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 |
|---|---|---|---|
| GREENVIEW REGIONAL HOSPITAL | BOWLING GREEN, KY | not published | $331.45 – $631.75 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $328.06 – $2,079.24 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $328.06 – $2,079.24 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $328.06 – $2,079.24 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | not published | $328.06 – $2,079.24 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $328.06 – $2,079.24 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | not published | $328.06 – $2,079.24 |
| Kettering Health Troy | Troy, OH | not published | $431.88 – $958.70 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | not published | $431.88 – $958.70 |
| Kettering Health Greene Memorial | Xenia, OH | not published | $431.88 – $958.70 |
| Soin Medical Center | Beaver Creek, OH | not published | $431.88 – $958.70 |
| Kettering Health Dayton (Grandview) | Dayton, OH | not published | $431.88 – $958.70 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | not published | $431.88 – $958.70 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | not published | $431.88 – $958.70 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | not published | $495.60 – $495.60 |
| MUSC Health Kershaw Medical Center | Camden, SC | not published | $495.60 – $495.60 |
| MUSC Health Florence Medical Center | Florence, SC | not published | $495.60 – $495.60 |
| MUSC Health Chester Medical Center | Chester, SC | not published | $495.60 – $495.60 |
| MUSC Health Main Campus - Charleston | Charleston, SC | not published | $495.60 – $761.10 |
| MUSC Health Black River Medical Center | Cades, SC | not published | $495.60 – $495.60 |
| MultiCare Allenmore Hospital | Tacoma, WA | not published | $19.22 – $462.56 |
| MultiCare Valley Hospital | Spokane Valley, WA | not published | $18.36 – $462.56 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | not published | $19.12 – $67.89 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | not published | $19.21 – $462.56 |
| MultiCare Covington Medical Center | Covington, WA | not published | $18.78 – $462.56 |
| MultiCare Capital Medical Center | Olympia, WA | not published | $20.21 – $462.56 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $338.21 – $338.21 |
| MultiCare Auburn Medical Center | Auburn, WA | not published | $18.78 – $462.56 |
| Houston Methodist Cypress Hospital | Cypress, TX | not published | $807.51 – $2,177.67 |
| Houston Methodist Continuing Care Hospital | Katy, TX | not published | $2,177.67 – $2,177.67 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | not published | $807.51 – $2,177.67 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | not published | $807.51 – $2,177.67 |
| Houston Methodist Willowbrook Hospital | Houston, TX | not published | $807.51 – $2,177.67 |
| Houston Methodist Baytown Hospital | Baytown, TX | not published | $807.51 – $2,177.67 |
| Houston Methodist West Hospital | Houston, TX | not published | $807.51 – $2,177.67 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | not published | $807.51 – $2,177.67 |
| Houston Methodist Hospital | Houston, TX | not published | $807.51 – $1,972.67 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $328.06 – $2,079.24 |
| Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) | Carmel, IN | not published | $300.90 – $663.75 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | not published | $439.98 – $439.98 |
| Texas Health Hospital Mansfield | Mansfield, TX | not published | $439.98 – $439.98 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | not published | $328.06 – $2,079.24 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | not published | $368.16 – $848.21 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $309.75 – $946.08 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $350.16 – $368.16 |
| CHRISTUS Spohn Hospital Corpus Christi - Shoreline | Corpus Christi, TX | not published | $368.16 – $541.55 |
| CHRISTUS St. Michael Rehabilitation | Texarkana, TX | not published | $309.75 – $368.16 |
| Claiborne Medical Center | Tazewell, TN | not published | $403.82 – $403.82 |
| CHRISTUS Spohn Hospital - Kleberg | Kingsville, TX | not published | $368.16 – $600.27 |
| CHRISTUS Spohn Hospital - Beeville | Beeville, TX | not published | $368.16 – $643.77 |