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 |
|---|---|---|---|
| CHRISTUS Spohn Hospital - Alice | Alice, TX | not published | $368.16 – $691.62 |
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $368.16 – $959.13 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $368.16 – $835.16 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $368.16 – $371.91 |
| CHRISTUS Trinity Mother Frances Hospital - South Tyler | Tyler, TX | not published | $368.16 – $371.91 |
| CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs | Sulphur Springs, TX | not published | $602.45 – $602.45 |
| CHRISTUS Trinity Mother Frances Hospital - Jacksonville | Jacksonville, TX | not published | $368.16 – $371.91 |
| CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital | Tyler, TX | not published | $368.16 – $371.91 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $350.16 – $368.16 |
| AdventHealth Castle Rock | Castle Rock, CO | not published | $574.18 – $574.18 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | not published | $607.46 – $1,007.72 |
| Kadlec Regional Medical Center | Richland, WA | not published | $395.64 – $1,062.00 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | not published | $730.77 – $911.28 |
| Providence Milwaukie Hospital | Milwaukie, OR | not published | $1,062.00 – $1,062.00 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | not published | $730.77 – $911.28 |
| Covenant Hospital Levelland | Levelland, TX | not published | $806.89 – $806.89 |
| SSM Health Ripon Community Hospital | Ripon, WI | not published | $963.77 – $963.77 |
| SSM Health Monroe Hospital | Monroe, WI | not published | $1,002.31 – $1,002.31 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | not published | $293.82 – $371.70 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | not published | $300.90 – $663.75 |
| Providence St Joseph Hospital Orange | Orange, CA | not published | $538.07 – $791.54 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $309.75 – $499.07 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | not published | $300.90 – $663.75 |
| Monmouth Medical Center | Long Branch, NJ | not published | $293.82 – $371.70 |
| Jersey City Medical Center | Jersey City, NJ | not published | $293.82 – $385.51 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | not published | $300.90 – $300.90 |
| Adventhealth Central Texas | Killeen, TX | not published | $837.34 – $837.34 |
| AdventHealth Avista | Louisville, CO | not published | $574.18 – $574.18 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | not published | $730.77 – $911.28 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | not published | $730.77 – $911.28 |
| St Jude Medical Center | Fullerton, CA | not published | $551.60 – $791.54 |
| Providence Saint Joseph Medical Center | Burbank, CA | not published | $312.94 – $1,174.69 |
| AdventHealth Porter | Denver, CO | not published | $574.18 – $574.18 |
| Healdsburg Hospital | Healdsburg, CA | not published | $312.94 – $1,000.88 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | not published | $300.90 – $300.90 |
| Newark Beth Israel Medical Center | Newark, NJ | not published | $293.82 – $371.70 |
| Providence St Joseph Hospital Eureka | Eureka, CA | not published | $506.84 – $791.54 |
| Queen of The Valley Medical Center | Napa, CA | not published | $424.91 – $791.54 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | not published | $300.90 – $300.90 |
| Ascension Saint Thomas Midtown | Nashville, TN | not published | $431.88 – $508.82 |
| Clara Maass Medical Center | Belleville, NJ | not published | $293.82 – $371.70 |
| Community Medical Center | Toms River, NJ | not published | $293.82 – $371.70 |
| Covenant Hospital Plainview | Plainview, TX | not published | $806.89 – $806.89 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | not published | $312.94 – $1,380.10 |
| Southeastern Medical Center | Cambridge, OH | not published | $1,917.50 – $1,917.50 |
| Berger Hospital | Circleville, OH | not published | $782.34 – $1,917.50 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | not published | $312.94 – $1,436.45 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $584.10 – $1,196.52 |
| Providence Holy Cross Medical Center | Mission Hills, CA | not published | $312.94 – $1,352.25 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $309.75 – $499.07 |