Vaccines CPT 90678 Outpatient

RSV vaccine (Abrysvo) cost in New York, NY

In New York-Newark-Jersey City, NY-NJ, 22 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $245.18 to $1,149.00, with a median of $578.94. The lowest listed price is at Mount Sinai Brooklyn — $333.76 less than the median here. Across New York, the median is $423.40 at 47 hospitals.

  • The median here, $578.94, is 27% above the US median of $454.97.
  • 4 of 22 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 22 facilities across 20 cities for code 90678, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 7, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Jul 28, 2026.

Lowest$245.18Mount Sinai Brooklyn
Median$578.94half of hospitals charge less
Highest$1,149.00in this market
Difference4.7×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 New York-Newark-Jersey City, NY-NJ.

median
Lowest $245.18Highest $1,149.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Mount Sinai Brooklyn lowest Brooklyn, NY · (212) 420-2000 HC Rsv Vax Abrysvo 120mcg/0.5ml File of Apr 1, 2026 · source file $245.18 $272.42 — 10%
St Johns Episcopal Hospital Far Rockaway, NY · (718) 869-7000 Abrysvo File of Apr 7, 2026 · source file $260.78 $306.80 $318.60 15%
Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 Abrysvo File of Jun 10, 2026 · source file $354.00 $354.00 $4,255.00 —
St. Francis Hospital Roslyn, NY XRX ABATACEPT 250 MG IV SOLR File of Feb 19, 2026 · source file $423.40 $2,117.00 $37.73–$2,117.00 80%
Mercy Medical Center Rockville Centre, NY · (516) 705-2525 XRX ABATACEPT 250 MG IV SOLR File of Feb 19, 2026 · source file $423.40 $2,117.00 $37.73–$2,117.00 80%
Good Samaritan Hospital Medical Center West Islip, NY · (631) 376-3000 XRX ABATACEPT 250 MG IV SOLR File of Feb 19, 2026 · source file $423.40 $2,117.00 $37.73–$2,117.00 80%
St. Catherine of Siena Medical Center Smithtown, NY · (631) 862-3000 XRX (NICU) BEVACIZUMAB INTRAVITREAL INJECTION 25 MG/ML File of Feb 19, 2026 · source file $423.40 $2,117.00 $37.73–$2,117.00 80%
Chsli St Joseph Hospital Bethpage, NY · (516) 759-6000 XRX ABATACEPT 250 MG IV SOLR File of Feb 19, 2026 · source file $423.40 $2,117.00 $37.73–$2,117.00 80%
NYU Langone – Orthopedic Hospital New York, NY RSV VACC PREF BIVALENT IM File of Jan 1, 2026 · source file $578.94 $3,047.06 $28.98–$3,047.06 81%
NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 RSV VACC PREF BIVALENT IM File of Jan 1, 2026 · source file $578.94 $3,047.06 $28.98–$3,047.06 81%
NYU Langone Mineola, NY RSV VACC PREF BIVALENT IM File of Jan 1, 2026 · source file $578.94 $3,047.06 $28.98–$3,047.06 81%
NYU Langone Brooklyn, NY RSV VACC PREF BIVALENT IM File of Jan 1, 2026 · source file $578.94 $3,047.06 $28.98–$3,047.06 81%
NYU Langone – Tisch Hospital New York, NY · (212) 263-7300 RSV VACC PREF BIVALENT IM File of Jan 1, 2026 · source file $578.94 $3,047.06 $28.98–$3,047.06 81%
CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Rsv Vaccine Pref Subunit Bivalent for Im Use File of Apr 1, 2026 · source file $609.15 $1,703.86 — 64%
Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Rsv Vaccine Pref Subunit Bivalent for Im Use File of Apr 1, 2026 · source file $631.32 $3,389.69 — 81%
Newton Medical Center Newton, NJ · (973) 383-2121 Rsv Vaccine Pref Subunit Bivalent for Im Use File of Apr 1, 2026 · source file $722.06 $1,703.86 — 58%
Overlook Medical Center Summit, NJ · (908) 522-2000 Rsv Vaccine Pref Subunit Bivalent for Im Use File of Apr 1, 2026 · source file $818.34 $1,486.86 — 45%
Morristown Medical Center Morristown, NJ · (973) 971-5450 Rsv Vaccine Pref Subunit Bivalent for Im Use File of Apr 1, 2026 · source file $823.65 $1,703.86 — 52%
Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 RSV VACC PREF BIVALENT IM File of Mar 25, 2026 · source file $1,062.00 $1,062.00 $331.34–$1,912.00 —
Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 RSV VACC PREF BIVALENT IM File of Mar 25, 2026 · source file $1,062.00 $1,062.00 $331.34–$1,912.00 —
The Valley Hospital Paramus, NJ · (201) 447-8000 RSV VACC PREF BIVALENT IM File of May 6, 2026 · source file $1,067.93 $1,779.89 $349.75–$1,334.92 40%
Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 Abrysvo File of Mar 25, 2026 · source file $1,104.48 $1,104.48 $331.34–$1,912.00 —
Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 Abrysvo File of Mar 25, 2026 · source file $1,104.48 $1,104.48 $331.34–$1,912.00 —
Westchester Medical Center Valhalla, NY · (914) 493-7000 ABRYSVO RSV VACCINE PF 0.5 ML File of Jul 28, 2026 · source file $1,149.00 $1,149.00 $325.21–$1,149.00 —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $245.18, median $578.94, highest $1,149.00 — a 4.7× difference within the same market.

As an inpatient, the same code is billed by 8 facilities here, median $578.94. 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 15 of 16 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 RSV vaccine (Abrysvo) is, what the price covers and why prices differ: RSV vaccine (Abrysvo) explained.

2 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 90678 ($504.00). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

HospitalCash priceFile
Brookdale Hospital Medical Center Brooklyn, NYRecombinant respiratory syncytial virus vaccine - RSVPreF 120 MCG/0.5ML Solr 1 each Vial $0.01 file
Interfaith Medical Center Brooklyn, NYRecombinant respiratory syncytial virus vaccine - RSVPreF 120 MCG/0.5ML Solr 1 each Vial $0.01 file
File Link to the hospital's own price file.