RSV vaccine (Arexvy) cost in Chicago, IL
In Chicago-Naperville-Elgin, IL-IN, 4 hospitals list a cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults: from $140.98 to $292.00, with a median of $231.33. The lowest listed price is at Gottlieb Memorial Hospital — $90.35 less than the median here. Across Illinois, the median is $255.50 at 9 hospitals.
Cash prices at 4 facilities across 4 cities for code 90679, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 31, 2026 and Apr 1, 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 Chicago-Naperville-Elgin, IL-IN.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Gottlieb Memorial Hospital lowest Melrose Park, IL · (708) 681-3200 Rsv Pref3 (Arexvy 0.5ml) Adjuvant Reconstituted 60+ Yrs | $140.98 | $742.00 | $223.34–$621.80 | 81% | Mar 31, 2026 source file |
| Gottlieb Memorial Hospital lowest Melrose Park, IL · (708) 681-3200 Rsv Pref3 (Arexvy 0.5ml) Adjuvant Reconstituted 60+ Yrs | $140.98 | $742.00 | $223.34–$621.80 | 81% | Mar 31, 2026 source file |
| Loyola University Medical Center Maywood, IL · (708) 216-9000 Rsv Pref3 (Arexvy 0.5ml) Adjuvant Reconstituted 60+ Yrs | $170.66 | $742.00 | $257.47–$782.07 | 77% | Mar 31, 2026 source file |
| Loyola University Medical Center Maywood, IL · (708) 216-9000 Rsv Pref3 (Arexvy 0.5ml) Adjuvant Reconstituted 60+ Yrs | $170.66 | $742.00 | $36.28 | 77% | Mar 31, 2026 source file |
| The University of Chicago Medical Center Chicago, IL · (773) 702-9785 NDC Description Not Available | $292.00 | $292.00 | — | — | Apr 1, 2026 source file |
| The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Arexvy: 1 Kit In 1 Carton (58160-848-11) * .5 Ml In 1 Vial (58160-723-03) * .5 Ml In 1 Vial (58160-744-03) | $292.00 | $292.00 | — | — | Apr 1, 2026 source file |
| The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Pr Rsv Vacc Pref Recombinant Adjuvanted For Im Use | $292.00 | $292.00 | — | — | Apr 1, 2026 source file |
| Uchicago Medicine Northwest Indiana Crown Point, IN · (312) 755-4706 RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION, KIT | $292.00 | $292.00 | — | — | Apr 1, 2026 source file |
Outpatient: lowest $140.98, median $231.33, highest $292.00 — a 2.1× difference within the same market.
As an inpatient, the same code is billed by 4 facilities here, median $231.33. 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 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 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
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).