RSV vaccine (Abrysvo) cost in Detroit, MI — inpatient
In Detroit-Warren-Dearborn, MI, 4 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy as an inpatient: from $505.50 to $551.25, with a median of $528.38. The lowest listed price is at VHS Detroit Receiving Hospital and 1 other hospital — $22.88 less than the median here. Across Michigan, the median is $497.10 at 31 hospitals.
Cash prices at 4 facilities for code 90678, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 6, 2026 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 |
|---|---|---|---|---|---|
| VHS Detroit Receiving Hospital lowest Detroit, MI · (313) 745-2941 RSV VAC P-A P-B REC IJ | $505.50 | $674.00 | — | 25% | Apr 7, 2026 source file |
| VHS Rehabilitation Institute of Michigan lowest Detroit, MI RSV VAC P-A P-B REC IJ | $505.50 | $674.00 | — | 25% | Apr 8, 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 |
| 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 |
Inpatient: lowest $505.50, median $528.38, highest $551.25 — a 1.1× difference within the same market.
As an outpatient, the same code is billed by 13 facilities here, median $497.10 — 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).