RSV vaccine (Arexvy) cost in Iowa
In Iowa, 23 hospitals publish a cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults: from $172.26 to $872.68, with a median of $250.90. The lowest price is at Cass County Memorial Hospital (Atlantic). The highest price is 5.1× the lowest.
- The median here, $250.90, is 35% below the US median of $385.13.
- Iowa ranks 4th of 23 states by median, cheapest first.
- 3 of 23 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 90679. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 7, 2026. See them on a map
Lowest$172.26Cass County Memorial Hospital
Median$250.90half of hospitals charge less
Highest$872.68in Iowa
Lowest saves$78.64vs 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, recombinant, subunit, adjuvanted, for intramuscular use | $172.26 | $246.08 | Jun 1, 2026 source file |
| Mercy Medical Center - New Hampton 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 |
| MercyOne Dyersville Medical Center Dyersville · Dubuque, IA HC Vaccine Respiratory Syncytial Virus Recombinant Subunit Adjuvanted/Preservative Free Im | $239.20 | $368.00 | Mar 31, 2026 source file |
| MercyOne Elkader Medical Center Elkader · Elkader, IA HC Vaccine Respiratory Syncytial Virus Recombinant Subunit Adjuvanted/Preservative Free Im | $239.20 | $368.00 | Mar 31, 2026 source file |
| MercyOne Newton Medical Center 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 Oelwein · Oelwein, IA HC Vaccine Respiratory Syncytial Virus Recombinant Subunit Adjuvanted/Preservative Free Im | $239.20 | $368.00 | 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 Dubuque Medical Center Dubuque · Dubuque, 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 |
| Clarinda Regional Health Center Clarinda · Clarinda, IA Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use | $262.50 | $350.00 | Oct 23, 2026 source file |
| Jefferson County Hospital Fairfield · Fairfield, IA Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use | $275.71 | $459.52 | Aug 20, 2026 source file |
| Hawarden Regional Healthcare Harwarden · Harwarden, IA CLN AREXVY VACCINE | $285.60 | $336.00 | Apr 24, 2026 source file |
| MercyOne Centerville Medical Center Centerville · Centerville, IA HC Vaccine Respiratory Syncytial Virus Recombinant Subunit Adjuvanted/Preservative Free Im | $368.00 | $368.00 | Mar 31, 2026 source file |
| MercyOne West Des Moines Medical Center 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 |
| Adair County Memorial Hospital Greenfield · Greenfield, IA Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use | $390.00 | $520.00 | Sep 2, 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 |
| Shelby County Chris A Myrtue Memorial Hospital Harlan · Harlan, IA Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use | $533.04 | $919.04 | Apr 21, 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 |
| Jackson County Regional Health Center Maquoketa · Maquoketa, IA RSV VACCINE PREF3 RECOMBINANT PRESERVATIVE-FREE 120 MCG IN | $872.68 | $872.68 | 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 | 3 | $239.20 | $250.90 |
| Clinton, IA | 2 | $250.90 | $402.96 |
| Davenport-Moline-Rock Island, IA-IL | 2 | $508.36 | $531.69 |
| Dubuque, IA | 2 | $239.20 | $245.05 |
| Waterloo-Cedar Falls, IA | 2 | $250.90 | $250.90 |
| Atlantic, IA | 1 | $172.26 | $172.26 |
| Centerville, IA | 1 | $368.00 | $368.00 |
| Clarinda, IA | 1 | $262.50 | $262.50 |
| Elkader, IA | 1 | $239.20 | $239.20 |
| Fairfield, IA | 1 | $275.71 | $275.71 |
| Greenfield, IA | 1 | $390.00 | $390.00 |
| Harlan, IA | 1 | $533.04 | $533.04 |
| Harwarden, IA | 1 | $285.60 | $285.60 |
| Maquoketa, IA | 1 | $872.68 | $872.68 |
| Mason City, IA | 1 | $250.90 | $250.90 |
| New Hampton, IA | 1 | $239.20 | $239.20 |
| Oelwein, IA | 1 | $239.20 | $239.20 |
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 (Arexvy) is, what the price covers and why prices differ: RSV vaccine (Arexvy) explained.
RSV vaccine with adjuvant (Arexvy), one dose for older adults in other states
- Alaska$406.00
- Arkansas$645.12, 3 hospitals
- California$376.91
- Connecticut$805.80, 1 hospital
- Florida$747.70
- Georgia$596.00, 4 hospitals
- Hawaii$535.21, 2 hospitals
- Idaho$448.68, 2 hospitals
- Illinois$463.62
- Indiana$761.04
- Kansas$369.93
- Kentucky$359.25, 4 hospitals
- Louisiana$79.62
- Maine$517.11, 1 hospital
- Massachusetts$624.96, 4 hospitals
- Michigan$420.00
- Minnesota$131.75
- Mississippi$336.00, 2 hospitals
- Missouri$446.25
- Montana$300.90
- Nebraska$385.13
- New Hampshire$358.53, 2 hospitals
- New Jersey$596.14
- New Mexico$282.36, 2 hospitals
- New York$407.74
- North Carolina$737.50
- North Dakota$312.02
- Ohio$354.57
- Oklahoma$443.18, 1 hospital
- Oregon$334.20
- Pennsylvania$440.40
- South Carolina$390.00
- South Dakota$368.00, 3 hospitals
- Tennessee$166.75, 3 hospitals
- Texas$1,547.22, 2 hospitals
- Utah$464.44, 2 hospitals
- Vermont$407.27, 4 hospitals
- Virginia$195.60, 3 hospitals
- Washington$359.49, 3 hospitals
- West Virginia$228.00
- Wisconsin$544.05
- Wyoming$637.50, 2 hospitals
Median cash price across the state's hospitals.