RSV vaccine (Abrysvo) cost in Detroit, MI
In Detroit-Warren-Dearborn, MI, 13 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $300.00 to $551.25, with a median of $497.10. The lowest listed price is at Henry Ford Health Hospital and 3 other hospitals — $197.10 less than the median here. Across Michigan, the median is $497.10 at 31 hospitals.
Cash prices at 13 facilities across 9 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 Dec 31, 2025 and Sep 2, 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 Detroit-Warren-Dearborn, MI.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Henry Ford Health Hospital lowest Detroit, MI · (313) 916-2600 RSV VACC PREF BIVALENT IM | $300.00 | — | $299.19–$933.18 | — | Jun 28, 2026 source file |
| Henry Ford Wyandotte Hospital lowest Wyandotte, MI RSV VACC PREF BIVALENT IM | $300.00 | — | $299.19–$907.97 | — | Jun 28, 2026 source file |
| Henry Ford Macomb Hospital lowest Clinton Twp, MI · (586) 263-2300 RSV VACC PREF BIVALENT IM | $300.00 | — | $299.19–$870.76 | — | Jun 28, 2026 source file |
| Henry Ford Health West Bloomfield Hospital lowest West Bloomfield, MI · (248) 325-1000 RSV VACC PREF BIVALENT IM | $300.00 | — | $299.19–$907.97 | — | Jun 28, 2026 source file |
| McLaren Lapeer Region Lapeer, MI · (810) 667-5500 RSV Vial (Abryso) -> Abrysvo RSV preF A-preF B 0.5 mL 90678 | $497.10 | $994.20 | $964.33 | 50% | Dec 31, 2025 source file |
| McLaren Macomb Mount Clemens, MI · (586) 493-8000 RSV Vial (Abryso) -> Abrysvo RSV preF A-preF B 0.5 mL 90678 | $497.10 | $994.20 | $285.34–$671.09 | 50% | Dec 31, 2025 source file |
| McLaren Port Huron Port Huron, MI · (810) 987-5000 RSV Vial (Abryso) -> Abrysvo RSV preF A-preF B 0.5 mL 90678 | $497.10 | $994.20 | $505.05–$593.87 | 50% | Dec 31, 2025 source file |
| McLaren Oakland Pontiac, MI · (248) 338-5000 RSV Vial (Abryso) -> Abrysvo RSV preF A-preF B 0.5 mL 90678 | $497.10 | $994.20 | $535.24 | 50% | Dec 31, 2025 source file |
| VHS Rehabilitation Institute of Michigan Detroit, MI RSV VAC P-A P-B REC IJ | $505.50 | $674.00 | — | 25% | Apr 8, 2026 source file |
| VHS Detroit Receiving Hospital Detroit, MI · (313) 745-2941 RSV VAC P-A P-B REC IJ | $505.50 | $674.00 | — | 25% | Apr 7, 2026 source file |
| VHS Childrens Hospital of Michigan Detroit, MI · (313) 745-5437 RSV VAC P-A P-B REC IJ | $551.25 | $735.00 | — | 25% | Apr 6, 2026 source file |
| VHS Huron Valley-Sinai Hospital Commerce Charter Twp, MI · (248) 937-3370 RSV VAC P-A P-B REC IJ | $551.25 | $735.00 | $1.00–$603.29 | 25% | May 20, 2026 source file |
| Harper University Hospital Detroit, MI · (313) 745-6211 RSV VAC P-A P-B REC IJ | $551.25 | $735.00 | $1.00–$973.14 | 25% | Sep 2, 2026 source file |
| Harper University Hospital Detroit, MI · (313) 745-6211 RSV VAC P-A P-B REC IJ | $551.25 | $735.00 | $1.00–$973.14 | 25% | Aug 20, 2026 source file |
Outpatient: lowest $300.00, median $497.10, highest $551.25 — a 1.8× difference within the same market.
As an inpatient, the same code is billed by 4 facilities here, median $528.38. 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 10 of 10 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 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 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).