RSV vaccine (Abrysvo) cost in Urban Honolulu, HI
In Urban Honolulu, HI, 2 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $369.00 to $766.51, with a median of $567.76. The lowest listed price is at Straub Clinic & Hospital — $198.76 less than the median here. Across Hawaii, the median is $766.51 at 3 hospitals.
Cash prices at 2 facilities for code 90678, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Feb 12, 2026 and Feb 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 Urban Honolulu, HI.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Straub Clinic & Hospital lowest Honolulu, HI · (808) 522-4000 RESPIRATORY SYNCYT VIRUS VACC,PREF BIVALENT IM | $369.00 | $615.00 | $183.27–$522.75 | 40% | Feb 12, 2026 source file |
| Kapiolani Medical Center for Women & Children Honolulu, HI · (808) 983-6000 RSV Pre-Fusion F A&B Vac Recomb For IM Soln 120 MCG/0.5ML | $766.51 | $1,277.52 | $373.04–$1,149.77 | 40% | Feb 12, 2026 source file |
| Kapiolani Medical Center for Women & Children Honolulu, HI · (808) 983-6000 RSV Pre-Fusion F A&B Vac Recomb For IM Soln 120 MCG/0.5ML | $766.51 | $1,277.52 | $373.04–$1,149.77 | 40% | Feb 12, 2026 source file |
Outpatient: lowest $369.00, median $567.76, highest $766.51 — a 2.1× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $567.76. 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).