RSV vaccine (Arexvy) cost in Boston, MA — inpatient
In Boston-Cambridge-Newton, MA-NH, 3 hospitals list a cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults as an inpatient: from $624.81 to $625.10, with a median of $624.81. The lowest listed price is at Lowell General Hospital and 1 other hospital. Across Massachusetts, the median is $624.96 at 4 hospitals.
Cash prices at 3 facilities across 3 cities for code 90679, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Boston-Cambridge-Newton, MA-NH.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Lowell General Hospital lowest Lowell, MA · (978) 937-6000 HC Pbb Imm Rsv Vacc Pref Recomb Adjt Im | $624.81 | $892.58 | $283.66–$892.58 | 30% | — source file |
| Melrosewakefield Healthcare lowest Melrose, MA · (781) 979-3000 HC Pbb Imm Rsv Vacc Pref Recomb Adjt Im | $624.81 | $892.58 | $278.25–$965.15 | 30% | — source file |
| Tufts Medical Center Boston, MA · (617) 636-5000 HC Pbb Imm Rsv Vacc Pref Recomb Adjt Im | $625.10 | $893.00 | $234.50–$893.00 | 30% | — source file |
| Lowell General Hospital Lowell, MA · (978) 937-6000 RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML | $634.76 | $906.80 | $283.66–$906.80 | 30% | — source file |
Inpatient: lowest $624.81, median $624.81, highest $625.10.
As an outpatient, the same code is billed by 3 facilities here, median $624.81 — that is the price to compare if you are not being admitted.
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 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
Arexvy is a single-dose RSV vaccine with an adjuvant, for older adults. The CDC recommends an RSV vaccine for everyone 75 and older and for adults 50 to 74 at higher risk; Arexvy is not used in pregnancy.
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).