Flu shot in Iowa
Below is what hospitals in Iowa charge if you pay cash, and the typical rate insurers negotiated.
Cash prices at 28 hospitals in Iowa run from $56 to $540. The typical hospital charges $77. Where a hospital sits on this scale matters more than the number alone:
typical: $77
Cheaper than most hospitalsPricier than most hospitals
28 hospitals. Sort by: Cash price ▲ · Negotiated median · Gross charge · Negotiated low
What these numbers mean.
Cash price is what the hospital lists for patients paying out of pocket.
Negotiated median is the middle of what insurance companies actually agreed to pay.
Gross charge is the sticker price — almost nobody pays it.
What you will actually pay is usually different from both numbers:
with insurance, your deductible, copay, or coinsurance decides what you owe —
the negotiated rate is what the insurer pays, not your bill.
A single line item may not be the whole cost: physician, anesthesia, pathology,
and facility fees can be billed separately.
Prices vary by hospital and change over time; always confirm with the hospital before you go.
| Hospital | Cash price | Where it sits | Insurance pays (typical) | Gross charge |
|---|---|---|---|---|
| Madison County Health Care System IA · Price file October 21, 2026 | $56Insurance typically pays $63Sticker price $70 | Lowest price of any hospital | $63 | $70 |
| Cass County Memorial Hospital IA · Price file June 1, 2026 | $57Insurance typically pays $36Sticker price $82 | Cheaper than 96% of hospitals | $36 | $82 |
| Trinity Muscatine IA · Price file November 4, 2026 | $59Insurance typically pays $79Sticker price $73 | Cheaper than 93% of hospitals | $79 | $73 |
| Unitypoint Health - Des Moines Iowa Methodist Medi IA · Price file November 4, 2026 | $59Insurance typically pays $79Sticker price $73 | Cheaper than 93% of hospitals | $79 | $73 |
| Finley Hospital IA · Price file November 4, 2026 | $59Insurance typically pays $79Sticker price $73 | Cheaper than 93% of hospitals | $79 | $73 |
| Jones Regional Medical Center IA · Price file November 4, 2026 | $59Insurance typically pays $79Sticker price $73 | Cheaper than 93% of hospitals | $79 | $73 |
| Grinnell Regional Medical Center IA · Price file November 4, 2026 | $59Insurance typically pays $79Sticker price $73 | Cheaper than 93% of hospitals | $79 | $73 |
| St Lukes Hospital IA · Price file November 4, 2026 | $59Insurance typically pays $79Sticker price $73 | Cheaper than 93% of hospitals | $79 | $73 |
| St Lukes Regional Medical Center IA · Price file November 4, 2026 | $59Insurance typically pays $79Sticker price $73 | Cheaper than 93% of hospitals | $79 | $73 |
| Unitypoint Health - Marshalltown IA · Price file November 4, 2026 | $59Insurance typically pays $79Sticker price $73 | Cheaper than 93% of hospitals | $79 | $73 |
| Trinity Regional Medical Center IA · Price file November 4, 2026 | $59Insurance typically pays $79Sticker price $73 | Cheaper than 93% of hospitals | $79 | $73 |
| Allen Hospital IA · Price file November 4, 2026 | $59Insurance typically pays $79Sticker price $73 | Cheaper than 93% of hospitals | $79 | $73 |
| Shenandoah Medical Center IA · Price file September 21, 2026 | $65Insurance typically pays $75Sticker price $100 | Cheaper than 56% of hospitals | $75 | $100 |
| Hawarden Regional Healthcare IA | $75Insurance typically pays $84Sticker price $88 | Cheaper than 52% of hospitals | $84 | $88 |
| Boone County Hospital IA · Price file July 27, 2026 | $79Insurance typically pays $74Sticker price $99 | Pricier than 52% of hospitals | $74 | $99 |
| Virginia Gay Hospital IA · Price file August 13, 2026 | $80Insurance typically pays $74Sticker price $100 | Pricier than 56% of hospitals | $74 | $100 |
| Stewart Memorial Community Hospital IA | $86Insurance typically pays —Sticker price $86 | Pricier than 59% of hospitals | — | $86 |
| Guthrie County Hospital IA · Price file September 26, 2026 | $86Insurance typically pays $58Sticker price $86 | Pricier than 63% of hospitals | $58 | $86 |
| Adair County Memorial Hospital IA · Price file September 2, 2026 | $98Insurance typically pays $98Sticker price $130 | Pricier than 67% of hospitals | $98 | $130 |
| St Anthony Regional Hospital & Nursing Home IA · Price file November 3, 2026 | $105Insurance typically pays $43Sticker price $105 | Pricier than 70% of hospitals | $43 | $105 |
| Van Diest Medical Center IA · Price file November 12, 2022 | $108Insurance typically pays $101Sticker price $135 | Pricier than 74% of hospitals | $101 | $135 |
| Manning Regional Healthcare Center IA · Price file October 16, 2026 | $119Insurance typically pays $133Sticker price $177 | Pricier than 78% of hospitals | $133 | $177 |
| Jefferson County Health Center IA · Price file August 20, 2026 | $124Insurance typically pays $81Sticker price $207 | Pricier than 81% of hospitals | $81 | $207 |
| Mercyone Des Moines Medical Center IA · Price file March 31, 2026 | $150Insurance typically pays $98Sticker price $230 | Pricier than 85% of hospitals | $98 | $230 |
| Iowa Specialty Hospital - Clarion IA · Price file June 11, 2026 | $154Insurance typically pays $180Sticker price $256 | Pricier than 89% of hospitals | $180 | $256 |
| Iowa Specialty Hospital - Belmond IA · Price file April 22, 2026 | $154Insurance typically pays $167Sticker price $256 | Pricier than 89% of hospitals | $167 | $256 |
| Crawford County Memorial Hospital IA · Price file July 27, 2026 | $165Insurance typically pays $68Sticker price $206 | Pricier than 96% of hospitals | $68 | $206 |
| Orange City Area Health System IA · Price file September 23, 2026 | $540Insurance typically pays $608Sticker price $675 | Highest price of any hospital | $608 | $675 |
Procedure code 90662. Prices are from each hospital's own published price file — see methodology.