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 |
|---|---|---|---|
| San Jose Medical Center | SAN JOSE, CA | $538.84 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $538.84 | not published |
| UnityPoint Health - Meriter Hospital | Madison, WI | $542.00 | $133.86 – $494.70 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $555.82 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $555.82 | $25.05 – $805.94 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $555.82 | $314.97 – $676.25 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $555.82 | $67.84 – $435.39 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | $588.40 | $498.42 – $631.75 |
| Parkview DeKalb Hospital | Auburn, IN | $588.40 | $498.42 – $631.75 |
| Parkview Huntington Hospital | Huntington, IN | $588.40 | $498.42 – $631.75 |
| Parkview LaGrange Hospital | Lagrange, IN | $588.40 | $498.42 – $631.75 |
| Parkview Logansport Hospital | Logansport, IN | $588.40 | $558.37 – $558.37 |
| Parkview Wabash Hospital | Wabash, IN | $588.40 | $498.42 – $631.75 |
| Parkview Noble Hospital | Kendallville, IN | $588.40 | $498.42 – $631.75 |
| Parkview Ortho Hospital | Fort Wayne, IN | $588.40 | $498.42 – $631.75 |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | $588.40 | $498.42 – $631.75 |
| Atrium Health Anson | Wadesboro, NC | $624.00 | $116.37 – $739.01 |
| Atrium Health Mercy | Charlotte, NC | $624.00 | $169.66 – $715.67 |
| Atrium Health Pineville | Charlotte, NC | $624.00 | $77.79 – $715.67 |
| Atrium Health Stanly | Albermarle, NC | $624.00 | $93.35 – $746.78 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $624.00 | $147.80 – $777.90 |
| Atrium Health Cleveland | Shelby, NC | $624.00 | $108.91 – $739.01 |
| Atrium Health Cabarrus | Concord, NC | $624.00 | $95.45 – $739.01 |
| Atrium Health Lincoln | Lincolnton, NC | $624.00 | $87.75 – $739.01 |
| Atrium Health Union | Monroe, NC | $624.00 | $101.13 – $739.01 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $624.00 | $219.45 – $715.67 |
| Atrium Health University City | Charlotte, NC | $624.00 | $77.79 – $715.67 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $624.00 | $169.66 – $700.11 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton, CO | $628.66 | $631.75 – $1,148.64 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | $628.72 | $449.16 – $752.25 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $637.20 | $283.82 – $283.82 |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $637.20 | $283.82 – $283.82 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $637.20 | $283.82 – $283.82 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $637.20 | $445.42 – $445.42 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $637.20 | $445.42 – $445.42 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $637.20 | $283.82 – $283.82 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $637.20 | $445.42 – $445.42 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $637.20 | $283.82 – $283.82 |
| Texas Health Hospital Frisco | Frisco, TX | $637.20 | $283.82 – $283.82 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $637.20 | $445.42 – $445.42 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $637.20 | $445.42 – $445.42 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $637.20 | $283.82 – $283.82 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $637.20 | $283.82 – $283.82 |
| Texas Health Hospital Rockwall | Rockwall, TX | $637.20 | $445.42 – $445.42 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $637.20 | $445.42 – $445.42 |
| Texas Health Springwood Hospital Hurst-Euless-Bedford | Bedford, TX | $637.20 | $283.82 – $283.82 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $637.20 | $283.82 – $283.82 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $637.20 | $283.82 – $283.82 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $637.20 | $445.42 – $445.42 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $637.20 | $445.42 – $445.42 |