Vaccines CPT 90678 Outpatient

RSV vaccine (Abrysvo) cost in Chicago, IL

In Chicago-Naperville-Elgin, IL-IN, 11 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $86.73 to $2,097.08, with a median of $259.60. The lowest listed price is at Humboldt Park Health — $172.87 less than the median here. Across Illinois, the median is $459.46 at 26 hospitals.

  • The median here, $259.60, is 43% below the US median of $454.97.
  • 3 of 11 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 11 facilities across 7 cities for code 90678, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 26, 2026; the hospital files themselves were last updated between Dec 26, 2025 and Sep 29, 2026.

Lowest$86.73Humboldt Park Health
Median$259.60half of hospitals charge less
Highest$2,097.08in this market
Difference24.2×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 Chicago-Naperville-Elgin, IL-IN.

median
Lowest $86.73Highest $2,097.08

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Humboldt Park Health lowest Chicago, IL · (773) 292-8200 Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use File of Sep 29, 2026 · source file $86.73 $309.75 $102.22–$325.24 72%
Gottlieb Memorial Hospital Melrose Park, IL · (708) 681-3200 Rsv Pref (Abrysvo 0.5ml) Age > 60yrs or Gestational Age 32-36 Wk+1 more line at this price File of Mar 31, 2026 · source file $161.50 $850.00 $255.85–$712.30 81%
MacNeal Hospital Berwyn, IL · (708) 783-9100 Rsv Pref (Abrysvo 0.5ml) Age > 60yrs or Gestational Age 32-36 Wk File of Mar 31, 2026 · source file $161.50 $850.00 $161.50–$1,177.25 81%
Uchicago Medicine AdventHealth Hinsdale Hinsdale, IL · (630) 856-9000 RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION File of Apr 1, 2026 · source file $184.20 $307.00 — 40%
Loyola University Medical Center Maywood, IL · (708) 216-9000 Rsv Pref (Abrysvo 0.5ml) Age > 60yrs or Gestational Age 32-36 Wk+1 more line at this price File of Mar 31, 2026 · source file $195.50 $850.00 $36.28–$895.90 77%
Jackson Park Hospital Foundation Chicago, IL · (773) 947-7500 RSV VACCINE 1X0.5ML ABRYSVO File of Dec 26, 2025 · source file $259.60 $324.50 — 20%
The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Abrysvo: 1 Tray In 1 Carton (0069-0344-01) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01)+3 more lines at this price File of Apr 1, 2026 · source file $307.00 $307.00 — —
Northwestern Memorial Hospital Chicago, IL · (312) 926-2000 HB Abrysvo Rsv Vaccine Pref Subunit Bivalent for Im Use File of Apr 1, 2026 · source file $364.70 $521.00 $101.07–$521.00 30%
John H. Stroger, Jr. Hospital Chicago, IL · (312) 864-6000 RSV VACCINE, PREF A-PREF B, RECOMBINANT PRESERVATIVE-FREE 60 MCG-60 MCG INJ File of Apr 1, 2026 · source file $901.99 $1,288.56 $362.02–$1,030.85 30%
Northwestern Memorial Hospital Chicago, IL · (312) 926-2000 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR File of Apr 1, 2026 · source file $1,048.25 $1,497.50 $290.52–$1,497.50 30%
Edward Hospital Naperville, IL · (630) 527-3000 Abrysvo: 1 Tray In 1 Carton (0069-0344-01) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01) File of Apr 1, 2026 · source file $2,097.08 $2,097.08 — —
Elmhurst Memorial Hospital Elmhurst, IL · (331) 221-1000 Abrysvo: 1 Tray In 1 Carton (0069-0344-01) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01) File of Apr 1, 2026 · source file $2,097.08 $2,097.08 — —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Outpatient: lowest $86.73, median $259.60, highest $2,097.08 — a 24.2× difference within the same market.

As an inpatient, the same code is billed by 9 facilities here, median $259.60. 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 6 of 6 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 it is 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 RSV vaccine (Abrysvo) is, what the price covers and why prices differ: RSV vaccine (Abrysvo) explained.