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 |
|---|---|---|---|
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | not published | $300.90 – $663.75 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $813.41 – $1,345.20 |
| Covenant Medical Center | Lubbock, TX | not published | $813.41 – $1,345.20 |
| Aurora Medical Center Bay Area | Marinette, WI | not published | $300.90 – $495.60 |
| Aurora Baycare Medical Center | Green Bay, WI | not published | $300.90 – $495.60 |
| South Brooklyn Health | Brooklyn, NY | not published | $344.59 – $544.52 |
| Henry Ford Rochester Hospital | Rochester, MI | not published | $641.36 – $688.16 |
| Spring Harbor Hospital | Westbrook, ME | not published | $330.40 – $600.68 |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | not published | $293.82 – $371.70 |
| Shelby Hospital | Shelby, OH | not published | $1,917.50 – $1,917.50 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | not published | $349.75 – $349.75 |
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | not published | $300.90 – $663.75 |
| MaineHealth - Memorial Hospital | North Conway, NH | not published | $330.40 – $600.68 |
| Corewell Health Gerber | Fremont, MI | not published | $349.75 – $349.75 |
| Corewell Health Big Rapids | Big Rapids, MI | not published | $349.75 – $349.75 |
| Franklin Memorial Hospital | Farmington, ME | not published | $300.90 – $618.15 |
| Wellstar MCG Health | Augusta, GA | not published | $629.74 – $629.74 |
| Wellstar Kennestone Hospital | Marietta, GA | not published | $629.74 – $629.74 |
| Wellstar Douglas Hospital | Douglasville, GA | not published | $629.74 – $629.74 |
| Wellstar Cobb Hospital | Austell, GA | not published | $629.74 – $629.74 |
| Adventhealth Rollins Brook | Lampasas, TX | not published | $837.34 – $837.34 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | not published | $375.24 – $375.24 |
| CHRISTUS Shreveport-Bossier Health System-Highland | Shreveport, LA | not published | $375.24 – $375.24 |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | not published | $607.46 – $1,007.72 |
| CHRISTUS Ochsner St. Patrick Hospital | Lake Charles, LA | not published | $375.24 – $375.24 |
| CHRISTUS Ochsner Lake Area Hospital | Lake Charles, LA | not published | $375.24 – $375.24 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $349.75 – $349.75 |
| CHRISTUS Coushatta Health Care Center | Coushatta, LA | not published | $375.24 – $375.24 |
| CENTERPOINT MEDICAL CENTER | Independence, MO | not published | $295.00 – $338.21 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | not published | $300.90 – $300.90 |
| AdventHealth Parker | Parker, CO | not published | $574.18 – $574.18 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $158.88 – $823.19 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | not published | $309.75 – $499.07 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | not published | $730.77 – $911.28 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | not published | $295.00 – $309.75 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | not published | $730.77 – $911.28 |
| Providence Centralia Hospital | Centralia, WA | not published | $1,062.00 – $1,062.00 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $344.59 – $544.52 |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | not published | $300.90 – $663.75 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | not published | $300.90 – $663.75 |
| Robert Wood Johnson University Hospital Somerset | Somerville, NJ | not published | $293.82 – $371.70 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township, NJ | not published | $293.82 – $371.70 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | not published | $730.77 – $911.28 |
| Mansfield Hospital | Mansfield, OH | not published | $1,917.50 – $1,917.50 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | not published | $300.90 – $663.75 |
| Grady Memorial Hospital | Delaware, OH | not published | $1,917.50 – $1,917.50 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | not published | $963.77 – $963.77 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | not published | $293.82 – $386.69 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | not published | $300.90 – $663.75 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | not published | $963.77 – $963.77 |