RSV vaccine (Abrysvo) cost in Cleveland, OH
In Cleveland, OH, 20 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $103.95 to $1,675.00, with a median of $732.76. The lowest listed price is at Metrohealth System — $628.81 less than the median here. Across Ohio, the median is $718.90 at 43 hospitals.
Cash prices at 20 facilities across 15 cities for code 90678, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 14, 2026.
Lowest$103.95Metrohealth System
Median$732.76half pay less
Highest$1,675.00in this market
Difference16.1×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 Cleveland, OH.
median
Lowest $103.95Highest $1,675.00
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Metrohealth System lowest Cleveland, OH · (216) 778-7089 Abrysvo: 10 Vial In 1 Carton (0069-2465-10) / .5 Ml In 1 Vial (0069-2465-19) | $103.95 | $297.00 | — | 65% | Apr 1, 2026 source file |
| Metrohealth System lowest Cleveland, OH · (216) 778-7089 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) | $103.95 | $297.00 | — | 65% | Apr 1, 2026 source file |
| Metrohealth System lowest Cleveland, OH · (216) 778-7089 Respiratory Syncytial Virus (Rsv) Vaccine, Pref, Subunit, Bivalent, Im Use | $103.95 | $297.00 | — | 65% | Apr 1, 2026 source file |
| Metrohealth System Cleveland, OH · (216) 778-7089 Abrysvo: 5 Tray In 1 Carton (0069-0344-05) / 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) | $272.65 | $779.00 | — | 65% | Apr 1, 2026 source file |
| Metrohealth System Cleveland, OH · (216) 778-7089 NDC Description Not Available | $273.24 | $780.68 | — | 65% | Apr 1, 2026 source file |
| Metrohealth System Cleveland, OH · (216) 778-7089 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR [165076] | $526.50 | $810.00 | — | 35% | Apr 1, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 RSV VACCINE, BIVALENT (ABRYSVO) | $718.90 | $1,106.00 | $241.11–$1,106.00 | 35% | Jun 16, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $718.90 | $1,106.00 | $281.03–$1,106.00 | 35% | Jun 16, 2026 source file |
| Fairview Hospital Cleveland, OH · (216) 476-7000 RSV VACCINE, BIVALENT (ABRYSVO) | $718.90 | $1,106.00 | $171.87–$1,106.00 | 35% | Jun 15, 2026 source file |
| Fairview Hospital Cleveland, OH · (216) 476-7000 RSV VACCINE, BIVALENT (ABRYSVO) | $718.90 | $1,106.00 | $171.87–$1,106.00 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 RSV VACCINE, BIVALENT (ABRYSVO) | $718.90 | $1,106.00 | $188.46–$1,106.00 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 RSV VACCINE, BIVALENT (ABRYSVO) | $718.90 | $1,106.00 | $188.46–$1,106.00 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH RSV VACCINE, BIVALENT (ABRYSVO) | $718.90 | $1,106.00 | $188.46–$1,106.00 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH RSV VACCINE, BIVALENT (ABRYSVO) | $718.90 | $1,106.00 | $188.46–$1,106.00 | 35% | Jun 15, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 RSV VACCINE, BIVALENT (ABRYSVO) | $718.90 | $1,106.00 | $241.11–$1,106.00 | 35% | Jun 16, 2026 source file |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 RSV VACCINE, BIVALENT (ABRYSVO) | $718.90 | $1,106.00 | $171.87–$1,106.00 | 35% | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 RSV VACCINE, BIVALENT (ABRYSVO) | $718.90 | $1,106.00 | $171.87–$1,106.00 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH · (330) 725-1000 RSV VACCINE, BIVALENT (ABRYSVO) | $718.90 | $1,106.00 | $160.26–$1,106.00 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH · (330) 725-1000 RSV VACCINE, BIVALENT (ABRYSVO) | $718.90 | $1,106.00 | $160.26–$1,106.00 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 RSV VACCINE, BIVALENT (ABRYSVO) | $718.90 | $1,106.00 | $188.46–$1,106.00 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 RSV VACCINE, BIVALENT (ABRYSVO) | $718.90 | $1,106.00 | $188.46–$1,106.00 | 35% | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 RSV VACCINE, BIVALENT (ABRYSVO) | $718.90 | $1,106.00 | $188.46–$1,106.00 | 35% | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 RSV VACCINE, BIVALENT (ABRYSVO) | $718.90 | $1,106.00 | $188.46–$1,106.00 | 35% | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 RSV VACCINE, BIVALENT (ABRYSVO) | $718.90 | $1,106.00 | $188.46–$1,106.00 | 35% | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 RSV VACCINE, BIVALENT (ABRYSVO) | $718.90 | $1,106.00 | $188.46–$1,106.00 | 35% | Jun 15, 2026 source file |
| Fairview Hospital Cleveland, OH · (216) 476-7000 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $178.50–$1,148.64 | 35% | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $195.73–$1,148.64 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $195.73–$1,148.64 | 35% | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $178.50–$1,148.64 | 35% | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $178.50–$1,148.64 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $324.84–$1,148.64 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $324.84–$1,148.64 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH · (330) 725-1000 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $166.44–$1,148.64 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $195.73–$1,148.64 | 35% | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $195.73–$1,148.64 | 35% | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $195.73–$1,148.64 | 35% | Jun 15, 2026 source file |
| Fairview Hospital Cleveland, OH · (216) 476-7000 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $178.50–$1,148.64 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH · (330) 725-1000 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $166.44–$1,148.64 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $195.73–$1,148.64 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $195.73–$1,148.64 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $195.73–$1,148.64 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $195.73–$1,148.64 | 35% | Jun 15, 2026 source file |
| Lodi Community Hospital Lodi, OH · (330) 948-1222 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $324.84–$1,148.64 | 35% | Jun 15, 2026 source file |
| Lodi Community Hospital Lodi, OH · (330) 948-1222 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $324.84–$1,148.64 | 35% | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $746.62 | $1,148.64 | $195.73–$1,148.64 | 35% | Jun 15, 2026 source file |
| Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $907.50 | $1,210.00 | $484.00–$1,089.00 | 25% | Jul 14, 2026 source file |
| UH St John Medical Center Westlake, OH · (440) 835-8000 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $907.50 | $1,210.00 | $296.45–$1,095.29 | 25% | Jul 14, 2026 source file |
| UH Regional Hospitals Chardon, OH · (440) 285-6246 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $907.50 | $1,210.00 | $315.81–$1,089.00 | 25% | Jul 14, 2026 source file |
| University Hospitals - Elyria Medical Center Elyria, OH · (440) 329-7500 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $907.50 | $1,210.00 | $399.30–$1,089.00 | 25% | Jul 14, 2026 source file |
| Parma Community General Hospital Parma, OH · (440) 743-3000 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $907.50 | $1,210.00 | $367.84–$1,089.00 | 25% | Jul 14, 2026 source file |
| UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $907.50 | $1,210.00 | $404.14–$1,089.00 | 25% | Jul 14, 2026 source file |
| UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $907.50 | $1,210.00 | $326.70–$3,186.00 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Willoughby, OH HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $907.50 | $1,210.00 | $484.00–$1,089.00 | 25% | Jul 14, 2026 source file |
| Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $907.50 | $1,210.00 | $267.41–$1,089.00 | 25% | Jul 14, 2026 source file |
| Summa Health System Akron, OH · (330) 375-3000 BUDESONIDE 180 MCG/ACT IN AEPB [96977] | $1,675.00 | $1,675.00 | — | — | Apr 1, 2026 source file |
Outpatient: lowest $103.95, median $732.76, highest $1,675.00 — a 16.1× difference within the same market.
As an inpatient, the same code is billed by 21 facilities here, median $718.90. 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 18 of 18 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).