RSV vaccine (Arexvy) cost in San Diego, CA
In San Diego-Chula Vista-Carlsbad, CA, 4 hospitals list a cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults: from $499.62 to $810.52, with a median of $499.62. The lowest listed price is at Kaiser Foundation Hospital - San Diego - Zion and 2 other hospitals. Across California, the median is $308.56 at 45 hospitals.
Cash prices at 4 facilities across 2 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 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 San Diego-Chula Vista-Carlsbad, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Kaiser Foundation Hospital - San Diego - Zion lowest San Diego, CA · (619) 528-5000 RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $499.62 | $960.81 | — | 48% | — source file |
| Kaiser Foundation Hospital - San Marcos lowest San Marcos, CA · (760) 528-6295 RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $499.62 | $960.81 | — | 48% | — source file |
| Kaiser Foundation Hospital - San Diego - Zion lowest San Diego, CA · (619) 528-5000 RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $499.62 | $960.81 | — | 48% | — source file |
| Kaiser Foundation Hospital - San Diego - Clairemont Mesa lowest San Diego, CA RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $499.62 | $960.81 | — | 48% | — source file |
| Kaiser Foundation Hospital - San Diego - Clairemont Mesa lowest San Diego, CA RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $499.62 | $960.81 | — | 48% | — source file |
| Kaiser Foundation Hospital - San Marcos lowest San Marcos, CA · (760) 528-6295 RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $499.62 | $960.81 | — | 48% | — source file |
| UC San Diego Medical Center San Diego, CA · (619) 543-6222 Vaccine Rsv Pref Recombinant Adjuvanted for Im Use ( Arexvy) | $810.52 | $1,473.67 | $176.84–$1,989.45 | 45% | Apr 1, 2026 source file |
| UC San Diego Medical Center San Diego, CA · (619) 543-6222 RSVPREF3 VAC RECOMB ADJUVANTED 120 MCG/0.5ML IM SUSR | $814.71 | $1,481.29 | $177.75–$1,999.74 | 45% | Apr 1, 2026 source file |
Outpatient: lowest $499.62, median $499.62, highest $810.52 — a 1.6× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $499.62. 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 the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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).