Vaccines CPT 90678 Outpatient

RSV vaccine (Abrysvo) cost in Milwaukee, WI

In Milwaukee-Waukesha, WI, 3 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $290.00 to $308.80, with a median of $305.10. The lowest listed price is at Aurora Sinai Medical Center of Aurora Health Care Metro — $15.10 less than the median here. Across Wisconsin, the median is $554.90 at 43 hospitals.

Cash prices at 3 facilities across 2 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 Nov 21, 2025 and Nov 21, 2025.

Lowest$290.00Aurora Sinai Medical Center of Aurora Health Care Metro
Median$305.10half pay less
Highest$308.80in this market
Difference1.1×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 Milwaukee-Waukesha, WI.

median
Lowest $290.00Highest $308.80

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Aurora Sinai Medical Center of Aurora Health Care Metro lowest Milwaukee, WI ABRYSVO 120 MCG-0.5ML IM SOLR $290.00 $580.00 $290.00–$495.60 50% Nov 21, 2025
source file
Columbia St. Mary's Hospital Milwaukee Milwaukee, WI · (414) 585-1374 HC PBB RSV VACCINE PREF SUBUNIT BIVALENT FOR IM US $305.10 $575.67 $354.00–$368.16 47% —
source file
Columbia St. Mary's Hospital Ozaukee Mequon, WI HC PBB RSV VACCINE PREF SUBUNIT BIVALENT FOR IM US $308.80 $582.64 $354.00–$368.16 47% —
source file

Outpatient: lowest $290.00, median $305.10, highest $308.80 — a 1.1× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $290.00. 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 3 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 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).