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 |
|---|---|---|---|
| Advocate Condell Medical Center | Libertyville, IL | not published | $660.80 – $938.10 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $584.10 – $1,196.52 |
| Trinitas Regional Medical Center | Elizabeth, NJ | not published | $293.82 – $1,835.49 |
| Lincoln Health | Damariscotta, ME | not published | $330.40 – $618.15 |
| Wellstar Windy Hill Hospital | Marietta, GA | not published | $629.74 – $629.74 |
| Stephens Memorial Hospital | Norway, ME | not published | $330.40 – $618.15 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | not published | $449.16 – $752.25 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $328.06 – $2,079.24 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | not published | $660.80 – $660.80 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | not published | $730.77 – $911.28 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | not published | $324.50 – $324.50 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | not published | $312.70 – $2,079.24 |
| Jacobi Medical Center | Bronx, NY | not published | $344.59 – $406.82 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $303.32 – $2,079.24 |
| AdventHealth Littleton | Littleton, CO | not published | $574.18 – $574.18 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | not published | $607.46 – $1,007.72 |
| Ascension Providence | Waco, TX | not published | $532.85 – $754.69 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | not published | $449.16 – $752.25 |
| Wellstar West Georgia Medical Center | Lagrange, GA | not published | $629.74 – $629.74 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | not published | $629.74 – $629.74 |
| Wellstar Spalding Regional Hospital | Griffin, GA | not published | $629.74 – $629.74 |
| North Central Bronx | Bronx, NY | not published | $344.59 – $406.82 |
| Wellstar Paulding Hospital | Hiram, GA | not published | $629.74 – $629.74 |
| Wellstar North Fulton Hospital | Roswell, GA | not published | $629.74 – $629.74 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | not published | $449.16 – $752.25 |
| Ascension Saint Thomas Hickman | Centerville, TN | not published | $431.88 – $508.82 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | not published | $449.16 – $495.60 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | not published | $431.88 – $508.82 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | not published | $495.60 – $607.46 |
| Corewell Health Troy | Troy, MI | not published | $439.94 – $439.94 |
| Ascension Saint Thomas River Park | McMinnville, TN | not published | $431.88 – $508.82 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | not published | $495.60 – $607.46 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $442.06 – $442.06 |
| Corewell Health Zeeland | Zeeland, MI | not published | $349.75 – $349.75 |
| Corewell Health Greenville | Greenville, MI | not published | $349.75 – $349.75 |
| Ascension Saint Thomas DeKalb | Smithville, TN | not published | $431.88 – $508.82 |
| Corewell Health Reed City | Po Box 75, MI | not published | $349.75 – $349.75 |
| Providence Willamette Falls Medical Center | Oregon City, OR | not published | $1,062.00 – $1,062.00 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $349.75 – $349.75 |
| Aurora West Allis Medical Center | West Allis, WI | not published | $300.90 – $495.60 |
| Aurora Medical Center Washington County | Hartford, WI | not published | $300.90 – $495.60 |
| Aurora Medical Center Summit | Summit, WI | not published | $300.90 – $495.60 |
| Aurora Psychiatric Hospital | Wauwatosa, WI | not published | $300.90 – $495.60 |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | not published | $300.90 – $495.60 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | not published | $300.90 – $495.60 |
| Aurora Medical Center Kenosha | Kenosha, WI | not published | $300.90 – $495.60 |
| Aurora Medical Center Manitowoc | Two Rivers, WI | not published | $300.90 – $495.60 |
| Aurora Medical Center Grafton | Grafton, WI | not published | $300.90 – $495.60 |
| Aurora Medical Center Burlington | Burlington, WI | not published | $300.90 – $495.60 |
| Ascension Saint Thomas Highlands | Sparta, TN | not published | $431.88 – $508.82 |