RSV vaccine (Arexvy) cost in Detroit, MI
In Detroit-Warren-Dearborn, MI, 4 hospitals list a cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults: from $497.10 to $497.10, with a median of $497.10. The lowest listed price is at McLaren Macomb and 3 other hospitals. Across Michigan, the median is $497.10 at 16 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 Dec 31, 2025 and Dec 31, 2025.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Detroit-Warren-Dearborn, MI.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| McLaren Macomb lowest Mount Clemens, MI · (586) 493-8000 RSV Vial (Arexvy) -> Arexvy RSV preF3 0.5 mL 90679 | $497.10 | $994.20 | $592.91–$671.09 | 50% | Dec 31, 2025 source file |
| McLaren Port Huron lowest Port Huron, MI · (810) 987-5000 RSV Vial (Arexvy) -> Arexvy RSV preF3 0.5 mL 90679 | $497.10 | $994.20 | $505.05–$593.00 | 50% | Dec 31, 2025 source file |
| McLaren Oakland lowest Pontiac, MI · (248) 338-5000 RSV Vial (Arexvy) -> Arexvy RSV preF3 0.5 mL 90679 | $497.10 | $994.20 | $534.46 | 50% | Dec 31, 2025 source file |
| McLaren Lapeer Region lowest Lapeer, MI · (810) 667-5500 RSV Vial (Arexvy) -> Arexvy RSV preF3 0.5 mL 90679 | $497.10 | $994.20 | $962.92 | 50% | Dec 31, 2025 source file |
Outpatient: lowest $497.10, median $497.10, highest $497.10.
Cash or insurance?
At 4 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 4 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).