Vaccines CPT 90678 Outpatient

RSV vaccine (Abrysvo) cost in Indianapolis, IN

In Indianapolis-Carmel-Greenwood, IN, 7 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $220.26 to $659.71, with a median of $659.71. The lowest listed price is at Johnson Memorial Hospital — $439.45 less than the median here. Across Indiana, the median is $588.40 at 30 hospitals.

Cash prices at 7 facilities across 5 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 31, 2026 and May 5, 2026.

Lowest$220.26Johnson Memorial Hospital
Median$659.71half pay less
Highest$659.71in this market
Difference3.0×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 Indianapolis-Carmel-Greenwood, IN.

median
Lowest $220.26Highest $659.71

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Johnson Memorial Hospital lowest Franklin, IN · (317) 736-3300 Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use $220.26 $275.32 $214.75–$217.51 20% May 5, 2026
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Witham Memorial Hospital Lebanon, IN · (765) 485-8000 Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use $276.36 $394.80 $244.78–$987.00 30% Mar 31, 2026
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Carmel AmbSurg Carmel, IN ABRYSVO RSV VACCINE 0.5ML INJ $659.71 $1,099.51 $300.90–$663.75 40% —
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Endo Surgery Center Carmel, IN ABRYSVO RSV VACCINE 0.5ML INJ $659.71 $1,099.51 $300.90–$663.75 40% —
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Naab Road Surgery Center Indianapolis, IN ABRYSVO RSV VACCINE 0.5ML INJ $659.71 $1,099.51 $300.90–$663.75 40% —
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St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 ABRYSVO RSV VACCINE 0.5ML INJ $659.71 $1,099.51 $300.90–$663.75 40% —
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St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 ABRYSVO RSV VACCINE 0.5ML INJ $659.71 $1,099.51 $300.90–$663.75 40% —
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Outpatient: lowest $220.26, median $659.71, highest $659.71 — a 3.0× difference within the same market.

Cash or insurance?

At 6 of 7 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).