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 |
|---|---|---|---|
| Grant Memorial Hospital | Petersburg, WV | $649.60 | $584.10 – $584.10 |
| The Unity Hospital of Rochester | Rochester, NY | $654.22 | $309.75 – $325.45 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $658.00 | $81.20 – $1,105.93 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $658.00 | $153.21 – $451.83 |
| MercyOne North Iowa Medical Center | Mason City, IA | $658.00 | $81.20 – $451.87 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | $659.71 | $300.90 – $663.75 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $659.71 | $300.90 – $663.75 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | $659.71 | $300.90 – $663.75 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | $659.71 | $300.90 – $663.75 |
| UPMC Chautauqua | Jamestown, NY | $672.00 | $12.50 – $756.00 |
| UPMC Hamot | Erie, PA | $672.00 | $11.00 – $963.76 |
| UPMC McKeesport | Mckeesport, PA | $672.00 | $11.00 – $730.71 |
| UPMC Muncy | Muncy, PA | $672.00 | $11.00 – $17.04 |
| UPMC Wellsboro | Wellsboro, PA | $672.00 | $11.00 – $17.04 |
| UPMC Williamsport | Williamsport, PA | $672.00 | $11.00 – $17.04 |
| Swedish Issaquah | Issaquah, WA | $698.14 | $324.50 – $324.50 |
| Swedish Edmonds Hospital | Edmonds, WA | $698.14 | $324.50 – $324.50 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $698.15 | $324.50 – $324.50 |
| cleveland clinic main campus | Cleveland, OH | $718.90 | $1.10 – $995.40 |
| Moanalua Medical Center | HONOLULU, HI | $721.67 | not published |
| akron general | Akron, OH | $746.62 | $1.10 – $995.40 |
| avon hospital | Avon, OH | $746.62 | $8.51 – $995.40 |
| cleveland clinic florida weston hospital | Weston, FL | $746.62 | $17.89 – $1,106.00 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | $746.62 | $13.89 – $1,033.78 |
| euclid hospital | Euclid, OH | $746.62 | $8.71 – $995.40 |
| fairview hospital | Cleveland, OH | $746.62 | $8.19 – $995.40 |
| lutheran hospital | Cleveland, OH | $746.62 | $7.79 – $995.40 |
| hillcrest hospital | Mayfield Heights, OH | $746.62 | $8.53 – $995.40 |
| lodi hospital | Lodi, OH | $746.62 | $13.31 – $1,033.78 |
| martin north hospital | Stuart, FL | $746.62 | $18.83 – $1,106.00 |
| marymount hospital | Garfield Heights, OH | $746.62 | $7.70 – $995.40 |
| indian river hospital | Vero Beach, FL | $746.62 | $17.89 – $1,106.00 |
| medina hospital | Medina, OH | $746.62 | $7.98 – $995.40 |
| mercy hospital | Canton, OH | $746.62 | $1.10 – $995.40 |
| south pointe hospital | Warrensville Heights, OH | $746.62 | $9.08 – $995.40 |
| Redwood Memorial Hospital | Fortuna, CA | $800.29 | $508.09 – $508.09 |
| Riverside Methodist Hospital | Columbus, OH | $844.45 | $690.30 – $959.34 |
| Dublin Methodist Hospital | Dublin, OH | $844.45 | $690.30 – $959.34 |
| Grant Medical Center | Columbus, OH | $844.45 | $690.30 – $959.34 |
| Doctors Hospital | Columbus, OH | $844.45 | $690.30 – $959.34 |
| Marion General Hospital | Marion, OH | $844.45 | $1,917.50 – $1,917.50 |
| Sanford Fargo Medical Center | Fargo, ND | $847.53 | $312.94 – $953.47 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor, NY | $849.56 | $27.80 – $295.00 |
| NewYork-Presbyterian Queens | Flushing, NY | $849.56 | $27.80 – $331.34 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $849.56 | $20.85 – $331.34 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $866.76 | $422.04 – $791.54 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | $869.57 | $544.79 – $791.54 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $907.50 | $484.00 – $1,089.00 |
| University Hospitals Elyria Medical Center | Elyria, OH | $907.50 | not published |
| University Hospitals St. John Medical Center | Westlake OH, OH | $907.50 | $1,095.29 – $1,095.29 |