Vaccines CPT 90678 Outpatient

RSV vaccine (Abrysvo) cost in Wheeling, WV

In Wheeling, WV-OH, 3 hospitals list a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $238.49 to $406.00, with a median of $238.50. The lowest listed price is at Wheeling Hospital — $0.01 less than the median here. Across West Virginia, the median is $271.00 at 18 hospitals.

Cash prices at 3 facilities across 3 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 Jul 9, 2026 and Jul 9, 2026.

Lowest$238.49Wheeling Hospital
Median$238.50half pay less
Highest$406.00in this market
Difference1.7×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 Wheeling, WV-OH.

median
Lowest $238.49Highest $406.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Wheeling Hospital lowest Wheeling, WV · (304) 243-3000 RESPIRATORY SYNCYTIAL VIRUS VACCINE; PREF; SUBUNIT; BIVALENT; FOR INTRAMUSCULAR USE $238.49 $476.98 $10.00–$476.98 50% Jul 9, 2026
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Reynolds Memorial Hospital Glen Dale, WV · (304) 843-3230 RESPIRATORY SYNCYTIAL VIRUS VACCINE; PREF; SUBUNIT; BIVALENT; FOR INTRAMUSCULAR USE $238.50 $477.00 $10.50–$477.00 50% —
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Reynolds Memorial Hospital Glen Dale, WV · (304) 843-3230 Abrysvo $238.50 $477.00 $10.50–$477.00 50% —
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Reynolds Memorial Hospital Glen Dale, WV · (304) 843-3230 Arexvy $238.50 $477.00 $10.50–$477.00 50% —
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Wheeling Hospital Wheeling, WV · (304) 243-3000 Abrysvo $238.50 $476.99 $10.00–$476.99 50% Jul 9, 2026
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Wheeling Hospital Wheeling, WV · (304) 243-3000 RSV VACC PREF BIVALENT IM $271.00 $542.00 $10.00–$542.00 50% Jul 9, 2026
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Reynolds Memorial Hospital Glen Dale, WV · (304) 843-3230 RSV VACC PREF BIVALENT IM $271.00 $542.00 $10.50–$542.00 50% —
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Barnesville Hospital Association Barnesville, OH · (740) 425-3941 RSV VACC PREF BIVALENT IM $406.00 $812.00 $584.10–$4,748.00 50% —
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Outpatient: lowest $238.49, median $238.50, highest $406.00 — a 1.7× difference within the same market.

Cash or insurance?

At 3 of 3 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 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).