Vaccines CPT 90678 Outpatient

RSV vaccine (Abrysvo) cost in Rochester, NY

In Rochester, NY, 7 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $201.71 to $654.22, with a median of $531.55. The lowest listed price is at Strong Memorial Hospital — $329.84 less than the median here. Across New York, the median is $439.32 at 34 hospitals.

Cash prices at 7 facilities across 4 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$201.71Strong Memorial Hospital
Median$531.55half pay less
Highest$654.22in this market
Difference3.2×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 Rochester, NY.

median
Lowest $201.71Highest $654.22

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Strong Memorial Hospital lowest Rochester, NY · (585) 275-2121 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR *I* $201.71 $504.27 — 60% —
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Strong Memorial Hospital Rochester, NY · (585) 275-2121 PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $232.50 $465.00 $335.02–$421.17 50% —
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F.F. Thompson Hospital Canandaigua, NY · (585) 396-6000 HB Rsv Vaccine Pref Subunit Bivalent for Im Use $284.00 — — — —
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F.F. Thompson Hospital Canandaigua, NY · (585) 396-6000 PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $323.79 $543.00 — 40% —
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Rochester General Hospital Rochester, NY · (585) 922-4000 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $531.55 $817.77 — 35% Apr 1, 2026
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Clifton Springs Hospital And Clinic Clifton Springs, NY · (315) 462-9561 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $531.55 $817.77 — 35% Apr 1, 2026
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Newark-Wayne Community Hospital Newark, NY · (315) 332-2022 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $531.55 $817.77 — 35% Apr 1, 2026
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Highland Hospital Rochester, NY · (585) 341-6711 HB Rsv Vaccine Pref Subunit Bivalent for Im Use $577.15 — $73.37–$641.52 — —
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Strong Memorial Hospital Rochester, NY · (585) 275-2121 HB Rsv Vaccine Pref Subunit Bivalent for Im Use $577.15 — $85.92–$641.52 — —
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The Unity Hospital of Rochester Rochester, NY · (585) 723-7000 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $654.22 $817.77 — 20% Apr 1, 2026
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Outpatient: lowest $201.71, median $531.55, highest $654.22 — a 3.2× difference within the same market.

As an inpatient, the same code is billed by 6 facilities here, median $531.55. 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 the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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).