Vaccines CPT 90678 Outpatient

RSV vaccine (Abrysvo) cost in Clinton, IA

In Clinton, IA, 2 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $263.90 to $555.82, with a median of $409.86. The lowest listed price is at Mercy Medical Center-Clinton — $145.96 less than the median here. Across Iowa, the median is $403.20 at 29 hospitals.

Cash prices at 2 facilities across 2 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 Mar 31, 2026 and Mar 31, 2026.

Lowest$263.90Mercy Medical Center-Clinton
Median$409.86half pay less
Highest$555.82in this market
Difference2.1×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 Clinton, IA.

median
Lowest $263.90Highest $1,467.45

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Medical Center-Clinton lowest Clinton, IA HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im $263.90 $406.00 $81.20–$406.00 35% Mar 31, 2026
source file
MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 RSV vaccine, preF A-preF B, recombinant preservative-free 60 mcg $555.82 $926.37 $314.97–$676.25 40% Mar 31, 2026
source file
MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 RSV vaccine, preF A-preF B, recombinant preservative-free 60 mcg $555.82 $926.37 $314.97–$676.25 40% Mar 31, 2026
source file
Mercy Medical Center-Clinton Clinton, IA RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION $1,467.45 $1,467.45 $293.49–$1,467.45 — Mar 31, 2026
source file

Outpatient: lowest $263.90, median $409.86, highest $555.82 — a 2.1× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $409.86. 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 2 of 2 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).