High-dose flu shot (65+) cost in Iowa
In Iowa, 67 hospitals publish a cash price for high-dose flu shot, preservative-free, mainly for age 65 and older: from $21.00 to $2,285.70, with a median of $75.00. The lowest price is at Van Buren County Hospital (Keosauqua). The highest price is 108.8× the lowest.
- The median here, $75.00, is 24% below the US median of $99.00.
- Iowa ranks 8th of 47 states by median, cheapest first.
- 11 of 67 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 90662. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 7, 2026. See them on a map
Lowest$21.00Van Buren County Hospital
Median$75.00half of hospitals charge less
Highest$2,285.70in Iowa
Lowest saves$54.00vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Van Buren County Hospital lowest Keosauqua · Keosauqua, IA Influenza vaccine split virus, preservative free | $21.00 | $30.00 | Jul 20, 2026 source file |
| Jefferson County Hospital Fairfield · Fairfield, IA Influenza vaccine split virus, preservative free | $29.40 | $49.00 | Aug 20, 2026 source file |
| Floyd County Memorial Hospital Commission Charles City · Charles City, IA Influenza vaccine split virus, preservative free | $44.00 | $110.00 | Sep 30, 2026 source file |
| Hancock County Health System Britt · Britt, IA Influenza vaccine split virus, preservative free | $46.50 | $62.00 | Oct 20, 2026 source file |
| Spencer Municipal Hospital Spencer · Spencer, IA Influenza Vax HD .7 Ml Fluzone | $51.75 | $69.00 | Jan 1, 2026 source file |
| Washington County Hospital Washington · Iowa City, IA Influenza vaccine split virus, preservative free | $51.75 | $69.00 | Oct 20, 2026 source file |
| Stewart Memorial Community Hospital Lake City · Lake City, IA IIV no prsv increased ag im | $52.00 | $65.00 | Oct 8, 2024 source file |
| Story County Hospital Nevada · Ames, IA PBB IIV NO PRSV INCREASED AG IM | $52.00 | $65.00 | Mar 30, 2026 source file |
| Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Influenza vaccine split virus, preservative free | $56.00 | $70.00 | Oct 21, 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 |
| UnityPoint Health - Jones 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 |
| UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $58.72 | $73.40 | Nov 4, 2026 source file |
| Cass County Memorial Hospital Atlantic · Atlantic, IA Influenza vaccine split virus, preservative free | $59.30 | $84.72 | Jun 1, 2026 source file |
| Waverly Health Center Waverly · Waterloo-Cedar Falls, IA Influenza vaccine split virus, preservative free | $59.80 | $115.00 | Oct 19, 2026 source file |
| Regional Medical Center Manchester · Manchester, IA IIV NO PRSV INCREASED AG IM | $60.00 | $75.00 | Feb 20, 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 | Mar 31, 2026 source file |
| Cherokee Regional Medical Center Cherokee · Cherokee, IA INFLUENZA VAC HIGH-DOSE QUAD 0.7 ML IM SUSY | $64.55 | $64.55 | Mar 31, 2026 source file |
| Shenandoah Medical Center Shenandoah · Shenandoah, IA Influenza vaccine split virus, preservative free | $65.00 | $100.00 | Sep 21, 2026 source file |
| Lakes Regional Hospital Spirit Lake · Spirit Lake, IA | $66.50 | $70.00 | Apr 1, 2026 source file |
| St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Influenza vaccine split virus, preservative free | $67.42 | $67.42 | Nov 3, 2026 source file |
| Humboldt County Memorial Hospital Humboldt · Humboldt, IA HC FLU VACC PRSV FREE INC ANTIG IM | $67.50 | $75.00 | Mar 30, 2026 source file |
| Kossuth Regional Health Center Algona · Algona, IA Influenza vaccine split virus, preservative free | $68.80 | $86.00 | Jul 16, 2026 source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $69.00 | $86.25 | Nov 4, 2026 source file |
| Grinnell Regional Medical Center Grinnell · Grinnell, IA INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $69.00 | $86.25 | Nov 4, 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 | $69.00 | $86.25 | Nov 4, 2026 source file |
| The Finley Hospital Dubuque · Dubuque, IA INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $69.00 | $86.25 | Nov 4, 2026 source file |
| Trinity - Bettendorf Bettendorf · Davenport-Moline-Rock Island, IA-IL INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $69.00 | $86.25 | Nov 4, 2026 source file |
| Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $69.00 | $86.25 | Nov 4, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $69.00 | $86.25 | Nov 4, 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 | $69.00 | $86.25 | Nov 4, 2026 source file |
| Franklin General Hospital Hampton · Hampton, IA Influenza vaccine split virus, preservative free | $71.10 | $79.00 | Nov 3, 2026 source file |
| Palo Alto County Hospital Emmetsburg · Emmetsburg, IA Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $72.00 | $96.00 | Mar 31, 2026 source file |
| Hawarden Regional Healthcare Harwarden · Harwarden, IA FLU VACCINE HIGH DOSE | $74.71 | $87.89 | Apr 24, 2026 source file |
| Clarinda Regional Health Center Clarinda · Clarinda, IA Influenza vaccine split virus, preservative free | $75.00 | $100.00 | Oct 23, 2026 source file |
| Sioux Center Health Sioux Center · Sioux Center, IA | $77.60 | $80.00 | Apr 1, 2026 source file |
| Boone County Hospital Boone · Ames, IA Influenza vaccine split virus, preservative free | $79.20 | $99.00 | Jul 27, 2026 source file |
| Avera Holy Family Hospital Estherville · Estherville, IA | $81.48 | $84.00 | — source file |
| Hansen Family Hospital Iowa Falls · Iowa Falls, IA Influenza vaccine split virus, preservative free | $85.00 | $85.00 | Jul 10, 2026 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 |
| Community Memorial Hospital Medical Center Sumner · Waterloo-Cedar Falls, IA INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $86.25 | $86.25 | Jun 18, 2026 source file |
| Guthrie County Hospital Guthrie Center · Des Moines-West Des Moines, IA Influenza vaccine split virus, preservative free | $86.50 | $86.50 | Sep 26, 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 |
| Adair County Memorial Hospital Greenfield · Greenfield, IA Influenza vaccine split virus, preservative free | $97.50 | $130.00 | Sep 2, 2026 source file |
| Greene County Medical Center Jefferson · Jefferson, IA INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $98.15 | $98.15 | Mar 26, 2026 source file |
| Manning Regional Healthcare Center Manning · Carroll, IA Influenza vaccine split virus, preservative free | $118.59 | $177.00 | Oct 16, 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 |
| MercyOne Dyersville Medical Center Dyersville · Dubuque, IA HC Vaccine Influenza (Iiv) Preservative Free Antigen Content Im | $142.35 | $219.00 | Mar 31, 2026 source file |
| MercyOne Elkader Medical Center Elkader · Elkader, IA HC Vaccine Influenza (Iiv) Preservative Free Antigen Content Im | $142.35 | $219.00 | Mar 31, 2026 source file |
| MercyOne Newton Medical Center 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 |
| 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 Dubuque Medical Center Dubuque · Dubuque, 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 |
| Belmond Community Hospital Belmond · Belmond, IA Influenza vaccine split virus, preservative free | $153.86 | $256.44 | Apr 22, 2026 source file |
| Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Influenza vaccine split virus, preservative free | $153.86 | $256.44 | Jun 11, 2026 source file |
| Jackson County Regional Health Center Maquoketa · Maquoketa, IA INFLUENZA VIRUS VACCINE-HIGH-DOSE-PF INJ 0.5 ML | $170.70 | $170.70 | Aug 11, 2026 source file |
| MercyOne Centerville Medical Center Centerville · Centerville, IA HC Vaccine Influenza (Iiv) Preservative Free Antigen Content Im | $219.00 | $219.00 | Mar 31, 2026 source file |
| MercyOne West Des Moines Medical Center 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 |
| Wayne County Hospital Corydon · Corydon, IA Influenza vaccine split virus, preservative free | $286.00 | $286.00 | Jun 10, 2026 source file |
| Rawford County Memorial Hospital Denison · Denison, IA Influenza vaccine split virus, preservative free | $288.36 | $360.45 | Jul 27, 2026 source file |
| Orange City Municipal Hospital Orange City · Orange City, IA Influenza vaccine split virus, preservative free | $540.00 | $675.00 | Sep 23, 2026 source file |
| Methodist Jennie Edmundson 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 |
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 | 6 | $56.00 | $114.42 |
| Waterloo-Cedar Falls, IA | 5 | $59.80 | $86.25 |
| Davenport-Moline-Rock Island, IA-IL | 3 | $69.00 | $88.59 |
| Dubuque, IA | 3 | $69.00 | $142.35 |
| Ames, IA | 2 | $52.00 | $65.60 |
| Carroll, IA | 2 | $67.42 | $93.00 |
| Clinton, IA | 2 | $149.50 | $150.96 |
| Algona, IA | 1 | $68.80 | $68.80 |
| Atlantic, IA | 1 | $59.30 | $59.30 |
| Belmond, IA | 1 | $153.86 | $153.86 |
| Britt, IA | 1 | $46.50 | $46.50 |
| Cedar Rapids, IA | 1 | $58.72 | $58.72 |
| Centerville, IA | 1 | $219.00 | $219.00 |
| Charles City, IA | 1 | $44.00 | $44.00 |
| Cherokee, IA | 1 | $64.55 | $64.55 |
| Clarinda, IA | 1 | $75.00 | $75.00 |
| Clarion, IA | 1 | $153.86 | $153.86 |
| Corydon, IA | 1 | $286.00 | $286.00 |
| Cedar Rapids, IA | 1 | $58.72 | $58.72 |
| Denison, IA | 1 | $288.36 | $288.36 |
| Elkader, IA | 1 | $142.35 | $142.35 |
| Emmetsburg, IA | 1 | $72.00 | $72.00 |
| Estherville, IA | 1 | $81.48 | $81.48 |
| Fairfield, IA | 1 | $29.40 | $29.40 |
| Fort Dodge, IA | 1 | $69.00 | $69.00 |
| Greenfield, IA | 1 | $97.50 | $97.50 |
| Grinnell, IA | 1 | $69.00 | $69.00 |
| Hampton, IA | 1 | $71.10 | $71.10 |
| Harwarden, IA | 1 | $74.71 | $74.71 |
| Humboldt, IA | 1 | $67.50 | $67.50 |
| Iowa Falls, IA | 1 | $85.00 | $85.00 |
| Iowa City, IA | 1 | $51.75 | $51.75 |
| Jefferson, IA | 1 | $98.15 | $98.15 |
| Keosauqua, IA | 1 | $21.00 | $21.00 |
| Lake City, IA | 1 | $52.00 | $52.00 |
| Manchester, IA | 1 | $60.00 | $60.00 |
| Maquoketa, IA | 1 | $170.70 | $170.70 |
| Marshalltown, IA | 1 | $58.72 | $58.72 |
| Mason City, IA | 1 | $149.50 | $149.50 |
| Muscatine, IA | 1 | $69.00 | $69.00 |
| New Hampton, IA | 1 | $142.35 | $142.35 |
| Oelwein, IA | 1 | $142.35 | $142.35 |
| Orange City, IA | 1 | $540.00 | $540.00 |
| Omaha, NE-IA | 1 | $2,285.70 | $2,285.70 |
| Shenandoah, IA | 1 | $65.00 | $65.00 |
| Sioux Center, IA | 1 | $77.60 | $77.60 |
| Sioux City, IA-NE-SD | 1 | $69.00 | $69.00 |
| Spencer, IA | 1 | $51.75 | $51.75 |
| Spirit Lake, IA | 1 | $66.50 | $66.50 |
| Storm Lake, IA | 1 | $64.55 | $64.55 |
| West Union, IA | 1 | $86.13 | $86.13 |
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 high-dose flu shot (65+) is, what the price covers and why prices differ: High-dose flu shot (65+) explained.
High-dose flu shot, preservative-free, mainly for age 65 and older in other states
- Alabama$129.43
- Alaska$158.95
- Arizona$67.29
- Arkansas$131.13
- California$125.44
- Colorado$212.12
- Connecticut$237.66, 3 hospitals
- Delaware$273.23, 4 hospitals
- District of Columbia$157.97, 2 hospitals
- Florida$279.16
- Georgia$110.62
- Hawaii$121.80
- Idaho$114.42
- Illinois$77.00
- Indiana$179.55
- Kansas$98.43
- Kentucky$112.91
- Louisiana$75.50
- Maine$86.40
- Maryland$120.72
- Massachusetts$219.00
- Michigan$79.60
- Minnesota$64.90
- Mississippi$42.00
- Missouri$91.21
- Montana$85.00
- Nebraska$109.05
- Nevada$228.55
- New Hampshire$111.00
- New Jersey$114.67
- New Mexico$92.04
- New York$111.15
- North Carolina$39.15
- North Dakota$64.40
- Ohio$103.39
- Oklahoma$170.42
- Oregon$71.70
- Pennsylvania$87.36
- Rhode Island$77.25, 3 hospitals
- South Carolina$82.00
- South Dakota$73.30
- Tennessee$85.43
- Texas$149.21
- Utah$98.64
- Vermont$102.00
- Virginia$161.33
- Washington$83.80
- West Virginia$80.00
- Wisconsin$79.32
- Wyoming$100.00
Median cash price across the state's hospitals.