RSV vaccine (Abrysvo) cost in Baltimore, MD
In Baltimore-Columbia-Towson, MD, 4 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $385.20 to $1,111.59, with a median of $905.64. The lowest listed price is at MedStar Franklin Square Medical Center — $520.44 less than the median here. Across Maryland, the median is $613.13 at 8 hospitals.
Cash prices at 4 facilities for code 90678, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Baltimore-Columbia-Towson, MD.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| MedStar Franklin Square Medical Center lowest Baltimore, MD · (443) 777-7850 RSV VACCINE 120MCG/0.5ML INJ | $385.20 | $393.06 | $385.20–$393.06 | 2% | Apr 1, 2026 source file |
| MedStar Union Memorial Hospital Baltimore, MD · (410) 554-2227 RSV VACCINE 120MCG/0.5ML INJ | $899.79 | $918.15 | $899.79–$918.15 | 2% | Apr 1, 2026 source file |
| MedStar Harbor Hospital Baltimore, MD · (410) 350-3201 RSV VACCINE 120MCG/0.5ML INJ | $911.48 | $930.08 | $911.48–$930.08 | 2% | Apr 1, 2026 source file |
| MedStar Good Samaritan Hospital Baltimore, MD · (443) 444-3902 RSV VACCINE 120MCG/0.5ML INJ | $1,111.59 | $1,134.28 | $1,111.59–$1,134.28 | 2% | Apr 1, 2026 source file |
Outpatient: lowest $385.20, median $905.64, highest $1,111.59 — a 2.9× difference within the same market.
Cash or insurance?
At 4 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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).