Vaccines CPT 90678 Inpatient — admitted to hospital

RSV vaccine (Abrysvo) cost in Washington, DC — inpatient

In Washington-Arlington-Alexandria, DC-VA-MD-WV, 5 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy as an inpatient: from $343.10 to $343.10, with a median of $343.10. The lowest listed price is at Inova Fairfax Hospital and 4 other hospitals.

Cash prices at 5 facilities across 4 cities for code 90678, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$343.10Inova Fairfax Hospital + 4 more
Median$343.10half pay less
Highest$343.10in this market
Difference1.0×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 Washington-Arlington-Alexandria, DC-VA-MD-WV.

median
Lowest $343.10Highest $343.10

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Inova Fairfax Hospital lowest Falls Church, VA · (703) 698-1110 RSV vaccine 120 MCG/0.5ML Solr 1 each Vial $343.10 $686.20 $36.65–$617.26 50% —
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Inova Loudoun Hospital lowest Leesburg, VA · (703) 858-6600 RSV vaccine 120 MCG/0.5ML Solr 1 each Vial $343.10 $686.20 $36.65–$617.26 50% —
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Inova Mount Vernon Hospital lowest Alexandria, VA · (703) 664-7105 RSV vaccine 120 MCG/0.5ML Solr 1 each Vial $343.10 $686.20 $36.65–$617.26 50% —
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Inova Fair Oaks Hospital lowest Fairfax, VA · (703) 391-4170 RSV vaccine 120 MCG/0.5ML Solr 1 each Vial $343.10 $686.20 $36.65–$617.26 50% —
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Inova Alexandria Hospital lowest Alexandria, VA · (703) 504-3167 RSV vaccine 120 MCG/0.5ML Solr 1 each Vial $343.10 $686.20 $36.65–$617.26 50% —
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Inpatient: lowest $343.10, median $343.10, highest $343.10.

As an outpatient, the same code is billed by 6 facilities here, median $343.10 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 5 of 5 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).