RSV vaccine (Abrysvo) cost in Charlotte, NC
In Charlotte-Concord-Gastonia, NC-SC, 8 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $388.95 to $388.95, with a median of $388.95. The lowest listed price is at Carolinas Medical Center and 7 other hospitals. Across North Carolina, the median is $775.50 at 28 hospitals.
Cash prices at 8 facilities across 6 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 Dec 1, 2025 and Dec 5, 2025.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Charlotte-Concord-Gastonia, NC-SC.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | $169.66–$700.11 | 50% | Dec 5, 2025 source file |
| Carolinas Rehabilitation lowest Belmont, NC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | $219.45–$715.67 | 50% | Dec 5, 2025 source file |
| Atrium Health Anson lowest Wadesboro, NC · (704) 694-5131 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | $116.37–$739.01 | 50% | Dec 1, 2025 source file |
| Atrium Health Lincoln lowest Lincolnton, NC · (980) 212-2000 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | $87.75–$739.01 | 50% | Dec 1, 2025 source file |
| Atrium Health Union lowest Monroe, NC · (704) 283-3100 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | $101.13–$739.01 | 50% | Dec 4, 2025 source file |
| Atrium Health Pineville lowest Charlotte, NC · (704) 379-5000 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | $77.79–$715.67 | 50% | Dec 5, 2025 source file |
| Atrium Health Pineville lowest Charlotte, NC · (704) 379-5000 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | $77.79–$754.56 | 50% | Dec 5, 2025 source file |
| Carolinas Medical Center-Northeast lowest Concord, NC · (704) 783-3000 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | $95.45–$739.01 | 50% | Dec 1, 2025 source file |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | $169.66–$700.11 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | $169.66–$715.67 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | $147.80–$777.90 | 50% | Dec 4, 2025 source file |
| Carolinas Rehabilitation lowest Charlotte, NC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | $219.45–$715.67 | 50% | Dec 5, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $624.00 | $1,248.00 | $237.12–$1,248.00 | 50% | Dec 4, 2025 source file |
| Carolinas Rehabilitation Charlotte, NC RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $624.00 | $1,248.00 | $352.06–$1,148.16 | 50% | Dec 5, 2025 source file |
| Atrium Health Pineville Charlotte, NC · (704) 379-5000 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $624.00 | $1,248.00 | $124.80–$1,210.56 | 50% | Dec 5, 2025 source file |
| Carolinas Rehabilitation Belmont, NC RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $624.00 | $1,248.00 | $352.06–$1,148.16 | 50% | Dec 5, 2025 source file |
| Atrium Health Anson Wadesboro, NC · (704) 694-5131 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $624.00 | $1,248.00 | $186.70–$1,185.60 | 50% | Dec 1, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $624.00 | $1,248.00 | $272.19–$1,148.16 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center-Northeast Concord, NC · (704) 783-3000 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $624.00 | $1,248.00 | $153.13–$1,185.60 | 50% | Dec 1, 2025 source file |
| Atrium Health Lincoln Lincolnton, NC · (980) 212-2000 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $624.00 | $1,248.00 | $140.77–$1,185.60 | 50% | Dec 1, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $624.00 | $1,248.00 | $272.19–$1,123.20 | 50% | Dec 5, 2025 source file |
| Atrium Health Union Monroe, NC · (704) 283-3100 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $624.00 | $1,248.00 | $162.24–$1,185.60 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $624.00 | $1,248.00 | $272.19–$1,123.20 | 50% | Dec 4, 2025 source file |
| Atrium Health Pineville Charlotte, NC · (704) 379-5000 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $624.00 | $1,248.00 | $124.80–$1,148.16 | 50% | Dec 5, 2025 source file |
Outpatient: lowest $388.95, median $388.95, highest $388.95.
As an inpatient, the same code is billed by 8 facilities here, median $388.95. 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 8 of 8 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).