RSV vaccine (Abrysvo) cost in St. Louis, MO
In St. Louis, MO-IL, 3 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $318.75 to $881.43, with a median of $318.75. The lowest listed price is at Mercy Hospital Lincoln and 1 other hospital. Across Missouri, the median is $318.75 at 7 hospitals.
Cash prices at 3 facilities across 3 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 Jun 12, 2026 and Jun 12, 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 St. Louis, MO-IL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Mercy Hospital Lincoln lowest Elsberry, MO Rsv Vaccine Pref Subunit Bivalent for Im Use | $318.75 | $425.00 | $178.50–$382.50 | 25% | Jun 12, 2026 source file |
| Mercy Hospitals East Communities lowest Washington, MO Rsv Vaccine Pref Subunit Bivalent for Im Use | $318.75 | $425.00 | $178.50–$382.50 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln lowest Elsberry, MO Rsv Vaccine Pref Subunit Bivalent for Im Use | $318.75 | $425.00 | $178.50–$382.50 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln lowest Elsberry, MO Rsv Vaccine Pref Subunit Bivalent for Im Use | $318.75 | $425.00 | $178.50–$382.50 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln lowest Elsberry, MO Rsv Vaccine Pref Subunit Bivalent for Im Use | $318.75 | $425.00 | $178.50–$382.50 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln lowest Elsberry, MO Rsv Vaccine Pref Subunit Bivalent for Im Use | $318.75 | $425.00 | $178.50–$382.50 | 25% | Jun 12, 2026 source file |
| Mercy Hospital St Louis Saint Louis, MO RESPIRATORY SYNCYTIAL VIRUS VACCINE, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $881.43 | $1,356.05 | $88.14–$1,356.05 | 35% | — source file |
Outpatient: lowest $318.75, median $318.75, highest $881.43 — a 2.8× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $318.75. 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 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).