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
272
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 | 23 | $134.99 | $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 | 21 | $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 |
|---|---|---|---|
| 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 |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | not published | $295.00 – $309.75 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | not published | $300.90 – $663.75 |
| University Hospitals Geneva Medical Center | Geneva, OH | not published | $1,095.29 – $1,095.29 |
| UPMC St. Margaret | Pittsburgh, PA | not published | $11.00 – $730.71 |
| Queens Hospital Center | Jamaica, NY | not published | $344.59 – $544.52 |
| UPMC Northwest | Seneca, PA | not published | $11.00 – $1,878.58 |
| UPMC Mercy | Pittsburgh, PA | not published | $11.00 – $723.82 |
| Corewell Health Pennock | Hastings, MI | not published | $349.75 – $349.75 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | not published | $312.94 – $1,172.30 |
| Woodhull Medical Center | Brooklyn, NY | not published | $344.59 – $544.52 |
| Advocate Trinity Hospital | Chicago, IL | not published | $584.10 – $1,196.52 |
| Mid Coast Hospital | Brunswick, ME | not published | $330.40 – $618.15 |
| Harlem Hospital Center | New York, NY | not published | $344.59 – $544.52 |
| Waldo County General Hospital | Belfast, ME | not published | $330.40 – $618.15 |
| Pen Bay Medical Center | Rockport, ME | not published | $330.40 – $618.15 |
| Metropolitan Hospital Center | New York, NY | not published | $344.59 – $544.52 |
| Lincoln Medical Center | Bronx, NY | not published | $344.59 – $544.52 |
| Kings County Hospital Center | Brooklyn, NY | not published | $344.59 – $544.52 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR, VA | not published | $287.48 – $1,014.63 |
| Bellevue Hospital Center | NY 10016, NY | not published | $344.59 – $406.82 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | not published | $312.94 – $312.94 |
| Advocate South Suburban Hospital | Hazel Crest, IL | not published | $584.10 – $1,196.52 |
| Advocate Sherman Hospital | Elgin, IL | not published | $660.80 – $831.90 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | not published | $584.10 – $1,196.52 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | not published | $584.10 – $1,196.52 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem, IN | not published | $300.90 – $663.75 |
| Cooperman Barnabas Medical Center | Livingston, NJ | not published | $293.82 – $371.70 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | not published | $300.90 – $300.90 |
| Swedish Medical Center Cherry Hill | Seattle, WA | not published | $324.50 – $324.50 |
| Petaluma Valley Hospital | Petaluma, CA | not published | $392.54 – $791.54 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | not published | $659.62 – $659.62 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | not published | $300.90 – $300.90 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis, IN | not published | $300.90 – $663.75 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | not published | $300.90 – $300.90 |
| Hardin Memorial Hospital | Kenton, OH | not published | $1,917.50 – $1,917.50 |
| Van Wert Hospital | Van Wert, OH | not published | $1,917.50 – $1,917.50 |
| O'Bleness Hospital | Athens, OH | not published | $1,917.50 – $1,917.50 |