RSV vaccine (Abrysvo) cost in Dallas, TX
In Dallas-Fort Worth-Arlington, TX, 20 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $637.20 to $677.46, with a median of $637.20. The lowest listed price is at Texas Health Hospital Frisco and 18 other hospitals. Across Texas, the median is $637.20 at 26 hospitals.
Cash prices at 20 facilities across 14 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 10, 2026 and Apr 21, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Dallas-Fort Worth-Arlington, TX.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Texas Health Hospital Frisco lowest Frisco, TX · (469) 495-2000 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $188.93–$2,025.27 | 40% | Apr 21, 2026 source file |
| Texas Health Harris Methodist Hospital Fort Worth lowest Fort Worth, TX · (817) 250-2100 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $137.64–$2,025.27 | 40% | Apr 21, 2026 source file |
| AMH Cath Labs lowest Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $94.52–$2,025.27 | 40% | Apr 21, 2026 source file |
| Texas Health Presbyterian Hospital Allen lowest Allen, TX · (972) 747-1000 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $122.34–$2,025.27 | 40% | Apr 21, 2026 source file |
| Texas Health Harris Methodist Hospital Alliance lowest Fort Worth, TX · (682) 212-2004 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $109.07–$2,025.27 | 40% | Apr 21, 2026 source file |
| Texas Health Harris Methodist Hospital Azle lowest Azle, TX · (817) 444-8700 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $116.29–$2,025.27 | 40% | Apr 21, 2026 source file |
| Physicians Medical Center lowest Plano, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $152.61–$2,025.27 | 40% | Apr 21, 2026 source file |
| Texas Health Harris Methodist Hospital Cleburne lowest Cleburne, TX · (817) 641-2251 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $107.05–$2,025.27 | 40% | Apr 21, 2026 source file |
| Texas Health Presbyterian Hospital Denton lowest Denton, TX · (940) 898-7000 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $99.40–$2,025.27 | 40% | Apr 21, 2026 source file |
| Texas Health Presbyterian Hospital Flower Mound lowest Flower Mound, TX · (972) 419-1530 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $159.94–$2,025.27 | 40% | Apr 21, 2026 source file |
| Texas Health Presbyterian Hospital Plano lowest Plano, TX · (972) 981-8000 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $129.99–$2,025.27 | 40% | Apr 21, 2026 source file |
| Texas Health Presbyterian Hospital Plano lowest Plano, TX · (972) 981-8000 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $107.05–$2,025.27 | 40% | Apr 21, 2026 source file |
| Texas Health Harris Methodist Hospital Southlake lowest Southlake, TX · (817) 748-8700 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $116.29–$2,025.27 | 40% | Apr 21, 2026 source file |
| Texas Health Harris Methodist Hospital Southwest Fort Worth lowest Fort Worth, TX · (817) 433-5000 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $87.19–$2,025.27 | 40% | Apr 21, 2026 source file |
| Texas Health Specialty Hospital Fort Worth lowest Fort Worth, TX · (817) 250-2100 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | — | 40% | Apr 21, 2026 source file |
| Texas Health Harris Methodist Hospital HurstEulessBedford lowest Bedford, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $107.05–$2,025.27 | 40% | Apr 21, 2026 source file |
| Texas Health Harris Methodist Hospital HurstEulessBedford lowest Bedford, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $114.70–$2,025.27 | 40% | Apr 21, 2026 source file |
| Texas Health Presbyterian Hospital Kaufman lowest Kaufman, TX · (972) 932-7200 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $99.40–$2,025.27 | 40% | Apr 21, 2026 source file |
| Texas Health Presbyterian Hospital Rockwall lowest Rockwall, TX · (469) 698-1000 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $101.74–$2,025.27 | 40% | Apr 21, 2026 source file |
| Texas Health Arlington Memorial Hospital lowest Arlington, TX · (817) 548-6200 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $107.05–$2,025.27 | 40% | Apr 21, 2026 source file |
| Texas Health Presbyterian Hospital Dallas lowest Dallas, TX · (214) 345-6789 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] | $637.20 | $1,062.00 | $99.40–$2,025.27 | 40% | Apr 21, 2026 source file |
| The University of Texas Southwestern Medical Center at Dallas Dallas, TX · (214) 633-5555 RSV vaccine PF 120 mcg/0.5 mL Solr 1 Each Vial | $677.46 | $1,354.92 | $195.73–$1,192.33 | 50% | Mar 10, 2026 source file |
| The University of Texas Southwestern Medical Center at Dallas Dallas, TX · (214) 633-5555 RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $923.25 | $1,231.00 | $293.82–$1,107.90 | 25% | Mar 10, 2026 source file |
Outpatient: lowest $637.20, median $637.20, highest $677.46 — a 1.1× difference within the same market.
As an inpatient, the same code is billed by 20 facilities here, median $637.20. 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 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).