RSV vaccine (Abrysvo) cost in San Jose, CA
In San Jose-Sunnyvale-Santa Clara, CA, 4 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $309.12 to $1,214.80, with a median of $370.06. The lowest listed price is at Kaiser Foundation Hospital - San Jose and 1 other hospital — $60.94 less than the median here. Across California, the median is $309.12 at 46 hospitals.
Cash prices at 4 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 Mar 31, 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 San Jose-Sunnyvale-Santa Clara, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Kaiser Foundation Hospital - San Jose lowest San Jose, CA · (408) 972-7000 RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $309.12 | $552.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Santa Clara lowest Santa Clara, CA · (408) 236-6400 RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $309.12 | $552.00 | — | 44% | — source file |
| Lucile Salter Packard Children's Hospital at Stanford Palo Alto, CA · (650) 497-8000 HB Rsv Vacc Pf Recomb Bivalent Im | $431.00 | $862.00 | $275.75 | 50% | Mar 31, 2026 source file |
| Kaiser Foundation Hospital - San Jose San Jose, CA · (408) 972-7000 "RSV vac, preF A and preF B (PF) 120 mcg/0.5 mL Recon soln 1 Each VIAL" | $538.84 | $962.22 | — | 44% | — source file |
| Kaiser Foundation Hospital - Santa Clara Santa Clara, CA · (408) 236-6400 "RSV vac, preF A and preF B (PF) 120 mcg/0.5 mL Recon soln 1 Each VIAL" | $538.84 | $962.22 | — | 44% | — source file |
| Stanford Health Care Stanford, CA · (650) 723-4000 Rsv Abrysvo 120mcg/0.5ml Im | $1,214.80 | $3,037.00 | — | 60% | Apr 1, 2026 source file |
| Lucile Salter Packard Children's Hospital at Stanford Palo Alto, CA · (650) 497-8000 RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $2,047.10 | $4,094.20 | $1,309.73 | 50% | Mar 31, 2026 source file |
Outpatient: lowest $309.12, median $370.06, highest $1,214.80 — a 3.9× difference within the same market.
As an inpatient, the same code is billed by 3 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.
Cash or insurance?
At the one hospital here that publishes insurer rates for this code, the cash price is not 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).