RSV vaccine (Abrysvo) cost in Washington, DC
In Washington-Arlington-Alexandria, DC-VA-MD-WV, 10 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $343.10 to $722.07, with a median of $374.55. The lowest listed price is at Inova Loudoun Hospital and 4 other hospitals — $31.45 less than the median here. Across District of Columbia, the median is $589.10 at 2 hospitals.
- The median here, $374.55, is 18% below the US median of $454.97.
- Every hospital here lists a cash price below its full list price.
Cash prices at 10 facilities across 9 cities for code 90678, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 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 Washington-Arlington-Alexandria, DC-VA-MD-WV.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Inova Loudoun Hospital lowest Leesburg, VA · (703) 858-6600 RSV vaccine 120 MCG/0.5ML Solr 1 each Vial File of Apr 1, 2026 · source file | $343.10 | $686.20 | $36.65–$617.26 | 50% |
| Inova Fair Oaks Hospital lowest Fairfax, VA · (703) 391-4170 RSV vaccine 120 MCG/0.5ML Solr 1 each Vial File of Apr 1, 2026 · source file | $343.10 | $686.20 | $36.65–$617.26 | 50% |
| Inova Mount Vernon Hospital lowest Alexandria, VA · (703) 664-7105 RSV vaccine 120 MCG/0.5ML Solr 1 each Vial File of Apr 1, 2026 · source file | $343.10 | $686.20 | $36.65–$617.26 | 50% |
| Inova Alexandria Hospital lowest Alexandria, VA · (703) 504-3167 RSV vaccine 120 MCG/0.5ML Solr 1 each Vial File of Apr 1, 2026 · source file | $343.10 | $686.20 | $36.65–$617.26 | 50% |
| Inova Fairfax Hospital lowest Falls Church, VA · (703) 698-1110 RSV vaccine 120 MCG/0.5ML Solr 1 each Vial File of Apr 1, 2026 · source file | $343.10 | $686.20 | $36.65–$617.26 | 50% |
| Jefferson Medical Center Ranson, WV · (304) 728-1600 RSV VACC PREF BIVALENT IM File of Jul 12, 2026 · source file | $406.00 | $812.00 | $584.10 | 50% |
| MedStar Montgomery Medical Center Olney, MD · (301) 774-8882 RSV VACCINE 120MCG/0.5ML INJ File of Apr 1, 2026 · source file | $504.18 | $514.47 | $504.18–$514.47 | 2% |
| MedStar Georgetown Hospital Northwest Washington, DC · (202) 784-3000 RSV VACCINE 120MCG 0.5ML INJ File of Apr 1, 2026 · source file | $565.54 | $870.06 | $243.62–$783.05 | 35% |
| MedStar Washington Hospital Center Washington, DC · (202) 877-7000 RSV VACCINE 120MCG 0.5ML INJ File of Apr 1, 2026 · source file | $612.66 | $942.56 | $273.34–$942.56 | 35% |
| MedStar Southern Hospital Center Clinton, MD · (301) 868-8000 RSV VACCINE 120MCG/0.5ML INJ File of Apr 1, 2026 · source file | $722.07 | $736.81 | $722.07–$736.81 | 2% |
Outpatient: lowest $343.10, median $374.55, highest $722.07 — a 2.1× difference within the same market.
As an inpatient, the same code is billed by 7 facilities here, median $343.10. 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 10 of 10 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is 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 RSV vaccine (Abrysvo) is, what the price covers and why prices differ: RSV vaccine (Abrysvo) explained.