Tetanus shot (Td) cost in Iowa
In Iowa, 34 hospitals publish a cash price for Td vaccine (tetanus and diphtheria booster), age 7 and older: from $35.05 to $94.95, with a median of $57.20. The lowest price is at Gundersen Palmer Lutheran Hospital and Clinic (West Union). The highest price is 2.7× the lowest.
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 Sep 23, 2026.
Lowest$35.05Gundersen Palmer Lutheran Hospital and Clinic
Median$57.20half pay less
Highest$94.95in Iowa
Lowest saves$22.15vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Gundersen Palmer Lutheran Hospital and Clinic lowest West Union · West Union, IA PR TETANUS AND DIPHTHERIA TOXOIDS ABSORBED (TD) VACCINE PRESERVA | $35.05 | $59.00 | Jun 27, 2026 source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE | $35.20 | $44.00 | Jan 28, 2026 source file |
| Grinnell Regional Medical Center Grinnell · Grinnell, IA PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE | $35.20 | $44.00 | Jan 28, 2026 source file |
| St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE | $35.20 | $44.00 | Jan 28, 2026 source file |
| St Luke'sJones Regional Medical Center Anamosa · Cedar Rapids, IA PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE | $35.20 | $44.00 | Jan 28, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE | $35.20 | $44.00 | Jan 28, 2026 source file |
| The Finley Hospital Dubuque · Dubuque, IA PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE | $35.20 | $44.00 | Jan 28, 2026 source file |
| Trinity Medical Center Bettendorf · Davenport-Moline-Rock Island, IA-IL PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE | $35.20 | $44.00 | Jan 28, 2026 source file |
| Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE | $35.20 | $44.00 | Jan 28, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE | $35.20 | $44.00 | Jan 28, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE | $35.20 | $44.00 | Jan 28, 2026 source file |
| UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE | $35.20 | $44.00 | Jan 28, 2026 source file |
| CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION | $45.69 | $108.78 | Feb 28, 2026 source file |
| Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION | $52.22 | $108.78 | Feb 28, 2026 source file |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION | $53.31 | $108.78 | Feb 28, 2026 source file |
| Central Community Hospital Elkader · Elkader, IA HC Vaccine Td Preservative Free >= 7 Years Im | $57.20 | $88.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Dyersville Dyersville · Dubuque, IA HC Vaccine Td Preservative Free >= 7 Years Im | $57.20 | $88.00 | Mar 31, 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 |
| Mercy Medical Center - Newton 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 |
| Mercy Medical Center - Dubuque Dubuque · Dubuque, IA HC Vaccine Td Preservative Free >= 7 Years Im | $59.80 | $92.00 | 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 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 |
| 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 |
| St. Joseph's Mercy Hospital, Centerville Centerville · Centerville, IA PR Vaccine Td Preservative Free >= 7 Years Im | $74.00 | $74.00 | Mar 31, 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 |
| Winneshiek Medical Center Decorah · Decorah, IA Diphtheria and tetanus vaccine (7 years or older) | $77.72 | $111.03 | Jul 17, 2026 source file |
| Catholic Health Initiatives-Iowa 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 |
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 | $35.20 | $58.50 |
| Davenport-Moline-Rock Island, IA-IL | 3 | $35.20 | $61.99 |
| Dubuque, IA | 3 | $35.20 | $57.20 |
| Waterloo-Cedar Falls, IA | 3 | $35.20 | $59.80 |
| Clinton, IA | 2 | $59.80 | $60.90 |
| Omaha, NE-IA | 2 | $45.69 | $49.50 |
| Cedar Rapids, IA | 1 | $35.20 | $35.20 |
| Centerville, IA | 1 | $74.00 | $74.00 |
| Corning, IA | 1 | $52.22 | $52.22 |
| Cedar Rapids, IA | 1 | $35.20 | $35.20 |
| Decorah, IA | 1 | $77.72 | $77.72 |
| Elkader, IA | 1 | $57.20 | $57.20 |
| Estherville, IA | 1 | $94.95 | $94.95 |
| Fort Dodge, IA | 1 | $35.20 | $35.20 |
| Grinnell, IA | 1 | $35.20 | $35.20 |
| Marshalltown, IA | 1 | $35.20 | $35.20 |
| Mason City, IA | 1 | $59.80 | $59.80 |
| Muscatine, IA | 1 | $35.20 | $35.20 |
| New Hampton, IA | 1 | $57.20 | $57.20 |
| Oelwein, IA | 1 | $57.20 | $57.20 |
| Sheldon, IA | 1 | $75.15 | $75.15 |
| Sioux City, IA-NE-SD | 1 | $35.20 | $35.20 |
| West Union, IA | 1 | $35.05 | $35.05 |
What it is
Td is a tetanus and diphtheria booster without the whooping cough part. It is used for the 10-year booster and after injuries, and either Td or Tdap can be used for that.
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).
Td vaccine (tetanus and diphtheria booster), age 7 and older in other states
- Alabama$137.80
- Alaska$134.90
- Arizona$204.40
- Arkansas$70.91
- California$75.80
- Colorado$1,039.70
- Connecticut$126.72
- Delaware$139.26
- Florida$162.26
- Georgia$139.05
- Hawaii$129.49
- Idaho$77.42
- Illinois$77.00
- Indiana$117.88
- Kansas$187.65
- Kentucky$21.00
- Louisiana$14.56
- Maine$38.60
- Maryland$100.00
- Massachusetts$102.79
- Michigan$54.00
- Minnesota$62.41
- Mississippi$37.42
- Missouri$50.25
- Montana$98.28
- Nebraska$36.12
- Nevada$100.90
- New Hampshire$44.24
- New Jersey$46.47
- New Mexico$59.47
- New York$55.80
- North Carolina$97.45
- North Dakota$56.42
- Ohio$89.76
- Oklahoma$53.22
- Oregon$31.85
- Pennsylvania$55.80
- Rhode Island$68.00
- South Carolina$123.63
- South Dakota$79.45
- Tennessee$52.83
- Texas$74.62
- Utah$53.51
- Vermont$48.90
- Virginia$77.62
- Washington$51.40
- West Virginia$46.50
- Wisconsin$41.44
- Wyoming$44.93
Median cash price across the state's hospitals.