RSV vaccine (Abrysvo) cost in Buffalo, NY
In Buffalo-Cheektowaga, NY, 4 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $372.00 to $413.63, with a median of $372.00. The lowest listed price is at Sisters of Charity Hospital and 2 other hospitals. Across New York, the median is $439.32 at 34 hospitals.
Cash prices at 4 facilities across 3 cities 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 —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Buffalo-Cheektowaga, NY.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Sisters of Charity Hospital lowest Buffalo, NY · (716) 862-1000 Bivalent RSV Vaccine | $372.00 | $372.00 | $139.13–$665.83 | — | — source file |
| Mercy Hospital of Buffalo lowest Buffalo, NY · (716) 826-7000 Bivalent RSV Vaccine | $372.00 | $372.00 | $139.13–$665.83 | — | — source file |
| Mount St. Mary's Hospital lowest Lewiston, NY · (716) 297-4800 Bivalent RSV Vaccine | $372.00 | $372.00 | $139.13–$665.83 | — | — source file |
| Sisters of Charity Hospital Buffalo, NY · (716) 862-1000 Rsv Vaccine Pref Subunit Bivalent for Im Use | $409.00 | $409.00 | $139.13–$665.83 | — | — source file |
| Sisters of Charity Hospital Buffalo, NY · (716) 862-1000 Rsv Vaccine Pref Subunit Bivalent for Im Use | $409.00 | $409.00 | $139.13–$665.83 | — | — source file |
| Mercy Hospital of Buffalo Buffalo, NY · (716) 826-7000 Rsv Vaccine Pref Subunit Bivalent for Im Use | $409.00 | $409.00 | $139.13–$665.83 | — | — source file |
| Mercy Hospital of Buffalo Buffalo, NY · (716) 826-7000 Rsv Vaccine Pref Subunit Bivalent for Im Use | $409.00 | $409.00 | $139.13–$665.83 | — | — source file |
| Mount St. Mary's Hospital Lewiston, NY · (716) 297-4800 Rsv Vaccine Pref Subunit Bivalent for Im Use | $409.00 | $409.00 | $139.13–$665.83 | — | — source file |
| Mount St. Mary's Hospital Lewiston, NY · (716) 297-4800 Rsv Vaccine Pref Subunit Bivalent for Im Use | $409.00 | $409.00 | $139.13–$665.83 | — | — source file |
| Niagara Falls Memorial Medical Center Niagara Falls, NY · (716) 278-4000 Abrysvo | $413.63 | $590.90 | $300.90 | 30% | — source file |
Outpatient: lowest $372.00, median $372.00, highest $413.63 — a 1.1× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $372.00. 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 3 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).
1 row held back from this comparison
It is priced below $1 or below a tenth of the national median for code 90678 ($504.00). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.
| Niagara Falls Memorial Medical Center Niagara Falls, NYRESPIRATORY SYNCYTIAL VIRUS VACCINE; PREF; SUBUNIT; BIVALENT; FOR INTRAMUSCULAR USE | $38.50 | file |