Vaccines CPT 90678 Outpatient

RSV vaccine (Abrysvo) cost in San Francisco, CA

In San Francisco-Oakland-Fremont, CA, 12 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $309.12 to $1,770.00, with a median of $309.12. The lowest listed price is at Kaiser Fnd Hospital - Richmond Campus and 9 other hospitals. Across California, the median is $309.12 at 57 hospitals.

  • The median here, $309.12, is 32% below the US median of $454.97.
  • San Francisco, CA ranks 2nd of 2 metro areas in California by median, cheapest first.
  • 2 of 12 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 12 facilities across 10 cities for code 90678, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$309.12Kaiser Fnd Hospital - Richmond Campus + 9 more
Median$309.12half of hospitals charge less
Highest$1,770.00in this market
Difference5.7×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 San Francisco-Oakland-Fremont, CA.

median
Lowest $309.12Highest $1,770.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Kaiser Fnd Hospital - Richmond Campus lowest Richmond, CA · (510) 752-1000 RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE File of Apr 1, 2026 · source file $309.12 $552.00 — 44%
Kaiser Foundation Hospital - Fremont lowest Fremont, CA · (510) 784-4000 RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE File of Apr 1, 2026 · source file $309.12 $552.00 — 44%
Kaiser Foundation Hospital - San Francisco lowest San Francisco, CA · (415) 833-2646 RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE File of Apr 1, 2026 · source file $309.12 $552.00 — 44%
Kaiser Foundation Hospital - San Leandro lowest San Leandro, CA · (510) 454-1000 RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE File of Apr 1, 2026 · source file $309.12 $552.00 — 44%
Kaiser Foundation Hospital - South San Francisco lowest South San Francisco, CA · (650) 742-3200 RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE File of Apr 1, 2026 · source file $309.12 $552.00 — 44%
Kaiser Foundation Hospital - San Rafael lowest San Rafael, CA · (415) 444-2000 RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE File of Apr 1, 2026 · source file $309.12 $552.00 — 44%
Kaiser Foundation Hospital - Antioch lowest Antioch, CA · (925) 813-6500 RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE File of Apr 1, 2026 · source file $309.12 $552.00 — 44%
Kaiser Foundation Hospital - Oakland/Richmond lowest Oakland, CA · (510) 752-1000 RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE File of Apr 1, 2026 · source file $309.12 $552.00 — 44%
Kaiser Foundation Hospital - Walnut Creek lowest Walnut Creek, CA · (925) 295-4000 RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE File of Apr 1, 2026 · source file $309.12 $552.00 — 44%
Kaiser Foundation Hospital - Redwood City lowest Redwood City, CA · (650) 299-2000 RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE File of Apr 1, 2026 · source file $309.12 $552.00 — 44%
Kaiser Foundation Hospital - Redwood City Redwood City, CA · (650) 299-2000 "RSV vac, preF A and preF B (PF) 120 mcg/0.5 mL Recon soln 1 Each VIAL" File of Apr 1, 2026 · source file $538.84 $962.22 — 44%
Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 "RSV vac, preF A and preF B (PF) 120 mcg/0.5 mL Recon soln 1 Each VIAL" File of Apr 1, 2026 · source file $538.84 $962.22 — 44%
Kaiser Foundation Hospital - San Leandro San Leandro, CA · (510) 454-1000 "RSV vac, preF A and preF B (PF) 120 mcg/0.5 mL Recon soln 1 Each VIAL" File of Apr 1, 2026 · source file $538.84 $962.22 — 44%
Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 "RSV vac, preF A and preF B (PF) 120 mcg/0.5 mL Recon soln 1 Each VIAL" File of Apr 1, 2026 · source file $538.84 $962.22 — 44%
Kaiser Foundation Hospital - San Rafael San Rafael, CA · (415) 444-2000 "RSV vac, preF A and preF B (PF) 120 mcg/0.5 mL Recon soln 1 Each VIAL" File of Apr 1, 2026 · source file $538.84 $962.22 — 44%
Kaiser Fnd Hospital - Richmond Campus Richmond, CA · (510) 752-1000 "RSV vac, preF A and preF B (PF) 120 mcg/0.5 mL Recon soln 1 Each VIAL" File of Apr 1, 2026 · source file $538.84 $962.22 — 44%
Kaiser Foundation Hospital - San Francisco San Francisco, CA · (415) 833-2646 "RSV vac, preF A and preF B (PF) 120 mcg/0.5 mL Recon soln 1 Each VIAL" File of Apr 1, 2026 · source file $538.84 $962.22 — 44%
Kaiser Foundation Hospital - South San Francisco South San Francisco, CA · (650) 742-3200 "RSV vac, preF A and preF B (PF) 120 mcg/0.5 mL Recon soln 1 Each VIAL" File of Apr 1, 2026 · source file $538.84 $962.22 — 44%
Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 "RSV vac, preF A and preF B (PF) 120 mcg/0.5 mL Recon soln 1 Each VIAL" File of Apr 1, 2026 · source file $538.84 $962.22 — 44%
Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA · (925) 295-4000 "RSV vac, preF A and preF B (PF) 120 mcg/0.5 mL Recon soln 1 Each VIAL" File of Apr 1, 2026 · source file $538.84 $962.22 — 44%
Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA · (510) 655-4000 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR File of Apr 1, 2026 · source file $1,770.00 $1,770.00 — —
Alta Bates Summit Medical Center Oakland, CA · (510) 655-4000 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR File of Apr 1, 2026 · source file $1,770.00 $1,770.00 — —
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 $309.12, median $309.12, highest $1,770.00 — a 5.7× difference within the same market.

As an inpatient, the same code is billed by 14 facilities here, median $309.12. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

What RSV vaccine (Abrysvo) is, what the price covers and why prices differ: RSV vaccine (Abrysvo) explained.