High-dose flu shot (65+) cost in Iowa
In Iowa, 35 hospitals publish a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $31.50 to $2,285.70, with a median of $88.59. The lowest price is at CHI Health Mercy Council Bluffs (Council Bluffs). The highest price is 72.6× the lowest.
Outpatient cash prices, one line per hospital — its lowest listed price for code 90662. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 23, 2026.
Lowest$31.50CHI Health Mercy Council Bluffs
Median$88.59half pay less
Highest$2,285.70in Iowa
Lowest saves$57.09vs 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 VACCINE QS2022-23(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE | $31.50 | $75.00 | Feb 28, 2026 source file |
| Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA FLU VACCINE QS2022-23(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE | $36.00 | $75.00 | Feb 28, 2026 source file |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA FLU VACCINE QS2022-23(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE | $36.75 | $75.00 | Feb 28, 2026 source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $58.72 | $73.40 | Jan 28, 2026 source file |
| Grinnell Regional Medical Center Grinnell · Grinnell, IA INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $58.72 | $73.40 | Jan 28, 2026 source file |
| St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $58.72 | $73.40 | Jan 28, 2026 source file |
| St Luke'sJones Regional Medical Center Anamosa · Cedar Rapids, IA INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $58.72 | $73.40 | Jan 28, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $58.72 | $73.40 | Jan 28, 2026 source file |
| The Finley Hospital Dubuque · Dubuque, IA INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $58.72 | $73.40 | Jan 28, 2026 source file |
| Trinity Medical Center Bettendorf · Davenport-Moline-Rock Island, IA-IL Trinity Medical Center | $58.72 | $73.40 | Jan 28, 2026 source file |
| Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $58.72 | $73.40 | Jan 28, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $58.72 | $73.40 | Jan 28, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $58.72 | $73.40 | Jan 28, 2026 source file |
| UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $58.72 | $73.40 | Jan 28, 2026 source file |
| Buena Vista Regional Medical Center Storm Lake · Storm Lake, IA INFLUENZA VAC HIGH-DOSE QUAD 0.7 ML IM SUSY | $64.55 | $64.55 | — source file |
| Avera Holy Family Hospital Estherville · Estherville, IA | $81.48 | $84.00 | — source file |
| Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA PR INFLUENZA VIRUS VACCINE (IIV), SPLIT VIRUS, PERSERVATIVE FREE | $86.13 | $145.00 | Jun 27, 2026 source file |
| MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL Influenza Virus Vaccine-High-Dose-PF Inj 0.5 ml | $88.59 | $147.65 | Mar 31, 2026 source file |
| Winneshiek Medical Center Decorah · Decorah, IA Influenza vaccine split virus, preservative free | $134.63 | $192.33 | Jul 17, 2026 source file |
| Central Community Hospital Elkader · Elkader, IA HC Vaccine Influenza (Iiv) Preservative Free Antigen Content Im | $142.35 | $219.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Dyersville Dyersville · Dubuque, IA HC Vaccine Influenza (Iiv) Preservative Free Antigen Content Im | $142.35 | $219.00 | Mar 31, 2026 source file |
| Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Vaccine Influenza (Iiv) Preservative Free Antigen Content Im | $142.35 | $219.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Newton Newton · Des Moines-West Des Moines, IA HC Vaccine Influenza (Iiv) Preservative Free Antigen Content Im | $142.35 | $219.00 | Mar 31, 2026 source file |
| MercyOne Oelwein Medical Center Oelwein · Oelwein, IA HC Vaccine Influenza (Iiv) Preservative Free Antigen Content Im | $142.35 | $219.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Dubuque Dubuque · Dubuque, IA HC Vaccine Influenza (Iiv) Preservative Free Antigen Content Im | $149.50 | $230.00 | Mar 31, 2026 source file |
| MercyOne Clinton Medical Center Clinton · Clinton, IA HC Vaccine Influenza (Iiv) Preservative Free Antigen Content Im | $149.50 | $230.00 | Mar 31, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Vaccine Influenza (Iiv) Preservative Free Antigen Content Im | $149.50 | $230.00 | Mar 31, 2026 source file |
| MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Vaccine Influenza (Iiv) Preservative Free Antigen Content Im | $149.50 | $230.00 | Mar 31, 2026 source file |
| MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Vaccine Influenza (Iiv) Preservative Free Antigen Content Im | $149.50 | $230.00 | Mar 31, 2026 source file |
| Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC Vaccine Influenza (Iiv) Preservative Free Antigen Content Im | $149.50 | $230.00 | Mar 31, 2026 source file |
| MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL Influenza Virus Vaccine-High-Dose-PF Inj 0.5 ml | $152.43 | $254.05 | Mar 31, 2026 source file |
| MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA Influenza Virus Vaccine-High-Dose-PF Inj 0.5 ml | $152.43 | $254.05 | Mar 31, 2026 source file |
| St. Joseph's Mercy Hospital, Centerville Centerville · Centerville, IA HC Vaccine Influenza (Iiv) Preservative Free Antigen Content Im | $219.00 | $219.00 | Mar 31, 2026 source file |
| Catholic Health Initiatives-Iowa West Des Moines · Des Moines-West Des Moines, IA HC Vaccine Influenza (Iiv) Preservative Free Antigen Content Im | $230.00 | $230.00 | Mar 31, 2026 source file |
| Jennie Edmundson Memorial Hospital Council Bluffs · Omaha, NE-IA IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $2,285.70 | $7,619.00 | Feb 15, 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 | $58.72 | $145.92 |
| Davenport-Moline-Rock Island, IA-IL | 3 | $58.72 | $88.59 |
| Dubuque, IA | 3 | $58.72 | $142.35 |
| Omaha, NE-IA | 3 | $31.50 | $36.75 |
| Waterloo-Cedar Falls, IA | 3 | $58.72 | $149.50 |
| Clinton, IA | 2 | $149.50 | $150.96 |
| Cedar Rapids, IA | 1 | $58.72 | $58.72 |
| Centerville, IA | 1 | $219.00 | $219.00 |
| Corning, IA | 1 | $36.00 | $36.00 |
| Cedar Rapids, IA | 1 | $58.72 | $58.72 |
| Decorah, IA | 1 | $134.63 | $134.63 |
| Elkader, IA | 1 | $142.35 | $142.35 |
| Estherville, IA | 1 | $81.48 | $81.48 |
| Fort Dodge, IA | 1 | $58.72 | $58.72 |
| Grinnell, IA | 1 | $58.72 | $58.72 |
| Marshalltown, IA | 1 | $58.72 | $58.72 |
| Mason City, IA | 1 | $149.50 | $149.50 |
| Muscatine, IA | 1 | $58.72 | $58.72 |
| New Hampton, IA | 1 | $142.35 | $142.35 |
| Oelwein, IA | 1 | $142.35 | $142.35 |
| Sioux City, IA-NE-SD | 1 | $58.72 | $58.72 |
| Storm Lake, IA | 1 | $64.55 | $64.55 |
| West Union, IA | 1 | $86.13 | $86.13 |
What it is
The high-dose flu shot contains four times the antigen of a standard shot, which gives older adults a stronger 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.
High-dose flu shot, preservative-free, mainly for age 65 and older in other states
- Alabama$151.00
- Alaska$151.05
- Arizona$185.85
- Arkansas$115.13
- California$125.44
- Colorado$1,825.49
- Connecticut$207.54
- Delaware$273.23
- Florida$463.20
- Georgia$462.00
- Hawaii$99.00
- Idaho$152.00
- Illinois$55.00
- Indiana$179.55
- Kansas$866.95
- Kentucky$638.20
- Louisiana$33.90
- Maine$74.00
- Maryland$76.00
- Massachusetts$380.95
- Michigan$67.55
- Minnesota$64.03
- Mississippi$22.84
- Missouri$236.14
- Montana$85.58
- Nebraska$31.50
- Nevada$174.35
- New Hampshire$55.09
- New Jersey$274.00
- New Mexico$92.28
- New York$117.60
- North Carolina$63.50
- North Dakota$52.29
- Ohio$132.15
- Oklahoma$373.94
- Oregon$63.85
- Pennsylvania$104.84
- Rhode Island$77.25
- South Carolina$169.46
- South Dakota$59.04
- Tennessee$44.44
- Texas$81.00
- Utah$33.62
- Vermont$102.83
- Virginia$43.40
- Washington$63.85
- West Virginia$79.50
- Wisconsin$79.32
- Wyoming$45.76
Median cash price across the state's hospitals.