RSV vaccine (Arexvy) cost in San Francisco, CA
In San Francisco-Oakland-Fremont, CA, 10 hospitals list a cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults: from $308.56 to $942.00, with a median of $308.56. The lowest listed price is at Kaiser Foundation Hospital - San Francisco and 8 other hospitals. Across California, the median is $308.56 at 45 hospitals.
Cash prices at 10 facilities across 9 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 Jul 22, 2026 and Jul 22, 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 Francisco-Oakland-Fremont, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Kaiser Foundation Hospital - San Francisco lowest San Francisco, CA · (415) 833-2646 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Antioch lowest Antioch, CA · (925) 813-6500 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Redwood City lowest Redwood City, CA · (650) 299-2000 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Oakland/Richmond lowest Oakland, CA · (510) 752-1000 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Leandro lowest San Leandro, CA · (510) 454-1000 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Fremont lowest Fremont, CA · (510) 784-4000 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Rafael lowest San Rafael, CA · (415) 444-2000 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - South San Francisco lowest South San Francisco, CA · (650) 742-3200 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Walnut Creek lowest Walnut Creek, CA · (925) 295-4000 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Redwood City Redwood City, CA · (650) 299-2000 RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $538.05 | $960.81 | — | 44% | — source file |
| Kaiser Foundation Hospital - Redwood City Redwood City, CA · (650) 299-2000 RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $538.05 | $960.81 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Rafael San Rafael, CA · (415) 444-2000 RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $538.05 | $960.81 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Rafael San Rafael, CA · (415) 444-2000 RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $538.05 | $960.81 | — | 44% | — source file |
| Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $538.05 | $960.81 | — | 44% | — source file |
| Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $538.05 | $960.81 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Leandro San Leandro, CA · (510) 454-1000 RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $538.05 | $960.81 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Leandro San Leandro, CA · (510) 454-1000 RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $538.05 | $960.81 | — | 44% | — source file |
| Kaiser Foundation Hospital - South San Francisco South San Francisco, CA · (650) 742-3200 RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $538.05 | $960.81 | — | 44% | — source file |
| Kaiser Foundation Hospital - South San Francisco South San Francisco, CA · (650) 742-3200 RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $538.05 | $960.81 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Francisco San Francisco, CA · (415) 833-2646 RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $538.05 | $960.81 | — | 44% | — source file |
| Kaiser Foundation Hospital - San Francisco San Francisco, CA · (415) 833-2646 RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $538.05 | $960.81 | — | 44% | — source file |
| Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $538.05 | $960.81 | — | 44% | — source file |
| Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $538.05 | $960.81 | — | 44% | — source file |
| Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA · (925) 295-4000 RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $538.05 | $960.81 | — | 44% | — source file |
| Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA · (925) 295-4000 RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $538.05 | $960.81 | — | 44% | — source file |
| Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $538.05 | $960.81 | — | 44% | — source file |
| Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $538.05 | $960.81 | — | 44% | — source file |
| Chinese Hospital Association San Francisco, CA · (415) 677-2480 Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use | $942.00 | $942.00 | $384.52–$1,695.60 | — | Jul 22, 2026 source file |
Outpatient: lowest $308.56, median $308.56, highest $942.00 — a 3.1× difference within the same market.
As an inpatient, the same code is billed by 9 facilities here, median $308.56. 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).