Vaccines CPT 90678 Inpatient — admitted to hospital

RSV vaccine (Abrysvo) cost in Grand Rapids, MN — inpatient

In Grand Rapids, MN, 2 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy as an inpatient: from $123.25 to $510.28, with a median of $316.77. The lowest listed price is at Grand Itasca Clinic and Hospital — $193.52 less than the median here. Across Minnesota, the median is $123.25 at 21 hospitals.

Cash prices at 2 facilities across 2 cities for code 90678, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Jan 28, 2026.

Lowest$123.25Grand Itasca Clinic and Hospital
Median$316.77half pay less
Highest$510.28in this market
Difference4.1×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 Grand Rapids, MN.

median
Lowest $123.25Highest $510.28

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Grand Itasca Clinic and Hospital lowest Grand Rapids, MN · (218) 326-3401 HC RSV VACC PREF BIVALENT, IM $123.25 $290.00 $131.95–$288.58 58% Jan 28, 2026
source file
Grand Itasca Clinic and Hospital Grand Rapids, MN · (218) 326-3401 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR $124.84 $293.74 $133.65–$292.30 57% Jan 28, 2026
source file
Essentia Health Deer River Deer River, MN · (218) 246-4200 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML RECON SOLN $510.28 $690.50 $277.58–$690.50 26% Jan 1, 2026
source file

Inpatient: lowest $123.25, median $316.77, highest $510.28 — a 4.1× difference within the same market.

As an outpatient, the same code is billed by 1 facility here, median $123.25 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 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).