Vaccines CPT 90656 Iowa Outpatient

Flu shot cost in Iowa

In Iowa, 34 hospitals publish a cash price for flu shot, standard dose, preservative-free, for age 6 months and older: from $18.90 to $2,681.10, with a median of $22.40. The lowest price is at CHI Health Mercy Council Bluffs (Council Bluffs). The highest price is 141.9× the lowest.

Outpatient cash prices, one line per hospital — its lowest listed price for code 90656. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 23, 2026.

Lowest$18.90CHI Health Mercy Council Bluffs
Median$22.40half pay less
Highest$2,681.10in Iowa
Lowest saves$3.50vs the median

Hospitals in Iowa, cheapest first

HospitalCash price List priceFile date
CHI Health Mercy Council Bluffs lowest Council Bluffs · Omaha, NE-IA FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $18.90 $45.00 Feb 28, 2026
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Central Community Hospital Elkader · Elkader, IA HC Vaccine Influenza Preservative Free Trivalent (Iiv3) 0.5ml Dose Im $19.50 $30.00 Mar 31, 2026
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Mercy Medical Center - Dyersville Dyersville · Dubuque, IA HC Vaccine Influenza Preservative Free Trivalent (Iiv3) 0.5ml Dose Im $19.50 $30.00 Mar 31, 2026
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Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Vaccine Influenza Preservative Free Trivalent (Iiv3) 0.5ml Dose Im $19.50 $30.00 Mar 31, 2026
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Mercy Medical Center - Newton Newton · Des Moines-West Des Moines, IA HC Vaccine Influenza Preservative Free Trivalent (Iiv3) 0.5ml Dose Im $19.50 $30.00 Mar 31, 2026
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MercyOne Oelwein Medical Center Oelwein · Oelwein, IA HC Vaccine Influenza Preservative Free Trivalent (Iiv3) 0.5ml Dose Im $19.50 $30.00 Mar 31, 2026
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Buena Vista Regional Medical Center Storm Lake · Storm Lake, IA INFLUENZA (FLULAVAL) IIV3 PREFILLED SYRINGE $20.70 $20.70 —
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Mercy Medical Center - Dubuque Dubuque · Dubuque, IA HC Vaccine Influenza Preservative Free Trivalent (Iiv3) 0.5ml Dose Im $20.80 $32.00 Mar 31, 2026
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MercyOne Clinton Medical Center Clinton · Clinton, IA HC Vaccine Influenza Preservative Free Trivalent (Iiv3) 0.5ml Dose Im $20.80 $32.00 Mar 31, 2026
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MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Vaccine Influenza Preservative Free Trivalent (Iiv3) 0.5ml Dose Im $20.80 $32.00 Mar 31, 2026
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MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Vaccine Influenza Preservative Free Trivalent (Iiv3) 0.5ml Dose Im $20.80 $32.00 Mar 31, 2026
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MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Vaccine Influenza Preservative Free Trivalent (Iiv3) 0.5ml Dose Im $20.80 $32.00 Mar 31, 2026
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Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC Vaccine Influenza Preservative Free Trivalent (Iiv3) 0.5ml Dose Im $20.80 $32.00 Mar 31, 2026
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Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $21.60 $45.00 Feb 28, 2026
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Avera Holy Family Hospital Estherville · Estherville, IA $21.68 $22.00 —
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Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $22.05 $45.00 Feb 28, 2026
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Allen Hospital Waterloo · Waterloo-Cedar Falls, IA PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $22.40 $28.00 Jan 28, 2026
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Grinnell Regional Medical Center Grinnell · Grinnell, IA PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $22.40 $28.00 Jan 28, 2026
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St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $22.40 $28.00 Jan 28, 2026
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St Luke'sJones Regional Medical Center Anamosa · Cedar Rapids, IA PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $22.40 $28.00 Jan 28, 2026
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St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $22.40 $28.00 Jan 28, 2026
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The Finley Hospital Dubuque · Dubuque, IA PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $22.40 $28.00 Jan 28, 2026
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Trinity Medical Center Bettendorf · Davenport-Moline-Rock Island, IA-IL PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $22.40 $28.00 Jan 28, 2026
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Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $22.40 $28.00 Jan 28, 2026
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Unity Healthcare Muscatine · Muscatine, IA PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $22.40 $28.00 Jan 28, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $22.40 $28.00 Jan 28, 2026
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UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $22.40 $28.00 Jan 28, 2026
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MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL Influenza Virus Vaccine, inactivated 0.5 ml Inj $28.63 $47.71 Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA Influenza Virus Vaccine, inactivated 0.5 ml Inj $28.63 $47.71 Mar 31, 2026
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St. Joseph's Mercy Hospital, Centerville Centerville · Centerville, IA HC Vaccine Influenza Preservative Free Trivalent (Iiv3) 0.5ml Dose Im $30.00 $30.00 Mar 31, 2026
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Catholic Health Initiatives-Iowa West Des Moines · Des Moines-West Des Moines, IA HC Vaccine Influenza Preservative Free Trivalent (Iiv3) 0.5ml Dose Im $32.00 $32.00 Mar 31, 2026
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Winneshiek Medical Center Decorah · Decorah, IA Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage $35.22 $50.32 Jul 17, 2026
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Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $44.55 $75.00 Jun 27, 2026
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Jennie Edmundson Memorial Hospital Council Bluffs · Omaha, NE-IA IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $2,681.10 $8,937.00 Feb 15, 2026
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By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitals LowestMedian
Des Moines-West Des Moines, IA 4 $19.50 $21.60
Dubuque, IA 3 $19.50 $20.80
Omaha, NE-IA 3 $18.90 $22.05
Waterloo-Cedar Falls, IA 3 $20.80 $20.80
Clinton, IA 2 $20.80 $24.72
Davenport-Moline-Rock Island, IA-IL 2 $22.40 $25.52
Cedar Rapids, IA 1 $22.40 $22.40
Centerville, IA 1 $30.00 $30.00
Corning, IA 1 $21.60 $21.60
Cedar Rapids, IA 1 $22.40 $22.40
Decorah, IA 1 $35.22 $35.22
Elkader, IA 1 $19.50 $19.50
Estherville, IA 1 $21.68 $21.68
Fort Dodge, IA 1 $22.40 $22.40
Grinnell, IA 1 $22.40 $22.40
Marshalltown, IA 1 $22.40 $22.40
Mason City, IA 1 $20.80 $20.80
Muscatine, IA 1 $22.40 $22.40
New Hampton, IA 1 $19.50 $19.50
Oelwein, IA 1 $19.50 $19.50
Sioux City, IA-NE-SD 1 $22.40 $22.40
Storm Lake, IA 1 $20.70 $20.70
West Union, IA 1 $44.55 $44.55

What it is

A standard-dose flu shot protects against the influenza strains expected in the coming season, and the formula changes every year. This code is the preservative-free version given to most people.

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.

Flu shot, standard dose, preservative-free, for age 6 months and older in other states

Median cash price across the state's hospitals.