RSV vaccine (Arexvy) cost in Iowa
In Iowa, 28 hospitals publish a cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults: from $239.20 to $555.02, with a median of $358.40. The lowest price is at Central Community Hospital (Elkader) and 4 other hospitals. The highest price is 2.3× the lowest.
Outpatient cash prices, one line per hospital — its lowest listed price for code 90679. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 23, 2026.
Lowest$239.20Central Community Hospital + 4 more
Median$358.40half pay less
Highest$555.02in Iowa
Lowest saves$119.20vs 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 Recombinant Subunit Adjuvanted/Preservative Free Im | $239.20 | $368.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Dyersville lowest Dyersville · Dubuque, IA HC Vaccine Respiratory Syncytial Virus Recombinant Subunit Adjuvanted/Preservative Free Im | $239.20 | $368.00 | Mar 31, 2026 source file |
| Mercy Medical Center - New Hampton lowest New Hampton · New Hampton, IA HC Vaccine Respiratory Syncytial Virus Recombinant Subunit Adjuvanted/Preservative Free Im | $239.20 | $368.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Newton lowest Newton · Des Moines-West Des Moines, IA HC Vaccine Respiratory Syncytial Virus Recombinant Subunit Adjuvanted/Preservative Free Im | $239.20 | $368.00 | Mar 31, 2026 source file |
| MercyOne Oelwein Medical Center lowest Oelwein · Oelwein, IA HC Vaccine Respiratory Syncytial Virus Recombinant Subunit Adjuvanted/Preservative Free Im | $239.20 | $368.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Dubuque Dubuque · Dubuque, IA HC Vaccine Respiratory Syncytial Virus Recombinant Subunit Adjuvanted/Preservative Free Im | $250.90 | $386.00 | Mar 31, 2026 source file |
| MercyOne Clinton Medical Center Clinton · Clinton, IA HC Vaccine Respiratory Syncytial Virus Recombinant Subunit Adjuvanted/Preservative Free Im | $250.90 | $386.00 | Mar 31, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Vaccine Respiratory Syncytial Virus Recombinant Subunit Adjuvanted/Preservative Free Im | $250.90 | $386.00 | Mar 31, 2026 source file |
| MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Vaccine Respiratory Syncytial Virus Recombinant Subunit Adjuvanted/Preservative Free Im | $250.90 | $386.00 | Mar 31, 2026 source file |
| MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Vaccine Respiratory Syncytial Virus Recombinant Subunit Adjuvanted/Preservative Free Im | $250.90 | $386.00 | Mar 31, 2026 source file |
| Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC Vaccine Respiratory Syncytial Virus Recombinant Subunit Adjuvanted/Preservative Free Im | $250.90 | $386.00 | Mar 31, 2026 source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA PR RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $358.40 | $448.00 | Jan 28, 2026 source file |
| Grinnell Regional Medical Center Grinnell · Grinnell, IA PR RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $358.40 | $448.00 | Jan 28, 2026 source file |
| St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA PR RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $358.40 | $448.00 | Jan 28, 2026 source file |
| St Luke'sJones Regional Medical Center Anamosa · Cedar Rapids, IA PR RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $358.40 | $448.00 | Jan 28, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD PR RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $358.40 | $448.00 | Jan 28, 2026 source file |
| The Finley Hospital Dubuque · Dubuque, IA PR RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $358.40 | $448.00 | Jan 28, 2026 source file |
| Trinity Medical Center Bettendorf · Davenport-Moline-Rock Island, IA-IL PR RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $358.40 | $448.00 | Jan 28, 2026 source file |
| Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA PR RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $358.40 | $448.00 | Jan 28, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA PR RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $358.40 | $448.00 | Jan 28, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA PR RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $358.40 | $448.00 | Jan 28, 2026 source file |
| UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA PR RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $358.40 | $448.00 | Jan 28, 2026 source file |
| St. Joseph's Mercy Hospital, Centerville Centerville · Centerville, IA HC Vaccine Respiratory Syncytial Virus Recombinant Subunit Adjuvanted/Preservative Free Im | $368.00 | $368.00 | Mar 31, 2026 source file |
| Catholic Health Initiatives-Iowa West Des Moines · Des Moines-West Des Moines, IA HC Vaccine Respiratory Syncytial Virus Recombinant Subunit Adjuvanted/Preservative Free Im | $386.00 | $386.00 | Mar 31, 2026 source file |
| Winneshiek Medical Center Decorah · Decorah, IA Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use | $428.89 | $612.70 | Jul 17, 2026 source file |
| MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL RSV vaccine preF3, recombinant preservative-free 120 mcg In | $508.36 | $847.26 | Mar 31, 2026 source file |
| MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL RSV vaccine preF3, recombinant preservative-free 120 mcg In | $555.02 | $925.04 | Mar 31, 2026 source file |
| MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA RSV vaccine preF3, recombinant preservative-free 120 mcg In | $555.02 | $925.04 | 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 | $239.20 | $304.65 |
| Davenport-Moline-Rock Island, IA-IL | 3 | $358.40 | $508.36 |
| Dubuque, IA | 3 | $239.20 | $250.90 |
| Waterloo-Cedar Falls, IA | 3 | $250.90 | $250.90 |
| Clinton, IA | 2 | $250.90 | $402.96 |
| Cedar Rapids, IA | 1 | $358.40 | $358.40 |
| Centerville, IA | 1 | $368.00 | $368.00 |
| Cedar Rapids, IA | 1 | $358.40 | $358.40 |
| Decorah, IA | 1 | $428.89 | $428.89 |
| Elkader, IA | 1 | $239.20 | $239.20 |
| Fort Dodge, IA | 1 | $358.40 | $358.40 |
| Grinnell, IA | 1 | $358.40 | $358.40 |
| Marshalltown, IA | 1 | $358.40 | $358.40 |
| Mason City, IA | 1 | $250.90 | $250.90 |
| Muscatine, IA | 1 | $358.40 | $358.40 |
| New Hampton, IA | 1 | $239.20 | $239.20 |
| Oelwein, IA | 1 | $239.20 | $239.20 |
| Sioux City, IA-NE-SD | 1 | $358.40 | $358.40 |
What it is
Arexvy is a single-dose RSV vaccine with an adjuvant, for older adults. The CDC recommends an RSV vaccine for everyone 75 and older and for adults 50 to 74 at higher risk; Arexvy is not used in pregnancy.
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 with adjuvant (Arexvy), one dose for older adults in other states
- Alaska$875.23
- Arizona$305.76
- Arkansas$297.00
- California$308.56
- Connecticut$805.80
- Florida$747.70
- Georgia$595.65
- Hawaii$349.80
- Idaho$80.50
- Illinois$255.50
- Indiana$616.25
- Kentucky$264.95
- Louisiana$58.80
- Maryland$429.00
- Massachusetts$624.96
- Michigan$497.10
- Minnesota$124.31
- Missouri$562.54
- Montana$355.20
- Nebraska$385.13
- New Hampshire$273.14
- New Jersey$596.14
- New York$407.74
- North Carolina$307.63
- North Dakota$214.36
- Ohio$235.95
- Oklahoma$279.00
- Oregon$320.98
- Pennsylvania$677.20
- Tennessee$133.98
- Texas$315.00
- Utah$315.70
- Vermont$534.53
- Virginia$195.60
- Washington$364.52
- West Virginia$228.00
- Wisconsin$544.05
- Wyoming$294.00
Median cash price across the state's hospitals.