Vaccine respiratory syncytial virus bivalent subunit/preservative free im cost at US hospitals
HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im · CPT 90678
$69.60
lowest cash price
$538.84
national median
$2,043.51
highest cash price
271
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $69.60–$2,043.51 — the variation is the story.
Median cash price over time
Nov 1, 2025 ($290.00) → Sep 1, 2026 ($588.40)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | $1,514.00 | $1,514.00 | $1,514.00 |
| Arizona | 1 | $69.60 | $69.60 | $69.60 |
| California | 57 | $116.55 | $538.84 | $1,274.40 |
| Colorado | 13 | $628.66 | $986.78 | $1,254.75 |
| Florida | 60 | $498.55 | $498.55 | $746.62 |
| Georgia | 10 | not published by hospital | not published by hospital | not published by hospital |
| Hawaii | 1 | $721.67 | $721.67 | $721.67 |
| Illinois | 14 | $184.20 | $555.82 | $1,048.25 |
| Indiana | 25 | $588.40 | $588.40 | $659.71 |
| Iowa | 27 | $251.55 | $403.20 | $1,467.45 |
| Kansas | 4 | $361.44 | $361.44 | $361.44 |
| Kentucky | 1 | not published by hospital | not published by hospital | not published by hospital |
| Louisiana | 6 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Maryland | 1 | $327.00 | $327.00 | $327.00 |
| Michigan | 15 | $300.00 | $300.00 | $300.00 |
| Minnesota | 5 | $300.00 | $517.14 | $517.14 |
| Missouri | 13 | not published by hospital | not published by hospital | not published by hospital |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 12 | not published by hospital | not published by hospital | not published by hospital |
| New York | 22 | $391.27 | $531.55 | $849.56 |
| North Carolina | 12 | $624.00 | $624.00 | $624.00 |
| North Dakota | 2 | $403.55 | $403.55 | $847.53 |
| Ohio | 46 | $222.60 | $746.62 | $907.50 |
| Oklahoma | 3 | not published by hospital | not published by hospital | not published by hospital |
| Oregon | 9 | $321.44 | $1,563.44 | $1,563.44 |
| Pennsylvania | 19 | $177.00 | $504.00 | $672.00 |
| South Carolina | 8 | not published by hospital | not published by hospital | not published by hospital |
| South Dakota | 3 | $370.40 | $449.76 | $493.46 |
| Tennessee | 23 | $291.55 | $321.72 | $331.77 |
| Texas | 90 | $184.08 | $637.20 | $2,043.51 |
| Virginia | 18 | $211.80 | $343.10 | $343.10 |
| Washington | 18 | $147.44 | $521.74 | $698.15 |
| West Virginia | 16 | $271.00 | $271.00 | $649.60 |
| Wisconsin | 23 | $290.00 | $305.10 | $542.00 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Banner Thunderbird Medical Center | Glendale, AZ | $69.60 | $53.96 – $510.28 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi, CA | $116.55 | $165.08 – $1,743.60 |
| Virginia Mason Medical Center | Seattle, WA | $147.44 | $1,032.73 – $1,032.73 |
| UPMC Community Osteopathic | Harrisburg, PA | $177.00 | $10.50 – $1,205.19 |
| UPMC Hanover | Hanover, PA | $177.00 | $10.50 – $465.86 |
| UPMC Lititz | Lititz, PA | $177.00 | $10.50 – $465.86 |
| UPMC Memorial | York, PA | $177.00 | $10.50 – $589.94 |
| UPMC Somerset | Somerset, PA | $177.00 | $11.00 – $716.50 |
| UPMC Carlisle | Carlisle, PA | $177.00 | $10.50 – $465.86 |
| Methodist Charlton Medical Center | Dallas, TX | $184.08 | $519.80 – $519.80 |
| Methodist Dallas Medical Center | Dallas, TX | $184.08 | $519.80 – $519.80 |
| Methodist Mansfield Medical Center | Mansfield, TX | $184.08 | $519.80 – $519.80 |
| Methodist Richardson Medical Center | Richardson, TX | $184.08 | $519.80 – $519.80 |
| Methodist Celina Medical Center | Celina, TX | $184.08 | $498.05 – $498.05 |
| Methodist Southlake Medical Center | Souhtlake, TX | $184.08 | $519.80 – $519.80 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $184.20 | not published |
| St Mary's Hospital | Richmond, VA | $211.80 | not published |
| St Francis Medical Center | Midlothian, VA | $211.80 | not published |
| Memorial Regional Hospital | Mechanicsville, VA | $211.80 | not published |
| ADVENTIST HEALTH DELANO | Delano, CA | $220.90 | $131.75 – $199.95 |
| Defiance Hospital | Defiance, OH | $222.60 | not published |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $247.01 | $481.93 – $2,179.50 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $251.55 | $146.29 – $435.61 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $251.55 | $147.91 – $387.00 |
| MercyOne Elkader Medical Center | Elkader, IA | $251.55 | $199.19 – $404.49 |
| MercyOne Newton Medical Center | Newton, IA | $251.55 | $77.40 – $387.00 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $263.90 | $81.20 – $406.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $263.90 | $81.20 – $1,105.93 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $263.90 | $81.20 – $513.30 |
| Uniontown Hospital | Uniontown, PA | $271.00 | $11.00 – $542.00 |
| United Hospital Center | Bridgeport, WV | $271.00 | $542.00 – $542.00 |
| Berkeley Medical Center | Martinsburg, WV | $271.00 | $10.70 – $477.00 |
| Camden Clark Medical Center | Parkersburg, WV | $271.00 | $542.00 – $542.00 |
| Princeton Community Hospital | Princeton, WV | $271.00 | $10.00 – $542.00 |
| Reynolds Memorial Hospital | Glen Dale, WV | $271.00 | $10.50 – $477.00 |
| Thomas Hospitals | South Charleston, WV | $271.00 | $477.00 – $477.00 |
| Wetzel County Hospital | New Martinsville, WV | $271.00 | $11.00 – $542.00 |
| Weirton Medical Center | Weirton, WV | $271.00 | $10.00 – $12.60 |
| West Virginia University Hospitals | Morgantown, WV | $271.00 | $10.00 – $476.98 |
| REEDLEY COMMUNITY HOSPITAL | Reedley, CA | $276.07 | $343.62 – $2,906.00 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | $290.00 | $300.90 – $495.60 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $290.60 | $312.94 – $1,453.00 |
| LeConte Medical Center | Sevierville, TN | $291.55 | $211.12 – $904.82 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $300.00 | $299.19 – $933.18 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $300.00 | $299.19 – $870.76 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $300.00 | $299.19 – $870.76 |
| Sanford Bemidji Medical Center | Bemidji, MN | $300.00 | $161.74 – $323.49 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $300.00 | $299.19 – $870.76 |
| Parkwest Medical Center | Knoxville, TN | $301.61 | $211.12 – $904.82 |
| Morristown-Hamblen Hospital Association | Morristown, TN | $301.61 | $211.12 – $904.82 |