RSV vaccine (Abrysvo) cost in Portland, OR
In Portland-Vancouver-Hillsboro, OR-WA, 10 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $268.04 to $1,563.41, with a median of $294.74. The lowest listed price is at Legacy Mount Hood Medical Center and 4 other hospitals — $26.70 less than the median here. Across Oregon, the median is $376.80 at 23 hospitals.
Cash prices at 10 facilities across 6 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 23, 2026 and Apr 1, 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 Portland-Vancouver-Hillsboro, OR-WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Legacy Mount Hood Medical Center lowest Gresham, OR · (503) 674-1122 PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $268.04 | $412.37 | — | 35% | Apr 1, 2026 source file |
| Legacy Meridian Park Medical Center lowest Tualatin, OR · (503) 692-1212 PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $268.04 | $412.37 | — | 35% | Apr 1, 2026 source file |
| Legacy Salmon Creek Medical Center lowest Vancouver, WA · (360) 487-1000 PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $268.04 | $412.37 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $268.04 | $412.37 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $268.04 | $412.37 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $268.04 | $412.37 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $268.04 | $412.37 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $268.04 | $412.37 | — | 35% | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Westside Hillsboro, OR · (971) 310-0100 RSV vac, preF A and preF B (PF) 120 mcg/0.5 mL Recon soln 1 Each VIAL | $321.44 | $378.16 | — | 15% | — source file |
| Kaiser Sunnyside Medical Center Clackamas, OR · (503) 652-2880 RSV vac, preF A and preF B (PF) 120 mcg/0.5 mL Recon soln 1 Each VIAL | $321.44 | $378.16 | — | 15% | — source file |
| Tuality Healthcare Hillsboro, OR · (503) 681-1111 Rsv Vaccine (Abrysvo) Pref Subunit Bivalent Im | $848.61 | $1,305.56 | $601.80–$1,305.56 | 35% | — source file |
| Oregon Health & Science University Portland, OR · (503) 494-9000 Rsv Vaccine (Abrysvo) Pref Subunit Bivalent Im | $848.61 | $1,305.56 | $250.67–$1,305.56 | 35% | Mar 23, 2026 source file |
| Providence Portland Medical Center Portland, OR · (503) 215-1111 RSV PRE-FUSION F A&B VAC RECOMB FOR IM SOLN 120 MCG/0.5ML | $1,563.41 | $2,084.55 | — | 25% | Apr 1, 2026 source file |
| Providence Portland Medical Center Portland, OR · (503) 215-1111 RSV PRE-FUSION F A&B VAC RECOMB FOR IM SOLN 120 MCG/0.5ML | $1,563.44 | $2,084.58 | — | 25% | Apr 1, 2026 source file |
Outpatient: lowest $268.04, median $294.74, highest $1,563.41 — a 5.8× difference within the same market.
As an inpatient, the same code is billed by 8 facilities here, median $268.04. 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 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 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).