Vaccines CPT 90678 Outpatient

RSV vaccine (Abrysvo) cost in Dallas, TX

In Dallas-Fort Worth-Arlington, TX, 34 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $110.45 to $734.85, with a median of $637.20. The lowest listed price is at Methodist Richardson Medical Center and 7 other hospitals — $526.75 less than the median here. Across Texas, the median is $637.20 at 52 hospitals.

  • The median here, $637.20, is 40% above the US median of $454.97.
  • Every hospital here lists a cash price below its full list price.

Cash prices at 34 facilities across 20 cities for code 90678, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 11, 2026; the hospital files themselves were last updated between Mar 10, 2026 and Oct 16, 2026.

Lowest$110.45Methodist Richardson Medical Center + 7 more
Median$637.20half of hospitals charge less
Highest$734.85in this market
Difference6.7×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 Dallas-Fort Worth-Arlington, TX.

median
Lowest $110.45Highest $734.85

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Methodist Richardson Medical Center lowest Richardson, TX · (469) 204-1000 HC Rsv Vaccine Pref Subunit Bivalent for Im Use File of Mar 21, 2026 · source file $110.45 $368.16 $184.08–$368.16 70%
Methodist Southlake Medical Center lowest Souhtlake, TX · (878) 654-4400 HC Rsv Vaccine Pref Subunit Bivalent for Im Use File of Mar 23, 2026 · source file $110.45 $368.16 $184.08–$368.16 70%
Methodist Mansfield Medical Center lowest Mansfield, TX · (682) 622-2059 HC Rsv Vaccine Pref Subunit Bivalent for Im Use File of Mar 21, 2026 · source file $110.45 $368.16 $184.08–$368.16 70%
Methodist Richardson Campus for Continuing Care lowest Richardson, TX · (469) 204-1000 HC Rsv Vaccine Pref Subunit Bivalent for Im Use File of Mar 21, 2026 · source file $110.45 $368.16 $184.08–$368.16 70%
Methodist Celina Medical Center lowest Celina, TX · (214) 947-6452 HC Rsv Vaccine Pref Subunit Bivalent for Im Use File of Mar 23, 2026 · source file $110.45 $368.16 $184.08–$368.16 70%
Methodist Midlothian Medical Center lowest Midlothian, TX · (469) 846-2000 HC Rsv Vaccine Pref Subunit Bivalent for Im Use File of Mar 21, 2026 · source file $110.45 $368.16 $184.08–$368.16 70%
Methodist Dallas Medical Center lowest Dallas, TX · (214) 947-8181 HC Rsv Vaccine Pref Subunit Bivalent for Im Use File of Mar 20, 2026 · source file $110.45 $368.16 $184.08–$368.16 70%
Methodist Hospitals of Dallas – Coppell lowest Coppell, TX · (878) 654-4400 HC Rsv Vaccine Pref Subunit Bivalent for Im Use File of Mar 23, 2026 · source file $110.45 $368.16 $184.08–$368.16 70%
Methodist Charlton Medical Center Dallas, TX · (214) 947-7777 HC Rsv Vaccine Pref Subunit Bivalent for Im Use File of Mar 21, 2026 · source file $184.08 $368.16 $184.08–$368.16 50%
Texas Health Hospital Frisco Frisco, TX · (469) 495-2000 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495]+1 more line at this price File of Apr 14, 2026 · source file $637.20 $1,062.00 $188.93–$2,025.27 40%
Texas Health Presbyterian Hospital Rockwall Rockwall, TX · (469) 698-1000 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] File of Apr 21, 2026 · source file $637.20 $1,062.00 $101.74–$2,025.27 40%
Texas Health Harris Methodist Hospital Cleburne Cleburne, TX · (817) 641-2251 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495]+1 more line at this price File of Apr 21, 2026 · source file $637.20 $1,062.00 $107.05–$2,025.27 40%
Texas Health Harris Methodist Hospital Fort Worth Fort Worth, TX · (817) 250-2100 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495]+1 more line at this price File of Apr 21, 2026 · source file $637.20 $1,062.00 $137.64–$2,025.27 40%
Texas Health Presbyterian Hospital Plano Plano, TX · (972) 981-8000 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495]+1 more line at this price File of Apr 21, 2026 · source file $637.20 $1,062.00 $129.99–$2,025.27 40%
Texas Health Presbyterian Hospital Dallas Dallas, TX · (214) 345-6789 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495]+1 more line at this price File of Apr 21, 2026 · source file $637.20 $1,062.00 $99.40–$2,025.27 40%
Texas Health Arlington Memorial Hospital Arlington, TX · (817) 548-6200 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495]+1 more line at this price File of Apr 21, 2026 · source file $637.20 $1,062.00 $107.05–$2,025.27 40%
Texas Health Presbyterian Hospital Flower Mound Flower Mound, TX · (972) 419-1530 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] File of Apr 21, 2026 · source file $637.20 $1,062.00 $159.94–$2,025.27 40%
Texas Health Harris Methodist Hospital Southlake Southlake, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495]+1 more line at this price File of Apr 21, 2026 · source file $637.20 $1,062.00 $116.29–$2,025.27 40%
Texas Health Harris Methodist Hospital Azle Azle, TX · (817) 444-8700 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495]+1 more line at this price File of Apr 21, 2026 · source file $637.20 $1,062.00 $116.29–$2,025.27 40%
Texas Health Presbyterian Hospital Allen Allen, TX · (972) 747-1000 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495]+1 more line at this price File of Apr 21, 2026 · source file $637.20 $1,062.00 $122.34–$2,025.27 40%
Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] File of Apr 21, 2026 · source file $637.20 $1,062.00 $107.05–$2,025.27 40%
Flower Mound Hospital Partners, LLC Flower Mound, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] File of Apr 15, 2026 · source file $637.20 $1,062.00 $159.94–$2,025.27 40%
Physicians Medical Center, LLC Plano, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] File of Apr 13, 2026 · source file $637.20 $1,062.00 $152.61–$2,025.27 40%
Rockwall Regional Hospital, LLC Rockwall, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] File of Apr 15, 2026 · source file $637.20 $1,062.00 $101.74–$2,025.27 40%
Texas Health Presbyterian Hospital Denton Denton, TX · (940) 898-7000 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495]+1 more line at this price File of Apr 21, 2026 · source file $637.20 $1,062.00 $99.40–$2,025.27 40%
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Bedford, TX · (817) 848-4000 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495]+1 more line at this price File of Apr 21, 2026 · source file $637.20 $1,062.00 $114.70–$2,025.27 40%
Texas Health Specialty Hospital Fort Worth Fort Worth, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495]+1 more line at this price File of Apr 21, 2026 · source file $637.20 $1,062.00 — 40%
Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth, TX · (817) 433-5000 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] File of Apr 21, 2026 · source file $637.20 $1,062.00 $87.19–$2,025.27 40%
Texas Health Presbyterian Hospital Kaufman Kaufman, TX · (972) 932-7200 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495]+1 more line at this price File of Apr 21, 2026 · source file $637.20 $1,062.00 $99.40–$2,025.27 40%
Texas Health Harris Methodist Hospital Alliance Fort Worth, TX · (682) 212-2004 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495]+1 more line at this price File of Apr 21, 2026 · source file $637.20 $1,062.00 $109.07–$2,025.27 40%
Texas Health Heart & Vascular Hospital Arlington Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495]+1 more line at this price File of Apr 21, 2026 · source file $637.20 $1,062.00 $94.52–$2,025.27 40%
Texas Health Center for Diagnostics & Surgery Plano Plano, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] File of Apr 21, 2026 · source file $637.20 $1,062.00 $152.61–$2,025.27 40%
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 File of Mar 10, 2026 · source file $677.46 $1,354.92 $195.73–$1,192.33 50%
Parkland Health Dallas, TX · (214) 590-8000 RESP SYNCYTIAL VIRUS VAC PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION+3 more lines at this price File of Oct 16, 2026 · source file $734.85 $1,837.12 $277.77–$1,484.97 60%
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.

Outpatient: lowest $110.45, median $637.20, highest $734.85 — a 6.7× difference within the same market.

As an inpatient, the same code is billed by 34 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 33 of 33 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 8 it is 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.