Vaccines CPT 90678 Inpatient — admitted to hospital

RSV vaccine (Abrysvo) cost in Columbia, MO — inpatient

In Columbia, MO, 1 hospital lists a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy as an inpatient: from $590.24 to $590.24, with a median of $590.24. Across Missouri, the median is $318.75 at 7 hospitals.

Cash prices at 1 facility for code 90678, as an inpatient (admitted to hospital) . Collected Sep 22, 2026; the hospital files themselves were last updated between Dec 15, 2025 and Dec 15, 2025.

Lowest$590.24Curators of the University of Missouri
Median$590.24half pay less
Highest$590.24in this market
Difference1.0×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 Columbia, MO.

median
Lowest $590.24Highest $622.65

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Curators of the University of Missouri lowest Columbia, MO · (573) 882-4141 RESPIRATORY SYNCYTIAL VIRUS VACCINE (ABRYSVO) 0.5 ML INJ $590.24 $983.73 $267.57–$865.68 40% Dec 15, 2025
source file
Curators of the University of Missouri lowest Columbia, MO · (573) 882-4141 RESPIRATORY SYNCYTIAL VIRUS VACCINE (ABRYSVO) 0.5 ML INJ $590.24 $983.73 $267.57–$865.68 40% Dec 15, 2025
source file
Curators of the University of Missouri Columbia, MO · (573) 882-4141 respiratory syncytial virus vaccine (Abrysvo) 0.5 mL Inj $622.65 $1,037.75 $282.27–$913.22 40% Dec 15, 2025
source file
Curators of the University of Missouri Columbia, MO · (573) 882-4141 respiratory syncytial virus vaccine (Abrysvo) 0.5 mL Inj $622.65 $1,037.75 $282.27–$913.22 40% Dec 15, 2025
source file

Inpatient: lowest $590.24, median $590.24, highest $590.24.

As an outpatient, the same code is billed by 1 facility here, median $590.24 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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).