Vaccines CPT 90678 Inpatient — admitted to hospital

RSV vaccine (Abrysvo) cost in Sparta, NC — inpatient

In Sparta, NC, 1 hospital lists a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy as an inpatient: from $1,922.40 to $1,922.40, with a median of $1,922.40. Across North Carolina, the median is $936.00 at 40 hospitals.

Cash prices at 1 facility for code 90678, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Aug 12, 2025 and Aug 12, 2025.

Lowest$1,922.40Alleghany County Memorial Hospital
Median$1,922.40half pay less
Highest$1,922.40in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Alleghany County Memorial Hospital Sparta, NC · (336) 372-5511 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION $1,922.40 $3,844.80 $3,229.63–$3,537.22 50% Aug 12, 2025
source file

Inpatient: lowest $1,922.40, median $1,922.40, highest $1,922.40.

As an outpatient, the same code is billed by 1 facility here, median $1,922.40 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated and 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).