | $86.25 | Nov 4, 2026 source file |
| Grundy County Memorial Hospital Grundy Center · Waterloo-Cedar Falls, IA INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY | $73.40 | $73.40 | Jun 29, 2026 source file |
| Hawarden Regional Healthcare Harwarden · Harwarden, IA FLUAD (allV4) VACCINE | $74.71 | $87.89 | Apr 24, 2026 source file |
| Avera Holy Family Hospital Estherville · Estherville, IA | $80.99 | $83.00 | — source file |
| Lakes Regional Hospital Spirit Lake · Spirit Lake, IA | $82.41 | $86.00 | Apr 1, 2026 source file |
| MercyOne Centerville Medical Center Centerville · Centerville, IA HC Vaccine Influenza Inactivated Adjuvant Im | $83.00 | $83.00 | Mar 31, 2026 source file |
| MercyOne West Des Moines Medical Center West Des Moines · Des Moines-West Des Moines, IA HC Vaccine Influenza Inactivated Adjuvant Im | $87.00 | $87.00 | Mar 31, 2026 source file |
| Van Diest Medical Center Webster City · Webster City, IA influenza HD virus vaccine, inactivated adjuvanted preservative-free trivalent Sus UD[VDMC] | $97.34 | $121.68 | Feb 5, 2026 source file |
| Veterans Memorial Hospital City of Waukon Ia Waukon · Waukon, IA Influenza vaccine, inactivated | $133.21 | $233.70 | Oct 8, 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 |
| Shelby County Chris A Myrtue Memorial Hospital Harlan · Harlan, IA Influenza vaccine, inactivated | $148.74 | $256.44 | Apr 21, 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 | $53.95 | $58.28 |
| Waterloo-Cedar Falls, IA | 3 | $56.55 | $56.55 |
| Clinton, IA | 2 | $56.55 | $99.46 |
| Dubuque, IA | 2 | $53.95 | $55.25 |
| Omaha, NE-IA | 2 | $46.87 | $50.68 |
| Britt, IA | 1 | $46.50 | $46.50 |
| Centerville, IA | 1 | $83.00 | $83.00 |
| Corning, IA | 1 | $49.05 | $49.05 |
| Carroll, IA | 1 | $66.91 | $66.91 |
| Davenport-Moline-Rock Island, IA-IL | 1 | $142.36 | $142.36 |
| Elkader, IA | 1 | $53.95 | $53.95 |
| Estherville, IA | 1 | $80.99 | $80.99 |
| Harlan, IA | 1 | $148.74 | $148.74 |
| Harwarden, IA | 1 | $74.71 | $74.71 |
| Humboldt, IA | 1 | $67.50 | $67.50 |
| Mason City, IA | 1 | $56.55 | $56.55 |
| New Hampton, IA | 1 | $53.95 | $53.95 |
| Oelwein, IA | 1 | $53.95 | $53.95 |
| Orange City, IA | 1 | $60.80 | $60.80 |
| Pella, IA | 1 | $51.00 | $51.00 |
| Sheldon, IA | 1 | $54.00 | $54.00 |
| Sioux Center, IA | 1 | $56.26 | $56.26 |
| Sioux City, IA-NE-SD | 1 | $69.00 | $69.00 |
| Spirit Lake, IA | 1 | $82.41 | $82.41 |
| Waukon, IA | 1 | $133.21 | $133.21 |
| Webster City, IA | 1 | $97.34 | $97.34 |
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 adjuvanted flu shot (65+) is, what the price covers and why prices differ: Adjuvanted flu shot (65+) explained.
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older in other states
- Alabama$337.08
- Alaska$409.03
- Arizona$177.06, 3 hospitals
- Arkansas$80.56, 4 hospitals
- California$141.28
- Colorado$299.18
- Connecticut$117.90
- Delaware$303.45, 3 hospitals
- Florida$219.71
- Georgia$215.27
- Hawaii$196.74, 2 hospitals
- Idaho$251.00
- Illinois$120.00
- Indiana$58.30
- Kansas$204.00
- Kentucky$62.74
- Louisiana$102.38
- Maine$10.30, 1 hospital
- Maryland$75.00, 1 hospital
- Massachusetts$141.23
- Michigan$89.00
- Minnesota$67.93
- Mississippi$123.04
- Missouri$37.95
- Montana$53.55
- Nebraska$78.84
- Nevada$100.33, 3 hospitals
- New Hampshire$67.54
- New Jersey$150.83, 3 hospitals
- New Mexico$93.98
- New York$106.03
- North Carolina$685.55
- North Dakota$72.91
- Ohio$75.93
- Oklahoma$36.94
- Oregon$227.19
- Pennsylvania$167.20
- Rhode Island$113.00, 2 hospitals
- South Carolina$81.73, 3 hospitals
- South Dakota$78.12
- Tennessee$88.04
- Texas$81.00
- Utah$77.05, 3 hospitals
- Vermont$120.00
- Virginia$25.40
- Washington$82.63
- West Virginia$73.00
- Wisconsin$67.54
- Wyoming$46.75, 1 hospital
Median cash price across the state's hospitals.