RSV vaccine (Arexvy) cost in Armour, SD
In Armour, SD, 1 hospital lists a cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults: from $314.10 to $314.10, with a median of $314.10. Across South Dakota, the median is $546.39 at 2 hospitals.
Cash prices at 1 facility for code 90679, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Jan 9, 2026 and Jan 9, 2026.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Douglas County Memorial Hospital Armour, SD · (605) 724-2159 RSV VACC PREF RECOMB ADJT INTRAMUSCULAR | $314.10 | $349.00 | $171.01–$349.00 | 10% | Jan 9, 2026 source file |
Outpatient: lowest $314.10, median $314.10, highest $314.10.
As an inpatient, the same code is billed by 1 facility here, median $296.65. 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).