Pneumonia vaccine (Prevnar 20) cost in Iowa
In Iowa, 65 hospitals publish a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $175.20 to $1,106.30, with a median of $512.71. The lowest price is at Floyd County Memorial Hospital Commission (Charles City). The highest price is 6.3× the lowest.
- The median here, $512.71, is 5% above the US median of $488.01.
- Iowa ranks 31st of 49 states by median, cheapest first.
- 10 of 65 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 90677. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 7, 2026. See them on a map
Lowest$175.20Floyd County Memorial Hospital Commission
Median$512.71half of hospitals charge less
Highest$1,106.30in Iowa
Lowest saves$337.51vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Floyd County Memorial Hospital Commission lowest Charles City · Charles City, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $175.20 | $438.00 | Sep 30, 2026 source file |
| Knoxville Hospital & Clinics Knoxville · Pella, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $180.00 | $300.00 | Jan 24, 2026 source file |
| Spencer Municipal Hospital Spencer · Spencer, IA Pneumo Conjugate Vaccine 20 Va | $212.25 | $283.00 | Jan 1, 2026 source file |
| Van Buren County Hospital Keosauqua · Keosauqua, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $212.70 | $303.85 | Jul 20, 2026 source file |
| WinnMed Decorah · Decorah, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $230.96 | $329.94 | Oct 13, 2026 source file |
| Regional Medical Center Manchester · Manchester, IA PCV20 VACCINE IM | $241.60 | $302.00 | Feb 20, 2026 source file |
| Jefferson County Hospital Fairfield · Fairfield, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $246.47 | $410.78 | Aug 20, 2026 source file |
| Lakes Regional Hospital Spirit Lake · Spirit Lake, IA | $251.75 | $265.00 | Apr 1, 2026 source file |
| Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA PR PNEUMOCOCAL CONJUGATE VACCINE, 20 VALENT (PCV20) (PREVNAR) IM | $266.11 | $448.00 | Jun 27, 2026 source file |
| Hawarden Regional Healthcare Harwarden · Harwarden, IA PREVNAR 20 ADULT VACCINE | $266.70 | $313.77 | Apr 24, 2026 source file |
| Sioux Center Health Sioux Center · Sioux Center, IA | $267.95 | $276.00 | Apr 1, 2026 source file |
| Waverly Health Center Waverly · Waterloo-Cedar Falls, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $282.36 | $543.00 | Oct 19, 2026 source file |
| Boone County Hospital Boone · Ames, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $288.80 | $361.00 | Jul 27, 2026 source file |
| Hancock County Health System Britt · Britt, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $300.00 | $400.00 | Oct 20, 2026 source file |
| Orange City Municipal Hospital Orange City · Orange City, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $312.00 | $390.00 | Sep 23, 2026 source file |
| Greene County Medical Center Jefferson · Jefferson, IA PR PCV20 VACCINE FOR INTRAMUSCULAR USE | $336.56 | $601.00 | Mar 26, 2026 source file |
| Van Diest Medical Center Webster City · Webster City, IA pneumococcal 20-valent vaccine inj Dip CR Syr 0.5ml [VDMC] | $365.81 | $457.27 | Feb 5, 2026 source file |
| Rawford County Memorial Hospital Denison · Denison, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $371.20 | $464.00 | Jul 27, 2026 source file |
| Adair County Memorial Hospital Greenfield · Greenfield, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $382.50 | $510.00 | Sep 2, 2026 source file |
| St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $392.00 | $392.00 | Nov 3, 2026 source file |
| Veterans Memorial Hospital City of Waukon Ia Waukon · Waukon, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $394.22 | $691.62 | Oct 8, 2026 source file |
| Manning Regional Healthcare Center Manning · Carroll, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $439.19 | $655.50 | Oct 16, 2026 source file |
| Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $441.60 | $552.00 | Oct 21, 2026 source file |
| MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL pneumococcal 20-valent conjugate vaccine 0.5 mL Inj | $475.00 | $791.67 | Mar 31, 2026 source file |
| Stewart Memorial Community Hospital Lake City · Lake City, IA Pcv20 vaccine im | $476.00 | $595.00 | Oct 8, 2024 source file |
| CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $487.41 | $1,133.50 | Sep 30, 2026 source file |
| UnityPoint Health - Jones Regional Medical Center Anamosa · Cedar Rapids, IA PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $488.52 | $610.65 | Jan 28, 2026 source file |
| St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $492.70 | $615.87 | Jan 28, 2026 source file |
| Story County Hospital Nevada · Ames, IA PR PCV20 VACCINE FOR INTRAMUSCULAR USE | $506.40 | $633.00 | Mar 30, 2026 source file |
| Belmond Community Hospital Belmond · Belmond, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $508.43 | $847.38 | Apr 22, 2026 source file |
| Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $508.43 | $847.38 | Jun 11, 2026 source file |
| Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $510.08 | $1,133.50 | Sep 30, 2026 source file |
| MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL pneumococcal 20-valent conjugate vaccine 0.5 mL Inj | $512.71 | $854.52 | Mar 31, 2026 source file |
| MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA pneumococcal 20-valent conjugate vaccine 0.5 mL Inj | $512.71 | $854.52 | Mar 31, 2026 source file |
| Shelby County Chris A Myrtue Memorial Hospital Harlan · Harlan, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $519.38 | $895.49 | Apr 21, 2026 source file |
| The Finley Hospital Dubuque · Dubuque, IA PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $538.95 | $673.69 | Nov 4, 2026 source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $548.80 | $686.00 | Nov 4, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $548.80 | $686.00 | Nov 4, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $548.80 | $686.00 | Nov 4, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $552.90 | $691.12 | Nov 4, 2026 source file |
| Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $559.00 | $860.00 | Mar 31, 2026 source file |
| MercyOne Dyersville Medical Center Dyersville · Dubuque, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $559.00 | $860.00 | Mar 31, 2026 source file |
| MercyOne Elkader Medical Center Elkader · Elkader, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $559.00 | $860.00 | Mar 31, 2026 source file |
| MercyOne Newton Medical Center Newton · Des Moines-West Des Moines, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $559.00 | $860.00 | Mar 31, 2026 source file |
| MercyOne Oelwein Medical Center Oelwein · Oelwein, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $559.00 | $860.00 | Mar 31, 2026 source file |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $566.75 | $1,133.50 | Sep 30, 2026 source file |
| MercyOne Clinton Medical Center Clinton · Clinton, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $586.95 | $903.00 | Mar 31, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $586.95 | $903.00 | Mar 31, 2026 source file |
| MercyOne Dubuque Medical Center Dubuque · Dubuque, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $586.95 | $903.00 | Mar 31, 2026 source file |
| MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $586.95 | $903.00 | Mar 31, 2026 source file |
| MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $586.95 | $903.00 | Mar 31, 2026 source file |
| Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $586.95 | $903.00 | Mar 31, 2026 source file |
| Buena Vista Regional Medical Center Storm Lake · Storm Lake, IA PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $610.65 | $610.65 | Mar 31, 2026 source file |
| Cherokee Regional Medical Center Cherokee · Cherokee, IA PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $610.65 | $610.65 | Mar 31, 2026 source file |
| Humboldt County Memorial Hospital Humboldt · Humboldt, IA TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY | $610.65 | $610.65 | Mar 30, 2026 source file |
| Washington County Hospital Washington · Iowa City, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $612.00 | $816.00 | Oct 20, 2026 source file |
| Grundy County Memorial Hospital Grundy Center · Waterloo-Cedar Falls, IA PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $627.05 | $627.05 | Jun 29, 2026 source file |
| Clarinda Regional Health Center Clarinda · Clarinda, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $642.19 | $856.25 | Oct 23, 2026 source file |
| Audubon County Memorial Hospital Audubon · Audubon, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $649.54 | $649.54 | Sep 14, 2026 source file |
| Franklin General Hospital Hampton · Hampton, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $724.36 | $804.84 | Nov 3, 2026 source file |
| Jackson County Regional Health Center Maquoketa · Maquoketa, IA PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE 0.5 ML INJ | $815.42 | $815.42 | Aug 11, 2026 source file |
| MercyOne Centerville Medical Center Centerville · Centerville, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $860.00 | $860.00 | Mar 31, 2026 source file |
| MercyOne West Des Moines Medical Center West Des Moines · Des Moines-West Des Moines, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $903.00 | $903.00 | Mar 31, 2026 source file |
| Avera Holy Family Hospital Estherville · Estherville, IA | $936.39 | $965.00 | — source file |
| Wayne County Hospital Corydon · Corydon, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $1,106.30 | $1,106.30 | Jun 10, 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 | 5 | $441.60 | $559.00 |
| Waterloo-Cedar Falls, IA | 5 | $282.36 | $586.95 |
| Dubuque, IA | 3 | $538.95 | $559.00 |
| Ames, IA | 2 | $288.80 | $397.60 |
| Carroll, IA | 2 | $392.00 | $415.60 |
| Clinton, IA | 2 | $512.71 | $549.83 |
| Davenport-Moline-Rock Island, IA-IL | 2 | $475.00 | $493.86 |
| Omaha, NE-IA | 2 | $487.41 | $527.08 |
| Audubon, IA | 1 | $649.54 | $649.54 |
| Belmond, IA | 1 | $508.43 | $508.43 |
| Britt, IA | 1 | $300.00 | $300.00 |
| Cedar Rapids, IA | 1 | $492.70 | $492.70 |
| Centerville, IA | 1 | $860.00 | $860.00 |
| Charles City, IA | 1 | $175.20 | $175.20 |
| Cherokee, IA | 1 | $610.65 | $610.65 |
| Clarinda, IA | 1 | $642.19 | $642.19 |
| Clarion, IA | 1 | $508.43 | $508.43 |
| Corning, IA | 1 | $510.08 | $510.08 |
| Corydon, IA | 1 | $1,106.30 | $1,106.30 |
| Cedar Rapids, IA | 1 | $488.52 | $488.52 |
| Decorah, IA | 1 | $230.96 | $230.96 |
| Denison, IA | 1 | $371.20 | $371.20 |
| Elkader, IA | 1 | $559.00 | $559.00 |
| Estherville, IA | 1 | $936.39 | $936.39 |
| Fairfield, IA | 1 | $246.47 | $246.47 |
| Greenfield, IA | 1 | $382.50 | $382.50 |
| Hampton, IA | 1 | $724.36 | $724.36 |
| Harlan, IA | 1 | $519.38 | $519.38 |
| Harwarden, IA | 1 | $266.70 | $266.70 |
| Humboldt, IA | 1 | $610.65 | $610.65 |
| Iowa City, IA | 1 | $612.00 | $612.00 |
| Jefferson, IA | 1 | $336.56 | $336.56 |
| Keosauqua, IA | 1 | $212.70 | $212.70 |
| Lake City, IA | 1 | $476.00 | $476.00 |
| Manchester, IA | 1 | $241.60 | $241.60 |
| Maquoketa, IA | 1 | $815.42 | $815.42 |
| Mason City, IA | 1 | $586.95 | $586.95 |
| Muscatine, IA | 1 | $548.80 | $548.80 |
| New Hampton, IA | 1 | $559.00 | $559.00 |
| Oelwein, IA | 1 | $559.00 | $559.00 |
| Orange City, IA | 1 | $312.00 | $312.00 |
| Pella, IA | 1 | $180.00 | $180.00 |
| Sioux Center, IA | 1 | $267.95 | $267.95 |
| Sioux City, IA-NE-SD | 1 | $548.80 | $548.80 |
| Spencer, IA | 1 | $212.25 | $212.25 |
| Spirit Lake, IA | 1 | $251.75 | $251.75 |
| Storm Lake, IA | 1 | $610.65 | $610.65 |
| Waukon, IA | 1 | $394.22 | $394.22 |
| Webster City, IA | 1 | $365.81 | $365.81 |
| West Union, IA | 1 | $266.11 | $266.11 |
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 pneumonia vaccine (Prevnar 20) is, what the price covers and why prices differ: Pneumonia vaccine (Prevnar 20) explained.
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) in other states
- Alabama$814.49
- Alaska$639.92
- Arizona$539.94
- Arkansas$572.40
- California$519.56
- Colorado$859.62
- Connecticut$487.50
- Delaware$927.00
- District of Columbia$541.31, 2 hospitals
- Florida$954.69
- Georgia$558.65
- Hawaii$702.10
- Idaho$395.58
- Illinois$444.25
- Indiana$625.18
- Kansas$376.22
- Kentucky$589.27
- Louisiana$322.01
- Maine$350.67
- Maryland$414.89
- Massachusetts$564.33
- Michigan$381.40
- Minnesota$402.27
- Mississippi$475.19
- Missouri$499.50
- Montana$316.87
- Nebraska$487.41
- Nevada$457.83
- New Hampshire$495.57
- New Jersey$195.35
- New Mexico$417.18
- New York$428.10
- North Carolina$766.20
- North Dakota$377.91
- Ohio$661.70
- Oklahoma$753.26
- Oregon$341.19
- Pennsylvania$322.80
- Rhode Island$468.00, 2 hospitals
- South Carolina$551.40
- South Dakota$316.80
- Tennessee$308.69
- Texas$563.36
- Utah$444.50
- Vermont$488.38
- Virginia$328.70
- Washington$472.27
- West Virginia$363.50
- Wisconsin$292.50
- Wyoming$408.38
Median cash price across the state's hospitals.