RSV vaccine (Abrysvo) cost in Iowa
In Iowa, 29 hospitals publish a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $251.55 to $555.82, with a median of $403.20. The lowest price is at Central Community Hospital (Elkader) and 4 other hospitals. The highest price is 2.2× the lowest.
Outpatient cash prices, one line per hospital — its lowest listed price for code 90678. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 23, 2026.
Lowest$251.55Central Community Hospital + 4 more
Median$403.20half pay less
Highest$555.82in Iowa
Lowest saves$151.65vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Central Community Hospital lowest Elkader · Elkader, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im | $251.55 | $387.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Dyersville lowest Dyersville · Dubuque, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im | $251.55 | $387.00 | Mar 31, 2026 source file |
| Mercy Medical Center - New Hampton lowest New Hampton · New Hampton, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im | $251.55 | $387.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Newton lowest Newton · Des Moines-West Des Moines, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im | $251.55 | $387.00 | Mar 31, 2026 source file |
| MercyOne Oelwein Medical Center lowest Oelwein · Oelwein, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im | $251.55 | $387.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Dubuque Dubuque · Dubuque, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im | $263.90 | $406.00 | Mar 31, 2026 source file |
| MercyOne Clinton Medical Center Clinton · Clinton, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im | $263.90 | $406.00 | Mar 31, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im | $263.90 | $406.00 | Mar 31, 2026 source file |
| MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im | $263.90 | $406.00 | Mar 31, 2026 source file |
| MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im | $263.90 | $406.00 | Mar 31, 2026 source file |
| Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im | $263.90 | $406.00 | Mar 31, 2026 source file |
| St. Joseph's Mercy Hospital, Centerville Centerville · Centerville, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im | $387.00 | $387.00 | Mar 31, 2026 source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $403.20 | $504.00 | Jan 28, 2026 source file |
| Grinnell Regional Medical Center Grinnell · Grinnell, IA PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $403.20 | $504.00 | Jan 28, 2026 source file |
| St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $403.20 | $504.00 | Jan 28, 2026 source file |
| St Luke'sJones Regional Medical Center Anamosa · Cedar Rapids, IA PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $403.20 | $504.00 | Jan 28, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $403.20 | $504.00 | Jan 28, 2026 source file |
| The Finley Hospital Dubuque · Dubuque, IA PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $403.20 | $504.00 | Jan 28, 2026 source file |
| Trinity Medical Center Bettendorf · Davenport-Moline-Rock Island, IA-IL PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $403.20 | $504.00 | Jan 28, 2026 source file |
| Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $403.20 | $504.00 | Jan 28, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $403.20 | $504.00 | Jan 28, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $403.20 | $504.00 | Jan 28, 2026 source file |
| UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $403.20 | $504.00 | Jan 28, 2026 source file |
| Catholic Health Initiatives-Iowa West Des Moines · Des Moines-West Des Moines, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im | $406.00 | $406.00 | Mar 31, 2026 source file |
| Winneshiek Medical Center Decorah · Decorah, IA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $446.70 | $638.14 | Jul 17, 2026 source file |
| Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $466.29 | $785.00 | Jun 27, 2026 source file |
| MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL RSV vaccine, preF A-preF B, recombinant preservative-free 60 mcg | $534.92 | $891.54 | Mar 31, 2026 source file |
| MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL RSV vaccine, preF A-preF B, recombinant preservative-free 60 mcg | $555.82 | $926.37 | Mar 31, 2026 source file |
| MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA RSV vaccine, preF A-preF B, recombinant preservative-free 60 mcg | $555.82 | $926.37 | Mar 31, 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 | $251.55 | $333.55 |
| Davenport-Moline-Rock Island, IA-IL | 3 | $403.20 | $534.92 |
| Dubuque, IA | 3 | $251.55 | $263.90 |
| Waterloo-Cedar Falls, IA | 3 | $263.90 | $263.90 |
| Clinton, IA | 2 | $263.90 | $409.86 |
| Cedar Rapids, IA | 1 | $403.20 | $403.20 |
| Centerville, IA | 1 | $387.00 | $387.00 |
| Cedar Rapids, IA | 1 | $403.20 | $403.20 |
| Decorah, IA | 1 | $446.70 | $446.70 |
| Elkader, IA | 1 | $251.55 | $251.55 |
| Fort Dodge, IA | 1 | $403.20 | $403.20 |
| Grinnell, IA | 1 | $403.20 | $403.20 |
| Marshalltown, IA | 1 | $403.20 | $403.20 |
| Mason City, IA | 1 | $263.90 | $263.90 |
| Muscatine, IA | 1 | $403.20 | $403.20 |
| New Hampton, IA | 1 | $251.55 | $251.55 |
| Oelwein, IA | 1 | $251.55 | $251.55 |
| Sioux City, IA-NE-SD | 1 | $403.20 | $403.20 |
| West Union, IA | 1 | $466.29 | $466.29 |
What it is
Abrysvo is a single-dose RSV vaccine. The CDC recommends an RSV vaccine for everyone 75 and older and for adults 50 to 74 at higher risk, and Abrysvo is also given in weeks 32 to 36 of pregnancy to protect the newborn.
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).
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy in other states
- Alabama$595.50
- Alaska$1,102.29
- Arizona$218.82
- Arkansas$297.75
- California$309.12
- Colorado$304.11
- Connecticut$271.59
- Delaware$1,107.33
- Florida$697.90
- Georgia$1,107.73
- Hawaii$766.51
- Idaho$442.50
- Illinois$281.25
- Indiana$588.40
- Kentucky$289.10
- Louisiana$123.90
- Maine$164.29
- Maryland$327.00
- Massachusetts$1,262.55
- Michigan$497.10
- Minnesota$123.25
- Missouri$318.75
- Montana$441.79
- Nebraska$1,231.82
- New Hampshire$186.48
- New Jersey$818.34
- New York$439.32
- North Carolina$775.50
- North Dakota$451.00
- Ohio$718.90
- Oklahoma$294.00
- Oregon$376.80
- Pennsylvania$504.00
- South Dakota$449.76
- Tennessee$301.61
- Texas$637.20
- Utah$429.80
- Vermont$377.50
- Virginia$343.10
- Washington$487.34
- West Virginia$271.00
- Wisconsin$554.90
- Wyoming$297.60
Median cash price across the state's hospitals.