Tetanus shot (Td) cost in Iowa
In Iowa, 64 hospitals publish a cash price for Td vaccine (tetanus and diphtheria booster), age 7 and older: from $20.80 to $224.38, with a median of $59.80. The lowest price is at Floyd County Memorial Hospital Commission (Charles City). The highest price is 10.8× the lowest.
- The median here, $59.80, is 17% below the US median of $72.46.
- Iowa ranks 17th of 49 states by median, cheapest first.
- 10 of 64 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 90714. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 7, 2026. See them on a map
Lowest$20.80Floyd County Memorial Hospital Commission
Median$59.80half of hospitals charge less
Highest$224.38in Iowa
Lowest saves$39.00vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Floyd County Memorial Hospital Commission lowest Charles City · Charles City, IA Diphtheria and tetanus vaccine (7 years or older) | $20.80 | $52.00 | Sep 30, 2026 source file |
| Greene County Medical Center Jefferson · Jefferson, IA HC TD VACCINE NO PRSRV >= 7 IM | $23.52 | $42.00 | Mar 26, 2026 source file |
| Orange City Municipal Hospital Orange City · Orange City, IA Diphtheria and tetanus vaccine (7 years or older) | $28.80 | $36.00 | Sep 23, 2026 source file |
| Hawarden Regional Healthcare Harwarden · Harwarden, IA CLN TETANUS DIPH | $30.25 | $35.59 | Apr 24, 2026 source file |
| Boone County Hospital Boone · Ames, IA Diphtheria and tetanus vaccine (7 years or older) | $30.40 | $38.00 | Jul 27, 2026 source file |
| Jefferson County Hospital Fairfield · Fairfield, IA Diphtheria and tetanus vaccine (7 years or older) | $31.80 | $53.00 | Aug 20, 2026 source file |
| Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA PR TETANUS AND DIPHTHERIA TOXOIDS ABSORBED (TD) VACCINE PRESERVA | $35.05 | $59.00 | Jun 27, 2026 source file |
| Cass County Memorial Hospital Atlantic · Atlantic, IA Diphtheria and tetanus vaccine (7 years or older) | $37.10 | $53.00 | Jun 1, 2026 source file |
| Humboldt County Memorial Hospital Humboldt · Humboldt, IA HC TD VACCINE NO PRSRV >= 7 IM | $39.37 | $43.75 | Mar 30, 2026 source file |
| Belmond Community Hospital Belmond · Belmond, IA Diphtheria and tetanus vaccine (7 years or older) | $42.00 | $70.00 | Apr 22, 2026 source file |
| Clarinda Regional Health Center Clarinda · Clarinda, IA Diphtheria and tetanus vaccine (7 years or older) | $42.56 | $56.75 | Oct 23, 2026 source file |
| St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Diphtheria and tetanus vaccine (7 years or older) | $43.00 | $43.00 | Nov 3, 2026 source file |
| Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Diphtheria and tetanus vaccine (7 years or older) | $43.20 | $72.00 | Jun 11, 2026 source file |
| Adair County Memorial Hospital Greenfield · Greenfield, IA Diphtheria and tetanus vaccine (7 years or older) | $45.00 | $60.00 | Sep 2, 2026 source file |
| CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $46.27 | $107.59 | Sep 30, 2026 source file |
| Waverly Health Center Waverly · Waterloo-Cedar Falls, IA Diphtheria and tetanus vaccine (7 years or older) | $47.84 | $92.00 | Oct 19, 2026 source file |
| Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $48.42 | $107.59 | Sep 30, 2026 source file |
| Regional Medical Center Manchester · Manchester, IA TD VACC NO PRESV 7 YRS+ IM | $51.20 | $64.00 | Feb 20, 2026 source file |
| Manning Regional Healthcare Center Manning · Carroll, IA Diphtheria and tetanus vaccine (7 years or older) | $51.42 | $76.75 | Oct 16, 2026 source file |
| Palo Alto County Hospital Emmetsburg · Emmetsburg, IA Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use | $51.75 | $69.00 | Mar 31, 2026 source file |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $53.80 | $107.59 | Sep 30, 2026 source file |
| Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Diphtheria and tetanus vaccine (7 years or older) | $55.04 | $68.80 | Oct 21, 2026 source file |
| Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Vaccine Td Preservative Free >= 7 Years Im | $57.20 | $88.00 | Mar 31, 2026 source file |
| MercyOne Dyersville Medical Center Dyersville · Dubuque, IA HC Vaccine Td Preservative Free >= 7 Years Im | $57.20 | $88.00 | Mar 31, 2026 source file |
| MercyOne Elkader Medical Center Elkader · Elkader, IA HC Vaccine Td Preservative Free >= 7 Years Im | $57.20 | $88.00 | Mar 31, 2026 source file |
| MercyOne Newton Medical Center Newton · Des Moines-West Des Moines, IA HC Vaccine Td Preservative Free >= 7 Years Im | $57.20 | $88.00 | Mar 31, 2026 source file |
| MercyOne Oelwein Medical Center Oelwein · Oelwein, IA HC Vaccine Td Preservative Free >= 7 Years Im | $57.20 | $88.00 | Mar 31, 2026 source file |
| MercyOne Clinton Medical Center Clinton · Clinton, IA HC Vaccine Td Preservative Free >= 7 Years Im | $59.80 | $92.00 | Mar 31, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Vaccine Td Preservative Free >= 7 Years Im | $59.80 | $92.00 | Mar 31, 2026 source file |
| MercyOne Dubuque Medical Center Dubuque · Dubuque, IA HC Vaccine Td Preservative Free >= 7 Years Im | $59.80 | $92.00 | Mar 31, 2026 source file |
| MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Vaccine Td Preservative Free >= 7 Years Im | $59.80 | $92.00 | Mar 31, 2026 source file |
| MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Vaccine Td Preservative Free >= 7 Years Im | $59.80 | $92.00 | Mar 31, 2026 source file |
| Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC Vaccine Td Preservative Free >= 7 Years Im | $59.80 | $92.00 | Mar 31, 2026 source file |
| Knoxville Hospital & Clinics Knoxville · Pella, IA Diphtheria and tetanus vaccine (7 years or older) | $61.80 | $103.00 | Jan 24, 2026 source file |
| MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL Tetanus-Diphth toxoids (Td) adult/adol 2 units-2 units/0.5 mL In | $61.99 | $103.31 | Mar 31, 2026 source file |
| MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL Tetanus-Diphth toxoids (Td) adult/adol 2 units-2 units/0.5 mL In | $61.99 | $103.31 | Mar 31, 2026 source file |
| MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA Tetanus-Diphth toxoids (Td) adult/adol 2 units-2 units/0.5 mL In | $61.99 | $103.31 | Mar 31, 2026 source file |
| Van Diest Medical Center Webster City · Webster City, IA tetanus-diphtheria toxoids adult IM Susp 0.5 mL [VDMC] | $70.67 | $88.34 | Feb 5, 2026 source file |
| WinnMed Decorah · Decorah, IA Diphtheria and tetanus vaccine (7 years or older) | $71.54 | $102.20 | Oct 13, 2026 source file |
| Veterans Memorial Hospital City of Waukon Ia Waukon · Waukon, IA Diphtheria and tetanus vaccine (7 years or older) | $74.69 | $131.03 | Oct 8, 2026 source file |
| Sanford Sheldon Medical Center Sheldon · Sheldon, IA Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU | $75.15 | $93.93 | Mar 4, 2026 source file |
| Shelby County Chris A Myrtue Memorial Hospital Harlan · Harlan, IA Diphtheria and tetanus vaccine (7 years or older) | $77.28 | $133.24 | Apr 21, 2026 source file |
| Spencer Municipal Hospital Spencer · Spencer, IA Td PF 7 years+ old IM | $82.50 | $110.00 | Jan 1, 2026 source file |
| MercyOne Centerville Medical Center Centerville · Centerville, IA HC Vaccine Td Preservative Free >= 7 Years Im | $88.00 | $88.00 | Mar 31, 2026 source file |
| Washington County Hospital Washington · Iowa City, IA Diphtheria and tetanus vaccine (7 years or older) | $89.94 | $119.92 | Oct 20, 2026 source file |
| Hancock County Health System Britt · Britt, IA Diphtheria and tetanus vaccine (7 years or older) | $91.61 | $122.14 | Oct 20, 2026 source file |
| MercyOne West Des Moines Medical Center West Des Moines · Des Moines-West Des Moines, IA HC Vaccine Td Preservative Free >= 7 Years Im | $92.00 | $92.00 | Mar 31, 2026 source file |
| Avera Holy Family Hospital Estherville · Estherville, IA | $94.95 | $97.00 | — source file |
| Audubon County Memorial Hospital Audubon · Audubon, IA Diphtheria and tetanus vaccine (7 years or older) | $101.31 | $101.31 | Sep 14, 2026 source file |
| Jackson County Regional Health Center Maquoketa · Maquoketa, IA TETANUS-DIPHTH TOXOIDS TD ADULT/ADOL 2 UNITS-2 UNITS/0.5 ML IN | $106.41 | $106.41 | Aug 11, 2026 source file |
| Hansen Family Hospital Iowa Falls · Iowa Falls, IA Diphtheria and tetanus vaccine (7 years or older) | $110.00 | $110.00 | Jul 10, 2026 source file |
| Franklin General Hospital Hampton · Hampton, IA Diphtheria and tetanus vaccine (7 years or older) | $127.04 | $141.15 | Nov 3, 2026 source file |
| Story County Hospital Nevada · Ames, IA PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE | $128.00 | $160.00 | Mar 30, 2026 source file |
| Stewart Memorial Community Hospital Lake City · Lake City, IA TD VACCINE NO PRSRV >/= 7 IM | $131.00 | $164.00 | Oct 8, 2024 source file |
| St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ | $134.52 | $168.15 | Jan 28, 2026 source file |
| Shenandoah Medical Center Shenandoah · Shenandoah, IA Diphtheria and tetanus vaccine (7 years or older) | $140.30 | $215.84 | Sep 21, 2026 source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP | $143.48 | $179.35 | Nov 4, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP | $143.48 | $179.35 | Nov 4, 2026 source file |
| Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP | $143.48 | $179.35 | Nov 4, 2026 source file |
| Cherokee Regional Medical Center Cherokee · Cherokee, IA TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ | $160.78 | $160.78 | Mar 31, 2026 source file |
| Wayne County Hospital Corydon · Corydon, IA Diphtheria and tetanus vaccine (7 years or older) | $165.00 | $165.00 | Jun 10, 2026 source file |
| Pocahontas Community Hospital Pocahontas · Pocahontas, IA TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ | $168.15 | $168.15 | Mar 29, 2026 source file |
| Guthrie County Hospital Guthrie Center · Des Moines-West Des Moines, IA Diphtheria and tetanus vaccine (7 years or older) | $177.50 | $177.50 | Sep 26, 2026 source file |
| Decatur County Hospital Leon · Leon, IA Diphtheria and tetanus vaccine (7 years or older) | $224.38 | $280.47 | Mar 4, 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 | 5 | $55.04 | $59.80 |
| Waterloo-Cedar Falls, IA | 4 | $47.84 | $59.80 |
| Ames, IA | 2 | $30.40 | $79.20 |
| Carroll, IA | 2 | $43.00 | $47.21 |
| Clinton, IA | 2 | $59.80 | $60.90 |
| Davenport-Moline-Rock Island, IA-IL | 2 | $61.99 | $61.99 |
| Dubuque, IA | 2 | $57.20 | $58.50 |
| Omaha, NE-IA | 2 | $46.27 | $50.04 |
| Atlantic, IA | 1 | $37.10 | $37.10 |
| Audubon, IA | 1 | $101.31 | $101.31 |
| Belmond, IA | 1 | $42.00 | $42.00 |
| Britt, IA | 1 | $91.61 | $91.61 |
| Cedar Rapids, IA | 1 | $134.52 | $134.52 |
| Centerville, IA | 1 | $88.00 | $88.00 |
| Charles City, IA | 1 | $20.80 | $20.80 |
| Cherokee, IA | 1 | $160.78 | $160.78 |
| Clarinda, IA | 1 | $42.56 | $42.56 |
| Clarion, IA | 1 | $43.20 | $43.20 |
| Corning, IA | 1 | $48.42 | $48.42 |
| Corydon, IA | 1 | $165.00 | $165.00 |
| Decorah, IA | 1 | $71.54 | $71.54 |
| Elkader, IA | 1 | $57.20 | $57.20 |
| Emmetsburg, IA | 1 | $51.75 | $51.75 |
| Estherville, IA | 1 | $94.95 | $94.95 |
| Fairfield, IA | 1 | $31.80 | $31.80 |
| Fort Dodge, IA | 1 | $143.48 | $143.48 |
| Greenfield, IA | 1 | $45.00 | $45.00 |
| Hampton, IA | 1 | $127.04 | $127.04 |
| Harlan, IA | 1 | $77.28 | $77.28 |
| Harwarden, IA | 1 | $30.25 | $30.25 |
| Humboldt, IA | 1 | $39.37 | $39.37 |
| Iowa Falls, IA | 1 | $110.00 | $110.00 |
| Iowa City, IA | 1 | $89.94 | $89.94 |
| Jefferson, IA | 1 | $23.52 | $23.52 |
| Lake City, IA | 1 | $131.00 | $131.00 |
| Leon, IA | 1 | $224.38 | $224.38 |
| Manchester, IA | 1 | $51.20 | $51.20 |
| Maquoketa, IA | 1 | $106.41 | $106.41 |
| Mason City, IA | 1 | $59.80 | $59.80 |
| New Hampton, IA | 1 | $57.20 | $57.20 |
| Oelwein, IA | 1 | $57.20 | $57.20 |
| Orange City, IA | 1 | $28.80 | $28.80 |
| Pocahontas, IA | 1 | $168.15 | $168.15 |
| Pella, IA | 1 | $61.80 | $61.80 |
| Sheldon, IA | 1 | $75.15 | $75.15 |
| Shenandoah, IA | 1 | $140.30 | $140.30 |
| Sioux City, IA-NE-SD | 1 | $143.48 | $143.48 |
| Spencer, IA | 1 | $82.50 | $82.50 |
| Waukon, IA | 1 | $74.69 | $74.69 |
| Webster City, IA | 1 | $70.67 | $70.67 |
| West Union, IA | 1 | $35.05 | $35.05 |
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 tetanus shot (Td) is, what the price covers and why prices differ: Tetanus shot (Td) explained.
Td vaccine (tetanus and diphtheria booster), age 7 and older in other states
- Alabama$55.68
- Alaska$139.44
- Arizona$105.92
- Arkansas$70.91
- California$81.39
- Colorado$289.00
- Connecticut$126.33
- Delaware$139.26
- District of Columbia$68.57, 2 hospitals
- Florida$146.51
- Georgia$139.05
- Hawaii$57.60
- Idaho$77.42
- Illinois$77.00
- Indiana$114.50
- Kansas$64.58
- Kentucky$75.81
- Louisiana$44.50
- Maine$37.01
- Maryland$78.66
- Massachusetts$86.27
- Michigan$54.00
- Minnesota$62.41
- Mississippi$65.76
- Missouri$73.44
- Montana$67.80
- Nebraska$60.40
- Nevada$105.92
- New Hampshire$74.48
- New Jersey$43.72
- New Mexico$59.47
- New York$53.00
- North Carolina$101.50
- North Dakota$50.00
- Ohio$89.76
- Oklahoma$84.34
- Oregon$41.10
- Pennsylvania$55.80
- Puerto Rico$280.00, 3 hospitals
- Rhode Island$68.00, 4 hospitals
- South Carolina$85.00
- South Dakota$64.98
- Tennessee$58.01
- Texas$98.91
- Utah$183.60
- Vermont$43.08
- Virginia$129.98
- Washington$56.40
- West Virginia$51.30
- Wisconsin$41.44
- Wyoming$68.86
Median cash price across the state's hospitals.