Vaccines CPT 90678 Outpatient

RSV vaccine (Abrysvo) cost in Ann Arbor, MI

In Ann Arbor, MI, 1 hospital lists a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $197.70 to $197.70, with a median of $197.70. Across Michigan, the median is $497.10 at 31 hospitals.

Cash prices at 1 facility for code 90678, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$197.70University of Michigan Health
Median$197.70half pay less
Highest$197.70in this market
Difference1.0×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Ann Arbor, MI.

median
Lowest $197.70Highest $215.20

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
University of Michigan Health lowest Ann Arbor, MI · (734) 764-1505 RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION $197.70 $494.24 $212.52–$610.23 60% —
source file
University of Michigan Health Ann Arbor, MI · (734) 764-1505 HC-Rsv Vaccine(Abrysvo)Pref Subunit Bivalent for Im Use $215.20 $538.00 $231.34–$610.23 60% —
source file

Outpatient: lowest $197.70, median $197.70, highest $197.70.

As an inpatient, the same code is billed by 1 facility here, median $197.70. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated and below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

Abrysvo is a single-dose RSV vaccine. The CDC recommends an RSV vaccine for everyone 75 and older and for adults 50 to 74 at higher risk, and Abrysvo is also given in weeks 32 to 36 of pregnancy to protect the newborn.

What the price covers

The price is for the vaccine dose. Giving the shot is usually a separate line (code 90471 for the first vaccine of the visit).