RSV vaccine (Arexvy) cost in San Francisco, CA
In San Francisco-Oakland-Fremont, CA, 11 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 Fnd Hospital - Richmond Campus and 9 other hospitals. Across California, the median is $376.91 at 47 hospitals.
- The median here, $308.56, is 20% below the US median of $385.13.
- San Francisco, CA has the lowest median of 2 metro areas in California with at least 10 hospitals pricing this code.
- 1 of 11 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 11 facilities across 10 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 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 |
|---|---|---|---|---|
| Kaiser Fnd Hospital - Richmond Campus lowest Richmond, CA · (510) 752-1000 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE File of Apr 1, 2026 · source file | $308.56 | $551.00 | — | 44% |
| Kaiser Foundation Hospital - San Rafael lowest San Rafael, CA · (415) 444-2000 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE File of Apr 1, 2026 · source file | $308.56 | $551.00 | — | 44% |
| Kaiser Foundation Hospital - Antioch lowest Antioch, CA · (925) 813-6500 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE File of Apr 1, 2026 · source file | $308.56 | $551.00 | — | 44% |
| Kaiser Foundation Hospital - San Leandro lowest San Leandro, CA · (510) 454-1000 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE File of Apr 1, 2026 · source file | $308.56 | $551.00 | — | 44% |
| Kaiser Foundation Hospital - San Francisco lowest San Francisco, CA · (415) 833-2646 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE File of Apr 1, 2026 · source file | $308.56 | $551.00 | — | 44% |
| Kaiser Foundation Hospital - Walnut Creek lowest Walnut Creek, CA · (925) 295-4000 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE File of Apr 1, 2026 · source file | $308.56 | $551.00 | — | 44% |
| Kaiser Foundation Hospital - Fremont lowest Fremont, CA · (510) 784-4000 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE File of Apr 1, 2026 · source file | $308.56 | $551.00 | — | 44% |
| Kaiser Foundation Hospital - Oakland/Richmond lowest Oakland, CA · (510) 752-1000 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE File of Apr 1, 2026 · source file | $308.56 | $551.00 | — | 44% |
| Kaiser Foundation Hospital - Redwood City lowest Redwood City, CA · (650) 299-2000 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE File of Apr 1, 2026 · source file | $308.56 | $551.00 | — | 44% |
| Kaiser Foundation Hospital - South San Francisco lowest South San Francisco, CA · (650) 742-3200 RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE File of Apr 1, 2026 · source file | $308.56 | $551.00 | — | 44% |
| Kaiser Fnd Hospital - Richmond Campus Richmond, CA · (510) 752-1000 RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT+1 more line at this price File of Apr 1, 2026 · source file | $538.05 | $960.81 | — | 44% |
| 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+1 more line at this price File of Apr 1, 2026 · source file | $538.05 | $960.81 | — | 44% |
| 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+1 more line at this price File of Apr 1, 2026 · source file | $538.05 | $960.81 | — | 44% |
| Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL+1 more line at this price File of Apr 1, 2026 · source file | $538.05 | $960.81 | — | 44% |
| 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+1 more line at this price File of Apr 1, 2026 · source file | $538.05 | $960.81 | — | 44% |
| 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+1 more line at this price File of Apr 1, 2026 · source file | $538.05 | $960.81 | — | 44% |
| Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL+1 more line at this price File of Apr 1, 2026 · source file | $538.05 | $960.81 | — | 44% |
| 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+1 more line at this price File of Apr 1, 2026 · source file | $538.05 | $960.81 | — | 44% |
| Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL+1 more line at this price File of Apr 1, 2026 · source file | $538.05 | $960.81 | — | 44% |
| 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+1 more line at this price File of Apr 1, 2026 · source file | $538.05 | $960.81 | — | 44% |
| Chinese Hospital San Francisco, CA · (415) 677-2480 Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use File of Jul 22, 2026 · source file | $942.00 | $942.00 | $384.52–$1,695.60 | — |
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 10 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 RSV vaccine (Arexvy) is, what the price covers and why prices differ: RSV vaccine (Arexvy) explained.