Vaccines CPT 90678 Outpatient

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 $907.50, 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 56 hospitals.

  • The median here, $732.76, is 61% above the US median of $454.97.
  • Cleveland, OH has the lowest median of 2 metro areas in Ohio with at least 10 hospitals pricing this code.
  • Every hospital here lists a cash price below its full list price.

Cash prices at 20 facilities across 14 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 of hospitals charge less
Highest$907.50in this market
Difference8.7×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 $907.50

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Metrohealth System lowest Cleveland, OH · (216) 778-7089 Respiratory Syncytial Virus (Rsv) Vaccine, Pref, Subunit, Bivalent, Im Use+2 more lines at this price File of Apr 1, 2026 · source file $103.95 $297.00 — 65%
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) File of Apr 1, 2026 · source file $272.65 $779.00 — 65%
Metrohealth System Cleveland, OH · (216) 778-7089 NDC Description Not Available File of Apr 1, 2026 · source file $273.24 $780.68 — 65%
Metrohealth System Cleveland, OH · (216) 778-7089 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR [165076] File of Apr 1, 2026 · source file $526.50 $810.00 — 35%
South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 RSV VACCINE, BIVALENT (ABRYSVO)+1 more line at this price File of Jun 15, 2026 · source file $718.90 $1,106.00 $188.46–$1,106.00 35%
Marymount Hospital Garfield Heights, OH · (216) 587-8210 RSV VACCINE, BIVALENT (ABRYSVO)+1 more line at this price File of Jun 15, 2026 · source file $718.90 $1,106.00 $188.46–$1,106.00 35%
Euclid Hospital Euclid, OH · (216) 531-9000 RSV VACCINE, BIVALENT (ABRYSVO)+1 more line at this price File of Jun 15, 2026 · source file $718.90 $1,106.00 $188.46–$1,106.00 35%
Lutheran Hospital Cleveland, OH · (216) 696-4300 RSV VACCINE, BIVALENT (ABRYSVO)+1 more line at this price File of Jun 15, 2026 · source file $718.90 $1,106.00 $188.46–$1,106.00 35%
Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 RSV VACCINE, BIVALENT (ABRYSVO)+1 more line at this price File of Jun 15, 2026 · source file $718.90 $1,106.00 $188.46–$1,106.00 35%
Fairview Hospital Cleveland, OH · (216) 476-7000 RSV VACCINE, BIVALENT (ABRYSVO)+1 more line at this price File of Jun 15, 2026 · source file $718.90 $1,106.00 $171.87–$1,106.00 35%
The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 RSV VACCINE, BIVALENT (ABRYSVO)+1 more line at this price File of Jun 16, 2026 · source file $718.90 $1,106.00 $241.11–$1,106.00 35%
Medina Hospital Medina, OH · (330) 725-1000 RSV VACCINE, BIVALENT (ABRYSVO)+1 more line at this price File of Jun 15, 2026 · source file $718.90 $1,106.00 $160.26–$1,106.00 35%
Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 RSV VACCINE, BIVALENT (ABRYSVO)+1 more line at this price File of Jun 15, 2026 · source file $718.90 $1,106.00 $171.87–$1,106.00 35%
Euclid Hospital Euclid, OH · (216) 531-9000 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $746.62 $1,148.64 $195.73–$1,148.64 35%
Fairview Hospital Cleveland, OH · (216) 476-7000 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $746.62 $1,148.64 $178.50–$1,148.64 35%
Lodi Community Hospital Lodi, OH · (330) 948-1222 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $746.62 $1,148.64 $324.84–$1,148.64 35%
Marymount Hospital Garfield Heights, OH · (216) 587-8210 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $746.62 $1,148.64 $195.73–$1,148.64 35%
Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $746.62 $1,148.64 $178.50–$1,148.64 35%
Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $746.62 $1,148.64 $195.73–$1,148.64 35%
Medina Hospital Medina, OH · (330) 725-1000 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $746.62 $1,148.64 $166.44–$1,148.64 35%
South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $746.62 $1,148.64 $195.73–$1,148.64 35%
Lutheran Hospital Cleveland, OH · (216) 696-4300 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $746.62 $1,148.64 $195.73–$1,148.64 35%
Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION+1 more line at this price File of Jun 15, 2026 · source file $746.62 $1,148.64 $324.84–$1,148.64 35%
UH St John Medical Center Westlake, OH · (440) 835-8000 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE File of Jul 14, 2026 · source file $907.50 $1,210.00 $296.45–$1,095.29 25%
UH Regional Hospitals Chardon, OH · (440) 285-6246 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE File of Jul 14, 2026 · source file $907.50 $1,210.00 $315.81–$1,089.00 25%
Lake West Hospital Willoughby, OH · (440) 953-9600 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE File of Jul 14, 2026 · source file $907.50 $1,210.00 $484.00–$1,089.00 25%
Parma Community General Hospital Parma, OH · (440) 743-3000 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE File of Jul 14, 2026 · source file $907.50 $1,210.00 $367.84–$1,089.00 25%
UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE+1 more line at this price File of Jul 14, 2026 · source file $907.50 $1,210.00 $326.70–$3,186.00 25%
University Hospitals Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE File of Jul 14, 2026 · source file $907.50 $1,210.00 $484.00–$1,089.00 25%
University Hospitals Ahuja Medical Center Beachwood, OH · (216) 593-5511 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE File of Jul 14, 2026 · source file $907.50 $1,210.00 $267.41–$1,089.00 25%
University Hospitals - Elyria Medical Center Elyria, OH · (440) 329-7500 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE File of Jul 14, 2026 · source file $907.50 $1,210.00 $399.30–$1,089.00 25%
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.
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 $103.95, median $732.76, highest $907.50 — a 8.7× 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 19 of 19 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 RSV vaccine (Abrysvo) is, what the price covers and why prices differ: RSV vaccine (Abrysvo) explained.