RSV vaccine (Abrysvo) cost in Iowa
In Iowa, 38 hospitals publish a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $178.22 to $918.29, with a median of $315.00. The lowest price is at Cass County Memorial Hospital (Atlantic). The highest price is 5.2× the lowest.
- The median here, $315.00, is 31% below the US median of $454.97.
- Iowa ranks 9th of 37 states by median, cheapest first.
- 6 of 38 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 90678. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 7, 2026. See them on a map
Lowest$178.22Cass County Memorial Hospital
Median$315.00half of hospitals charge less
Highest$918.29in Iowa
Lowest saves$136.78vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Cass County Memorial Hospital lowest Atlantic · Atlantic, IA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $178.22 | $254.60 | Jun 1, 2026 source file |
| Palo Alto County Hospital Emmetsburg · Emmetsburg, IA RSV (Abrysvo) Vaccine | $224.25 | $299.00 | Mar 31, 2026 source file |
| St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $245.09 | $245.09 | Nov 3, 2026 source file |
| Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im | $251.55 | $387.00 | Mar 31, 2026 source file |
| MercyOne Dyersville Medical Center Dyersville · Dubuque, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im | $251.55 | $387.00 | Mar 31, 2026 source file |
| MercyOne Elkader Medical Center Elkader · Elkader, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im | $251.55 | $387.00 | Mar 31, 2026 source file |
| MercyOne Newton Medical Center 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 Oelwein · Oelwein, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im | $251.55 | $387.00 | 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 Dubuque Medical Center Dubuque · Dubuque, 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 |
| WinnMed Decorah · Decorah, IA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $280.71 | $401.02 | Oct 13, 2026 source file |
| Spencer Municipal Hospital Spencer · Spencer, IA RSV Vaccine Bivalent | $282.75 | $377.00 | Jan 1, 2026 source file |
| Boone County Hospital Boone · Ames, IA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $293.60 | $367.00 | Jul 27, 2026 source file |
| Story County Hospital Nevada · Ames, IA PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $305.60 | $382.00 | Mar 30, 2026 source file |
| Sioux Center Health Sioux Center · Sioux Center, IA | $311.20 | $320.00 | Apr 1, 2026 source file |
| Floyd County Memorial Hospital Commission Charles City · Charles City, IA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $318.80 | $797.00 | Sep 30, 2026 source file |
| Orange City Municipal Hospital Orange City · Orange City, IA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $346.40 | $433.00 | Sep 23, 2026 source file |
| Lakes Regional Hospital Spirit Lake · Spirit Lake, IA | $373.35 | $393.00 | Apr 1, 2026 source file |
| MercyOne Centerville Medical Center Centerville · Centerville, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im | $387.00 | $387.00 | Mar 31, 2026 source file |
| Hansen Family Hospital Iowa Falls · Iowa Falls, IA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $398.00 | $398.00 | Jul 10, 2026 source file |
| MercyOne West Des Moines Medical Center 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 |
| Veterans Memorial Hospital City of Waukon Ia Waukon · Waukon, IA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $420.61 | $737.91 | Oct 8, 2026 source file |
| Rawford County Memorial Hospital Denison · Denison, IA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $432.00 | $540.00 | Jul 27, 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 |
| Belmond Community Hospital Belmond · Belmond, IA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $552.24 | $920.40 | Apr 22, 2026 source file |
| Clarinda Regional Health Center Clarinda · Clarinda, IA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $552.24 | $736.32 | Oct 23, 2026 source file |
| Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $552.24 | $920.40 | Jun 11, 2026 source file |
| Shelby County Chris A Myrtue Memorial Hospital Harlan · Harlan, IA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $555.18 | $957.21 | Apr 21, 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 |
| Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $584.00 | $730.00 | Oct 21, 2026 source file |
| Cherokee Regional Medical Center Cherokee · Cherokee, IA RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR | $677.50 | $677.50 | Mar 31, 2026 source file |
| Jackson County Regional Health Center Maquoketa · Maquoketa, IA RSV VACCINE PREF A-PREF B RECOMBINANT PRESERVATIVE-FREE 60 MCG | $918.29 | $918.29 | Aug 11, 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 | 4 | $251.55 | $334.95 |
| Ames, IA | 2 | $293.60 | $299.60 |
| Clinton, IA | 2 | $263.90 | $409.86 |
| Davenport-Moline-Rock Island, IA-IL | 2 | $534.92 | $545.37 |
| Dubuque, IA | 2 | $251.55 | $257.72 |
| Waterloo-Cedar Falls, IA | 2 | $263.90 | $263.90 |
| Atlantic, IA | 1 | $178.22 | $178.22 |
| Belmond, IA | 1 | $552.24 | $552.24 |
| Centerville, IA | 1 | $387.00 | $387.00 |
| Charles City, IA | 1 | $318.80 | $318.80 |
| Cherokee, IA | 1 | $677.50 | $677.50 |
| Clarinda, IA | 1 | $552.24 | $552.24 |
| Clarion, IA | 1 | $552.24 | $552.24 |
| Carroll, IA | 1 | $245.09 | $245.09 |
| Decorah, IA | 1 | $280.71 | $280.71 |
| Denison, IA | 1 | $432.00 | $432.00 |
| Elkader, IA | 1 | $251.55 | $251.55 |
| Emmetsburg, IA | 1 | $224.25 | $224.25 |
| Harlan, IA | 1 | $555.18 | $555.18 |
| Iowa Falls, IA | 1 | $398.00 | $398.00 |
| Maquoketa, IA | 1 | $918.29 | $918.29 |
| Mason City, IA | 1 | $263.90 | $263.90 |
| New Hampton, IA | 1 | $251.55 | $251.55 |
| Oelwein, IA | 1 | $251.55 | $251.55 |
| Orange City, IA | 1 | $346.40 | $346.40 |
| Sioux Center, IA | 1 | $311.20 | $311.20 |
| Spencer, IA | 1 | $282.75 | $282.75 |
| Spirit Lake, IA | 1 | $373.35 | $373.35 |
| Waukon, IA | 1 | $420.61 | $420.61 |
| West Union, IA | 1 | $466.29 | $466.29 |
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 RSV vaccine (Abrysvo) is, what the price covers and why prices differ: RSV vaccine (Abrysvo) explained.
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy in other states
- Alabama$1,811.56
- Alaska$585.05
- Arizona$218.82, 2 hospitals
- Arkansas$677.32, 4 hospitals
- California$309.12
- Colorado$963.72
- Connecticut$271.59, 3 hospitals
- Delaware$1,107.33, 2 hospitals
- District of Columbia$589.10, 2 hospitals
- Florida$697.90
- Georgia$1,112.28
- Hawaii$744.09, 4 hospitals
- Idaho$442.50
- Illinois$459.46
- Indiana$607.04
- Kansas$435.96
- Kentucky$297.20
- Louisiana$244.26
- Maine$206.29
- Maryland$613.13
- Massachusetts$695.83
- Michigan$478.00
- Minnesota$220.80
- Mississippi$220.90
- Missouri$467.66
- Montana$390.90
- Nebraska$376.20
- Nevada$1,830.50, 2 hospitals
- New Hampshire$217.49, 4 hospitals
- New Jersey$817.81
- New Mexico$396.28, 3 hospitals
- New York$423.40
- North Carolina$936.00
- North Dakota$364.78
- Ohio$718.90
- Oklahoma$443.09, 3 hospitals
- Oregon$468.85
- Pennsylvania$504.00
- South Carolina$320.92
- South Dakota$370.40
- Tennessee$301.61
- Texas$637.20
- Utah$856.25, 4 hospitals
- Vermont$500.00, 3 hospitals
- Virginia$343.10
- Washington$477.91
- West Virginia$271.00
- Wisconsin$554.90
- Wyoming$502.38, 2 hospitals
Median cash price across the state's hospitals.