RSV vaccine (Arexvy) cost in Rochester, NY — inpatient
In Rochester, NY, 6 hospitals list a cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults as an inpatient: from $202.50 to $626.02, with a median of $508.64. The lowest listed price is at Strong Memorial Hospital — $306.14 less than the median here. Across New York, the median is $407.74 at 25 hospitals.
Cash prices at 6 facilities across 4 cities for code 90679, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 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 Rochester, NY.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Strong Memorial Hospital lowest Rochester, NY · (585) 275-2121 PR RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $202.50 | $405.00 | $321.67–$404.38 | 50% | — source file |
| F.F. Thompson Hospital Canandaigua, NY · (585) 396-6000 PR RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $323.79 | $543.00 | — | 40% | — source file |
| Clifton Springs Hospital And Clinic Clifton Springs, NY · (315) 462-9561 HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $508.64 | $782.53 | — | 35% | Apr 1, 2026 source file |
| Rochester General Hospital Rochester, NY · (585) 922-4000 HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $508.64 | $782.53 | — | 35% | Apr 1, 2026 source file |
| Newark-Wayne Community Hospital Newark, NY · (315) 332-2022 HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $508.64 | $782.53 | — | 35% | Apr 1, 2026 source file |
| The Unity Hospital of Rochester Rochester, NY · (585) 723-7000 HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $626.02 | $782.53 | — | 20% | Apr 1, 2026 source file |
Inpatient: lowest $202.50, median $508.64, highest $626.02 — a 3.1× difference within the same market.
As an outpatient, the same code is billed by 7 facilities here, median $508.64 — 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
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).