Nasal flu vaccine (FluMist) cost in Iowa
In Iowa, 19 hospitals publish a cash price for nasal spray flu vaccine, live (FluMist): from $18.90 to $54.67, with a median of $30.51. The lowest price is at CHI Health Mercy Council Bluffs (Council Bluffs). The highest price is 2.9× the lowest.
Outpatient cash prices, one line per hospital — its lowest listed price for code 90660. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 27, 2026. See them on a map
Lowest$18.90CHI Health Mercy Council Bluffs
Median$30.51half of hospitals charge less
Highest$54.67in Iowa
Lowest saves$11.61vs 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 VAC TV LIVE 24-25(2-49YRS) 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY | $18.90 | $45.00 | Feb 28, 2026 source file |
| Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA FLU VAC TV LIVE 24-25(2-49YRS) 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY | $21.60 | $45.00 | Feb 28, 2026 source file |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA FLU VAC TV LIVE 24-25(2-49YRS) 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY | $22.05 | $45.00 | Feb 28, 2026 source file |
| Adair County Memorial Hospital Greenfield · Greenfield, IA Influenza vaccine, trivalent for nasal administration | $22.50 | $30.00 | Sep 2, 2026 source file |
| MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL Influenza Virus Vaccine, live trivalent intranasal | $23.81 | $39.69 | Mar 31, 2026 source file |
| MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA Influenza Virus Vaccine, live trivalent intranasal | $23.81 | $39.69 | Mar 31, 2026 source file |
| Knoxville Hospital & Clinics Knoxville · Pella, IA Influenza vaccine, trivalent for nasal administration | $24.60 | $41.00 | Jan 24, 2026 source file |
| Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Vaccine Influenza Trivalent (Laiv3) Intranasal | $24.70 | $38.00 | Mar 31, 2026 source file |
| Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Influenza vaccine, trivalent for nasal administration | $28.00 | $35.00 | Sep 23, 2026 source file |
| Cass County Memorial Hospital Atlantic · Atlantic, IA Influenza vaccine, trivalent for nasal administration | $30.51 | $43.58 | Jun 1, 2026 source file |
| Palo Alto County Hospital Emmetsburg · Emmetsburg, IA Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use | $30.75 | $41.00 | — source file |
| Hancock County Health System Britt · Britt, IA Influenza vaccine, trivalent for nasal administration | $33.75 | $45.00 | Jun 30, 2026 source file |
| St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Influenza vaccine, trivalent for nasal administration | $36.00 | $36.00 | Jul 14, 2026 source file |
| Franklin General Hospital Hampton · Hampton, IA Influenza vaccine, trivalent for nasal administration | $36.90 | $41.00 | Jul 16, 2026 source file |
| Story County Hospital Nevada · Ames, IA PR LAIV3 VACCINE LIVE FOR INTRANASAL USE | $39.20 | $49.00 | — source file |
| WinnMed Decorah · Decorah, IA Influenza vaccine, trivalent for nasal administration | $44.52 | $63.60 | Jul 17, 2026 source file |
| Belmond Community Hospital Belmond · Belmond, IA Influenza vaccine, trivalent for nasal administration | $46.20 | $77.00 | Apr 22, 2026 source file |
| Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Influenza vaccine, trivalent for nasal administration | $46.20 | $77.00 | Jun 11, 2026 source file |
| Manning Regional Healthcare Center Manning · Carroll, IA Influenza vaccine, trivalent for nasal administration | $54.67 | $77.00 | Jul 1, 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 |
|---|---|---|---|
| Carroll, IA | 2 | $36.00 | $45.34 |
| Omaha, NE-IA | 2 | $18.90 | $20.48 |
| Atlantic, IA | 1 | $30.51 | $30.51 |
| Ames, IA | 1 | $39.20 | $39.20 |
| Belmond, IA | 1 | $46.20 | $46.20 |
| Britt, IA | 1 | $33.75 | $33.75 |
| Clarion, IA | 1 | $46.20 | $46.20 |
| Corning, IA | 1 | $21.60 | $21.60 |
| Clinton, IA | 1 | $23.81 | $23.81 |
| Decorah, IA | 1 | $44.52 | $44.52 |
| Davenport-Moline-Rock Island, IA-IL | 1 | $23.81 | $23.81 |
| Des Moines-West Des Moines, IA | 1 | $28.00 | $28.00 |
| Emmetsburg, IA | 1 | $30.75 | $30.75 |
| Greenfield, IA | 1 | $22.50 | $22.50 |
| Hampton, IA | 1 | $36.90 | $36.90 |
| New Hampton, IA | 1 | $24.70 | $24.70 |
| Pella, IA | 1 | $24.60 | $24.60 |
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 it is
FluMist is a live flu vaccine sprayed into the nose instead of injected, for healthy people aged 2 to 49 who are not pregnant.
What the price covers
The price is for the vaccine dose. Giving an oral or nasal vaccine is billed as 90473 rather than the injection fee 90471; ask whether it is included.
Nasal spray flu vaccine, live (FluMist) in other states
- Alabama$33.38
- Alaska$69.75
- Arizona$71.28
- Arkansas$15.20
- California$50.96
- Colorado$9.92
- Delaware$492.00
- Florida$74.80
- Georgia$15.60
- Hawaii$39.00
- Idaho$32.00
- Illinois$27.29
- Indiana$41.53
- Kansas$36.90
- Kentucky$34.73
- Louisiana$12.60
- Maine$47.57
- Maryland$25.00
- Massachusetts$29.25
- Michigan$27.20
- Minnesota$31.70
- Mississippi$16.40
- Missouri$47.94
- Montana$40.95
- Nebraska$18.90
- Nevada$141.75
- New Jersey$57.60
- New Mexico$14.87
- New York$43.17
- North Carolina$45.08
- North Dakota$19.71
- Ohio$39.69
- Oklahoma$24.63
- Oregon$31.06
- Pennsylvania$83.00
- Rhode Island$31.90
- South Carolina$34.08
- South Dakota$52.80
- Tennessee$11.36
- Texas$8.70
- Utah$21.35
- Vermont$28.25
- Virginia$92.00
- Washington$21.05
- West Virginia$24.50
- Wisconsin$38.81
Median cash price across the state's hospitals.