Pneumonia vaccine (Prevnar 20) cost in Iowa
In Iowa, 34 hospitals publish a cash price for pneumonia vaccine, 20-valent conjugate (Prevnar 20): from $266.11 to $936.39, with a median of $535.86. The lowest price is at Gundersen Palmer Lutheran Hospital and Clinic (West Union). The highest price is 3.5× the lowest.
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 Sep 23, 2026.
Lowest$266.11Gundersen Palmer Lutheran Hospital and Clinic
Median$535.86half pay less
Highest$936.39in Iowa
Lowest saves$269.75vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Gundersen Palmer Lutheran Hospital and Clinic lowest West Union · West Union, IA PR PNEUMOCOCAL CONJUGATE VACCINE, 20 VALENT (PCV20) (PREVNAR) IM | $266.11 | $448.00 | Jun 27, 2026 source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA PR PCV20 VACCINE FOR INTRAMUSCULAR USE | $316.00 | $395.00 | Jan 28, 2026 source file |
| Grinnell Regional Medical Center Grinnell · Grinnell, IA PR PCV20 VACCINE FOR INTRAMUSCULAR USE | $316.00 | $395.00 | Jan 28, 2026 source file |
| St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA PR PCV20 VACCINE FOR INTRAMUSCULAR USE | $316.00 | $395.00 | Jan 28, 2026 source file |
| St Luke'sJones Regional Medical Center Anamosa · Cedar Rapids, IA PR PCV20 VACCINE FOR INTRAMUSCULAR USE | $316.00 | $395.00 | Jan 28, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD PR PCV20 VACCINE FOR INTRAMUSCULAR USE | $316.00 | $395.00 | Jan 28, 2026 source file |
| The Finley Hospital Dubuque · Dubuque, IA PR PCV20 VACCINE FOR INTRAMUSCULAR USE | $316.00 | $395.00 | Jan 28, 2026 source file |
| Trinity Medical Center Bettendorf · Davenport-Moline-Rock Island, IA-IL Trinity Medical Center | $316.00 | $395.00 | Jan 28, 2026 source file |
| Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA PR PCV20 VACCINE FOR INTRAMUSCULAR USE | $316.00 | $395.00 | Jan 28, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA PR PCV20 VACCINE FOR INTRAMUSCULAR USE | $316.00 | $395.00 | Jan 28, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medi Des Moines · Des Moines-West Des Moines, IA PR PCV20 VACCINE FOR INTRAMUSCULAR USE | $316.00 | $395.00 | Jan 28, 2026 source file |
| UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA PR PCV20 VACCINE FOR INTRAMUSCULAR USE | $316.00 | $395.00 | Jan 28, 2026 source file |
| Winneshiek Medical Center Decorah · Decorah, IA Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $355.60 | $508.00 | Jul 17, 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 |
| CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $490.98 | $1,169.00 | Feb 28, 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 |
| Central Community Hospital Elkader · Elkader, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $559.00 | $860.00 | Mar 31, 2026 source file |
| Mercy Hospital of Franciscan Sisters Oelwein · Oelwein, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $559.00 | $860.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Dyersville Dyersville · Dubuque, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $559.00 | $860.00 | Mar 31, 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 |
| Mercy Medical Center - Newton Newton · Des Moines-West Des Moines, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $559.00 | $860.00 | Mar 31, 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 | $561.12 | $1,169.00 | Feb 28, 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 | $572.81 | $1,169.00 | Feb 28, 2026 source file |
| Covenant Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $586.95 | $903.00 | Mar 31, 2026 source file |
| Mercy Health Services-Iowa Mason City · Mason City, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $586.95 | $903.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Dubuque Dubuque · Dubuque, IA HC Vaccine Pneumonococcal Conjugate 20 Valent (Pcv20) Im | $586.95 | $903.00 | Mar 31, 2026 source file |
| Mercy Medical Center-Clinton 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 |
| 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 | — source file |
| St. Joseph's Mercy Hospital, Centerville Centerville · Centerville, IA PR Vaccine Pneumococcal Conjugate 20 Valent (Pcv20) Im | $652.00 | $652.00 | Mar 31, 2026 source file |
| Catholic Health Initiatives-Iowa 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 |
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 | $316.00 | $572.98 |
| Davenport-Moline-Rock Island, IA-IL | 3 | $316.00 | $475.00 |
| Dubuque, IA | 3 | $316.00 | $559.00 |
| Waterloo-Cedar Falls, IA | 3 | $316.00 | $586.95 |
| Clinton, IA | 2 | $512.71 | $549.83 |
| Omaha, NE-IA | 2 | $490.98 | $531.90 |
| Cedar Rapids, IA | 1 | $316.00 | $316.00 |
| Centerville, IA | 1 | $652.00 | $652.00 |
| Corning, IA | 1 | $561.12 | $561.12 |
| Cedar Rapids, IA | 1 | $316.00 | $316.00 |
| Decorah, IA | 1 | $355.60 | $355.60 |
| Elkader, IA | 1 | $559.00 | $559.00 |
| Estherville, IA | 1 | $936.39 | $936.39 |
| Fort Dodge, IA | 1 | $316.00 | $316.00 |
| Grinnell, IA | 1 | $316.00 | $316.00 |
| Marshalltown, IA | 1 | $316.00 | $316.00 |
| Mason City, IA | 1 | $586.95 | $586.95 |
| Muscatine, IA | 1 | $316.00 | $316.00 |
| New Hampton, IA | 1 | $559.00 | $559.00 |
| Oelwein, IA | 1 | $559.00 | $559.00 |
| Sioux City, IA-NE-SD | 1 | $316.00 | $316.00 |
| Storm Lake, IA | 1 | $610.65 | $610.65 |
| West Union, IA | 1 | $266.11 | $266.11 |
What it is
Prevnar 20 is a conjugate vaccine against 20 types of pneumococcus, the bacteria behind many cases of pneumonia, meningitis and blood infections. The CDC recommends a pneumococcal conjugate vaccine for all adults 50 and older and for younger adults with certain conditions, usually as a single dose.
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 G0009 instead.
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) in other states
- Alabama$674.00
- Alaska$1,204.06
- Arizona$890.17
- Arkansas$926.10
- California$502.11
- Colorado$900.06
- Connecticut$534.79
- Delaware$927.00
- Florida$944.18
- Georgia$1,061.93
- Hawaii$707.26
- Idaho$410.78
- Illinois$325.17
- Indiana$633.56
- Kansas$910.98
- Kentucky$1,476.65
- Louisiana$90.56
- Maine$969.00
- Maryland$371.00
- Massachusetts$564.35
- Michigan$381.40
- Minnesota$396.79
- Mississippi$322.13
- Missouri$916.39
- Montana$302.40
- Nebraska$490.98
- Nevada$511.84
- New Hampshire$185.20
- New Jersey$360.88
- New Mexico$364.24
- New York$428.10
- North Carolina$653.00
- North Dakota$341.92
- Ohio$661.70
- Oklahoma$406.16
- Oregon$348.00
- Pennsylvania$349.04
- Rhode Island$468.00
- South Carolina$765.80
- South Dakota$469.60
- Tennessee$308.69
- Texas$563.36
- Utah$323.97
- Vermont$461.11
- Virginia$328.70
- Washington$480.80
- West Virginia$242.50
- Wisconsin$292.50
- Wyoming$429.30
Median cash price across the state's hospitals.