RSV vaccine (Abrysvo) cost without insurance
The median hospital cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy is $454.97 across 846 US hospitals; most list between $211.80 and $1,064.97. The lowest outpatient cash price in any of 460 markets is $81.04. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Nov 11, 2026 Each price links to its source file All Vaccine costs
Lowest$81.04any market
Median market$446.88middle of market medians
Most below$1,064.979 in 10 hospitals
Listings841hospital prices
Compared with the vaccine's list price
$319.07 (Abrysvo) per dose is the manufacturer's private-sector price in the CDC vaccine price list: what a clinic or pharmacy pays for the vaccine itself. The median hospital cash price, $454.97 across 846 hospitals, is 1.4× that.
Giving the shot is billed separately (CPT 90471), and anyone who gives it adds a markup, so treat this as a floor: a concrete number to mention when you ask for a cash discount. Source: CDC.
Cash or insurance?
If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for RSV vaccine (Abrysvo), the highest negotiated rate in a hospital's file has a median of $804.95 and the lowest a median of $192.00. At 538 of 643 hospitals that publish both, the cash price is below the highest negotiated rate.
With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.
Plan's rate starts at the median highest negotiated rate and cash at the national median; put in your own numbers. Nothing you type leaves your device. To price a whole year with premiums, use the insurance or cash calculator.
What is CPT 90678?
Abrysvo is a single-dose RSV vaccine. The CDC recommends an RSV vaccine for everyone 75 and older and for adults 50 to 74 at higher risk, and Abrysvo is also given in weeks 32 to 36 of pregnancy to protect the newborn.
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).
Why prices differ
Pharmacies give most adult RSV shots; hospital prices for the same dose vary widely.
What to ask
Ask whether the self-pay price for CPT 90678 includes giving the shot (90471).
Prices by state
Among 37 states with at least 5 hospitals listing a cash price, the median is lowest in Maine ($206.29), Minnesota ($220.80) and Mississippi ($220.90), and highest in Alabama ($1,811.56), Georgia ($1,112.28) and Colorado ($963.72).
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$1,811.56
- Alaska$585.05
- Arizona$218.82, 2 hospitals
- Arkansas$677.32, 4 hospitals
- California$309.12
- Colorado$963.72
- Connecticut$271.59, 3 hospitals
- Delaware$1,107.33, 2 hospitals
- District of Columbia$589.10, 2 hospitals
- Florida$697.90
- Georgia$1,112.28
- Hawaii$744.09, 4 hospitals
- Idaho$442.50
- Illinois$459.46
- Indiana$607.04
- Iowa$315.00
- Kansas$435.96
- Kentucky$297.20
- Louisiana$244.26
- Maine$206.29
- Maryland$613.13
- Massachusetts$695.83
- Michigan$478.00
- Minnesota$220.80
- Mississippi$220.90
- Missouri$467.66
- Montana$390.90
- Nebraska$376.20
- Nevada$1,830.50, 2 hospitals
- New Hampshire$217.49, 4 hospitals
- New Jersey$817.81
- New Mexico$396.28, 3 hospitals
- New York$423.40
- North Carolina$936.00
- North Dakota$364.78
- Ohio$718.90
- Oklahoma$443.09, 3 hospitals
- Oregon$468.85
- Pennsylvania$504.00
- South Carolina$320.92
- South Dakota$370.40
- Tennessee$301.61
- Texas$637.20
- Utah$856.25, 4 hospitals
- Vermont$500.00, 3 hospitals
- Virginia$343.10
- Washington$477.91
- West Virginia$271.00
- Wisconsin$554.90
- Wyoming$502.38, 2 hospitals
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Abilene, KS single city | 1 | $442.50 | $442.50 | $442.50 | 1.0× |
| Abilene, TX | 2 | $1,564.05 | $1,564.05 | $1,564.05 | 1.0× |
| Ahoskie, NC single city | 1 | $2,455.75 | $2,455.75 | $2,455.75 | 1.0× |
| Akron, OH | 3 | $718.90 | $907.50 | $1,675.00 | 2.3× |
| Albany, KY single city | 1 | $338.25 | $338.25 | $338.25 | 1.0× |
| Albany, OR | 1 | $376.80 | $376.80 | $376.80 | 1.0× |
| Albany-Schenectady-Troy, NY | 2 | $216.54 | $248.02 | $279.50 | 1.3× |
| Albemarle, NC | 1 | $389.00 | $389.00 | $389.00 | 1.0× |
| Albertville, AL | 2 | $1,811.56 | $1,811.56 | $1,811.56 | 1.0× |
| Albuquerque, NM | 1 | $396.28 | $396.28 | $396.28 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 1 | $817.27 | $817.27 | $817.27 | 1.0× |
| Altoona, PA | 2 | $504.00 | $694.50 | $885.00 | 1.8× |
| Ames, IA | 2 | $293.60 | $299.60 | $305.60 | 1.0× |
| Anaconda, MT single city | 1 | $829.59 | $829.59 | $829.59 | 1.0× |
| Anchorage, AK | 3 | $322.39 | $1,513.98 | $3,446.00 | 10.7× |
| Anderson Creek, NC | 1 | $1,005.26 | $1,005.26 | $1,005.26 | 1.0× |
| Ann Arbor, MI | 1 | $197.70 | $197.70 | $197.70 | 1.0× |
| Antigo, WI single city | 1 | $566.80 | $566.80 | $566.80 | 1.0× |
| Appleton, MN single city | 1 | $398.65 | $398.65 | $398.65 | 1.0× |
| Appleton, WI | 2 | $293.55 | $293.55 | $293.55 | 1.0× |
| Asheville, NC | 1 | $2,893.78 | $2,893.78 | $2,893.78 | 1.0× |
| Astoria, OR | 2 | $233.60 | $898.51 | $1,563.42 | 6.7× |
| Atchison, KS | 1 | $821.00 | $821.00 | $821.00 | 1.0× |
| Atkinson, NE single city | 1 | $320.00 | $320.00 | $320.00 | 1.0× |
| Atlantic City-Hammonton, NJ | 1 | $300.81 | $300.81 | $300.81 | 1.0× |
| Atlantic, IA single city | 1 | $178.22 | $178.22 | $178.22 | 1.0× |
| Auburn, IN | 1 | $588.40 | $588.40 | $588.40 | 1.0× |
| Austin-Round Rock-San Marcos, TX | 6 | $633.59 | $1,020.00 | $1,321.00 | 2.1× |
| Bad Axe, MI single city | 1 | $478.00 | $478.00 | $478.00 | 1.0× |
| Bakersfield-Delano, CA | 2 | $156.56 | $276.67 | $396.78 | 2.5× |
| Baltimore-Columbia-Towson, MD | 4 | $385.20 | $905.64 | $1,111.59 | 2.9× |
| Bangor, ME | 2 | $107.73 | $198.20 | $288.66 | 2.7× |
| Bassett, NE single city | 1 | $488.00 | $488.00 | $488.00 | 1.0× |
| Batavia, NY | 1 | $531.55 | $531.55 | $531.55 | 1.0× |
| Baton Rouge, LA | 1 | $339.84 | $339.84 | $339.84 | 1.0× |
| Baudette, MN single city | 1 | $173.60 | $173.60 | $173.60 | 1.0× |
| Bay City, MI | 1 | $497.10 | $497.10 | $497.10 | 1.0× |
| Beatrice, NE | 1 | $369.00 | $369.00 | $369.00 | 1.0× |
| Beaver Dam, WI | 1 | $554.90 | $554.90 | $554.90 | 1.0× |
| Belmond, IA single city | 1 | $552.24 | $552.24 | $552.24 | 1.0× |
| Bemidji, MN | 1 | $287.55 | $287.55 | $287.55 | 1.0× |
| Bend, OR | 3 | $362.40 | $907.77 | $907.77 | 2.5× |
| Bennington, VT | 1 | $500.00 | $500.00 | $500.00 | 1.0× |
| Berlin, WI single city | 1 | $293.55 | $293.55 | $293.55 | 1.0× |
| Billings, MT | 1 | $457.00 | $457.00 | $457.00 | 1.0× |
| Bishop, CA | 1 | $1,062.00 | $1,062.00 | $1,062.00 | 1.0× |
| Bismarck, ND | 1 | $403.55 | $403.55 | $403.55 | 1.0× |
| Blackfoot, ID | 1 | $385.00 | $385.00 | $385.00 | 1.0× |
| Bloomington, IL | 1 | $459.46 | $459.46 | $459.46 | 1.0× |
| Blue Hill, ME single city | 1 | $206.29 | $206.29 | $206.29 | 1.0× |
| Bluefield, WV-VA | 1 | $271.00 | $271.00 | $271.00 | 1.0× |
| Boise City, ID | 3 | $267.80 | $442.50 | $442.50 | 1.7× |
| Boston-Cambridge-Newton, MA-NH | 6 | $262.50 | $695.83 | $2,000.00 | 7.6× |
| Bowling Green, KY | 2 | $292.64 | $315.45 | $338.25 | 1.2× |
| Bozeman, MT | 2 | $340.00 | $340.00 | $340.00 | 1.0× |
| Brainerd, MN | 1 | $421.26 | $421.26 | $421.26 | 1.0× |
| Brookhaven, MS | 1 | $182.84 | $182.84 | $182.84 | 1.0× |
| Brookville, PA single city | 1 | $885.00 | $885.00 | $885.00 | 1.0× |
| Brownwood, TX | 1 | $1,535.09 | $1,535.09 | $1,535.09 | 1.0× |
| Buckhannon, WV single city | 1 | $358.00 | $358.00 | $358.00 | 1.0× |
| Bucyrus, OH | 1 | $1,264.80 | $1,264.80 | $1,264.80 | 1.0× |
| Buffalo-Cheektowaga, NY | 6 | $372.00 | $372.00 | $849.14 | 2.3× |
| Burlington-South Burlington, VT | 1 | $1,009.38 | $1,009.38 | $1,009.38 | 1.0× |
| Cadillac, MI | 1 | $804.95 | $804.95 | $804.95 | 1.0× |
| Cadiz, OH single city | 1 | $406.00 | $406.00 | $406.00 | 1.0× |
| Cambridge, NE single city | 1 | $360.00 | $360.00 | $360.00 | 1.0× |
| Canton-Massillon, OH | 1 | $718.90 | $718.90 | $718.90 | 1.0× |
| Carlsbad-Artesia, NM | 1 | $772.20 | $772.20 | $772.20 | 1.0× |
| Caro, MI single city | 1 | $478.00 | $478.00 | $478.00 | 1.0× |
| Carroll, IA | 1 | $245.09 | $245.09 | $245.09 | 1.0× |
| Cedartown, GA | 1 | $1,116.55 | $1,116.55 | $1,116.55 | 1.0× |
| Celina, OH | 1 | $1,798.78 | $1,798.78 | $1,798.78 | 1.0× |
| Centerville, IA single city | 1 | $387.00 | $387.00 | $387.00 | 1.0× |
| Centre, AL single city | 1 | $1,116.55 | $1,116.55 | $1,116.55 | 1.0× |
| Champaign-Urbana, IL | 1 | $459.46 | $459.46 | $459.46 | 1.0× |
| Chanute, KS single city | 1 | $396.47 | $396.47 | $396.47 | 1.0× |
| Charles City, IA single city | 1 | $318.80 | $318.80 | $318.80 | 1.0× |
| Charleston, WV | 1 | $238.50 | $238.50 | $238.50 | 1.0× |
| Charleston-Mattoon, IL | 1 | $919.96 | $919.96 | $919.96 | 1.0× |
| Charlevoix, MI single city | 1 | $789.65 | $789.65 | $789.65 | 1.0× |
| Charlotte-Concord-Gastonia, NC-SC | 8 | $389.00 | $389.00 | $389.00 | 1.0× |
| Cheraw, SC single city | 1 | $320.92 | $320.92 | $320.92 | 1.0× |
| Cherokee, IA single city | 1 | $677.50 | $677.50 | $677.50 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 11 | $86.73 | $259.60 | $2,097.08 | 24.2× |
| Chillicothe, OH | 1 | $184.00 | $184.00 | $184.00 | 1.0× |
| Cincinnati, OH-KY-IN | 3 | $431.99 | $590.68 | $590.68 | 1.4× |
| Clarinda, IA single city | 1 | $552.24 | $552.24 | $552.24 | 1.0× |
| Clarion, IA single city | 1 | $552.24 | $552.24 | $552.24 | 1.0× |
| Clarksburg, WV | 1 | $271.00 | $271.00 | $271.00 | 1.0× |
| Clarksville, TN-KY | 1 | $186.56 | $186.56 | $186.56 | 1.0× |
| Clay Center, KS single city | 1 | $441.80 | $441.80 | $441.80 | 1.0× |
| Cleveland, OH | 20 | $103.95 | $732.76 | $907.50 | 8.7× |
| Clinton, IA | 2 | $263.90 | $409.86 | $555.82 | 2.1× |
| Cody, WY | 1 | $546.75 | $546.75 | $546.75 | 1.0× |
| Columbia, MO | 1 | $590.24 | $590.24 | $590.24 | 1.0× |
| Columbia, SC | 1 | $1,612.22 | $1,612.22 | $1,612.22 | 1.0× |
| Columbus, OH | 12 | $183.30 | $844.45 | $1,264.80 | 6.9× |
| Cordova, AK single city | 1 | $585.05 | $585.05 | $585.05 | 1.0× |
| Corning, NY | 1 | $360.36 | $360.36 | $360.36 | 1.0× |
| Cortland, NY | 1 | $360.36 | $360.36 | $360.36 | 1.0× |
| Corvallis, OR | 1 | $376.80 | $376.80 | $376.80 | 1.0× |
| Crossville, TN | 1 | $321.72 | $321.72 | $321.72 | 1.0× |
| Cumberland, MD-WV | 2 | $327.00 | $366.50 | $406.00 | 1.2× |
| Dallas-Fort Worth-Arlington, TX | 34 | $110.45 | $637.20 | $734.85 | 6.7× |
| Danville, IL | 1 | $459.46 | $459.46 | $459.46 | 1.0× |
| Davenport-Moline-Rock Island, IA-IL | 4 | $534.92 | $555.82 | $555.82 | 1.0× |
| Dawson, MN single city | 1 | $334.19 | $334.19 | $334.19 | 1.0× |
| Decorah, IA single city | 1 | $280.71 | $280.71 | $280.71 | 1.0× |
| Defiance, OH | 1 | $222.60 | $222.60 | $222.60 | 1.0× |
| Delhi, NY single city | 1 | $216.37 | $216.37 | $216.37 | 1.0× |
| Deltona-Daytona Beach-Ormond Beach, FL | 2 | $630.40 | $630.40 | $630.40 | 1.0× |
| Denison, IA single city | 1 | $432.00 | $432.00 | $432.00 | 1.0× |
| Denver-Aurora-Centennial, CO | 10 | $201.50 | $975.25 | $1,254.75 | 6.2× |
| Des Moines-West Des Moines, IA | 4 | $251.55 | $334.95 | $584.00 | 2.3× |
| Detroit-Warren-Dearborn, MI | 19 | $292.50 | $381.00 | $551.25 | 1.9× |
| Devils Lake, ND single city | 2 | $316.95 | $383.98 | $451.00 | 1.4× |
| Dickinson, ND | 1 | $81.04 | $81.04 | $81.04 | 1.0× |
| Dillon, SC single city | 1 | $320.92 | $320.92 | $320.92 | 1.0× |
| Dover, DE | 1 | $1,107.33 | $1,107.33 | $1,107.33 | 1.0× |
| DuBois, PA | 2 | $885.00 | $885.00 | $885.00 | 1.0× |
| Dubuque, IA | 2 | $251.55 | $257.73 | $263.90 | 1.0× |
| Duluth, MN-WI | 2 | $123.25 | $298.81 | $474.37 | 3.8× |
| Durant, OK | 1 | $443.09 | $443.09 | $443.09 | 1.0× |
| Durham, NC single city | 1 | $444.37 | $444.37 | $444.37 | 1.0× |
| Eagle River, WI single city | 1 | $566.80 | $566.80 | $566.80 | 1.0× |
| East Amery, WI single city | 1 | $256.53 | $256.53 | $256.53 | 1.0× |
| Eau Claire, WI | 2 | $554.90 | $560.85 | $566.80 | 1.0× |
| Edenton, NC single city | 1 | $2,455.75 | $2,455.75 | $2,455.75 | 1.0× |
| Elizabethtown, NC single city | 1 | $1,005.26 | $1,005.26 | $1,005.26 | 1.0× |
| Elkader, IA single city | 1 | $251.55 | $251.55 | $251.55 | 1.0× |
| Ellensburg, WA | 1 | $477.91 | $477.91 | $477.91 | 1.0× |
| Emmetsburg, IA single city | 1 | $224.25 | $224.25 | $224.25 | 1.0× |
| Erie, PA | 1 | $504.00 | $504.00 | $504.00 | 1.0× |
| Eureka-Arcata, CA | 1 | $800.29 | $800.29 | $800.29 | 1.0× |
| Evansville, IN | 2 | $309.21 | $360.96 | $412.71 | 1.3× |
| Fairbanks-College, AK | 1 | $690.60 | $690.60 | $690.60 | 1.0× |
| Fairfield, IL single city | 1 | $883.60 | $883.60 | $883.60 | 1.0× |
| Fairmont, WV | 1 | $885.00 | $885.00 | $885.00 | 1.0× |
| Fargo, ND-MN | 1 | $847.53 | $847.53 | $847.53 | 1.0× |
| Farmington, CT single city | 1 | $867.00 | $867.00 | $867.00 | 1.0× |
| Fayetteville, NC | 3 | $1,005.26 | $1,005.26 | $1,005.26 | 1.0× |
| Fayetteville-Springdale-Rogers, AR | 1 | $344.80 | $344.80 | $344.80 | 1.0× |
| Fergus Falls, MN | 1 | $286.00 | $286.00 | $286.00 | 1.0× |
| Flint, MI | 1 | $497.10 | $497.10 | $497.10 | 1.0× |
| Florence, SC | 1 | $320.92 | $320.92 | $320.92 | 1.0× |
| Florence-Muscle Shoals, AL | 1 | $2,588.00 | $2,588.00 | $2,588.00 | 1.0× |
| Fond du Lac, WI | 1 | $293.55 | $293.55 | $293.55 | 1.0× |
| Fort Scott, KS single city | 1 | $435.96 | $435.96 | $435.96 | 1.0× |
| Fort Wayne, IN | 8 | $588.40 | $693.29 | $1,061.89 | 1.8× |
| Freeport, IL | 1 | $708.00 | $708.00 | $708.00 | 1.0× |
| Fresno, CA | 1 | $309.12 | $309.12 | $309.12 | 1.0× |
| Friendship, WI single city | 1 | $398.63 | $398.63 | $398.63 | 1.0× |
| Gaffney, SC | 1 | $408.00 | $408.00 | $408.00 | 1.0× |
| Gainesville, FL | 3 | $697.90 | $1,374.75 | $1,374.75 | 2.0× |
| Gassaway, WV single city | 1 | $406.00 | $406.00 | $406.00 | 1.0× |
| Gaylord, MI single city | 1 | $797.30 | $797.30 | $797.30 | 1.0× |
| Glasgow, MT single city | 1 | $292.50 | $292.50 | $292.50 | 1.0× |
| Glenwood, MN single city | 1 | $992.70 | $992.70 | $992.70 | 1.0× |
| Gloversville, NY | 1 | $304.00 | $304.00 | $304.00 | 1.0× |
| Grand Forks, ND-MN | 3 | $316.95 | $326.00 | $708.00 | 2.2× |
| Grand Rapids, MN | 1 | $123.25 | $123.25 | $123.25 | 1.0× |
| Grand Rapids-Wyoming-Kentwood, MI | 5 | $203.00 | $378.60 | $378.60 | 1.9× |
| Grayling, MI single city | 1 | $804.95 | $804.95 | $804.95 | 1.0× |
| Green Bay, WI | 1 | $379.20 | $379.20 | $379.20 | 1.0× |
| Greenfield, OH single city | 1 | $184.00 | $184.00 | $184.00 | 1.0× |
| Greensburg, IN | 1 | $688.50 | $688.50 | $688.50 | 1.0× |
| Greenville, ME single city | 1 | $241.60 | $241.60 | $241.60 | 1.0× |
| Greenville, NC | 1 | $2,455.75 | $2,455.75 | $2,455.75 | 1.0× |
| Greenville-Anderson-Greer, SC | 1 | $408.00 | $408.00 | $408.00 | 1.0× |
| Gulfport-Biloxi, MS | 3 | $147.26 | $220.90 | $220.90 | 1.5× |
| Hagerstown-Martinsburg, MD-WV | 1 | $238.50 | $238.50 | $238.50 | 1.0× |
| Hailey, ID | 1 | $442.50 | $442.50 | $442.50 | 1.0× |
| Hammond, LA | 1 | $349.75 | $349.75 | $349.75 | 1.0× |
| Hardinsburg, KY single city | 1 | $442.50 | $442.50 | $442.50 | 1.0× |
| Harlan, IA single city | 1 | $555.18 | $555.18 | $555.18 | 1.0× |
| Harrisburg-Carlisle, PA | 2 | $177.00 | $177.00 | $177.00 | 1.0× |
| Hartford, CT single city | 1 | $271.59 | $271.59 | $271.59 | 1.0× |
| Haxtun, CO single city | 1 | $492.00 | $492.00 | $492.00 | 1.0× |
| Hays, KS | 1 | $178.20 | $178.20 | $178.20 | 1.0× |
| Hayward, WI single city | 1 | $672.60 | $672.60 | $672.60 | 1.0× |
| Helena, MT | 2 | $441.79 | $449.40 | $457.00 | 1.0× |
| Henderson, KY | 1 | $289.50 | $289.50 | $289.50 | 1.0× |
| Holdrege, NE single city | 1 | $376.20 | $376.20 | $376.20 | 1.0× |
| Holland, MI | 1 | $210.00 | $210.00 | $210.00 | 1.0× |
| Homer, AK single city | 1 | $258.42 | $258.42 | $258.42 | 1.0× |
| Hood River, OR | 1 | $1,437.77 | $1,437.77 | $1,437.77 | 1.0× |
| Horse Cave, KY single city | 1 | $338.25 | $338.25 | $338.25 | 1.0× |
| Hot Springs, VA single city | 1 | $245.00 | $245.00 | $245.00 | 1.0× |
| Houghton, MI | 1 | $566.80 | $566.80 | $566.80 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 4 | $217.58 | $495.29 | $1,770.00 | 8.1× |
| Huntingdon, PA | 1 | $885.00 | $885.00 | $885.00 | 1.0× |
| Huntington, IN | 1 | $588.40 | $588.40 | $588.40 | 1.0× |
| Huntington-Ashland, WV-KY-OH | 2 | $289.10 | $819.05 | $1,349.00 | 4.7× |
| Huntsville, AL | 2 | $595.50 | $595.50 | $595.50 | 1.0× |
| Hutchinson, MN | 1 | $220.80 | $220.80 | $220.80 | 1.0× |
| Imperial, NE single city | 1 | $328.00 | $328.00 | $328.00 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 7 | $276.36 | $659.71 | $659.71 | 2.4× |
| International Falls, MN single city | 1 | $474.05 | $474.05 | $474.05 | 1.0× |
| Iowa Falls, IA single city | 1 | $398.00 | $398.00 | $398.00 | 1.0× |
| Iron River, MI single city | 1 | $566.80 | $566.80 | $566.80 | 1.0× |
| Ironwood, MI single city | 1 | $566.80 | $566.80 | $566.80 | 1.0× |
| Jacksonville, FL | 1 | $628.72 | $628.72 | $628.72 | 1.0× |
| Jamestown-Dunkirk, NY | 1 | $504.00 | $504.00 | $504.00 | 1.0× |
| Janesville-Beloit, WI | 2 | $101.40 | $338.94 | $576.47 | 5.7× |
| Joplin, MO-KS | 3 | $435.96 | $435.96 | $435.96 | 1.0× |
| Kansas City, MO-KS | 1 | $361.44 | $361.44 | $361.44 | 1.0× |
| Kapaa, HI | 1 | $766.51 | $766.51 | $766.51 | 1.0× |
| Kenansville, NC single city | 1 | $2,455.75 | $2,455.75 | $2,455.75 | 1.0× |
| Kendallville, IN | 1 | $588.40 | $588.40 | $588.40 | 1.0× |
| Kennewick-Richland, WA | 1 | $156.20 | $156.20 | $156.20 | 1.0× |
| Key West-Key Largo, FL | 2 | $498.55 | $498.55 | $498.55 | 1.0× |
| Kill Devil Hills, NC | 1 | $2,455.75 | $2,455.75 | $2,455.75 | 1.0× |
| Kiryas Joel-Poughkeepsie-Newburgh, NY | 1 | $1,149.00 | $1,149.00 | $1,149.00 | 1.0× |
| Klamath Falls, OR | 1 | $316.04 | $316.04 | $316.04 | 1.0× |
| Knox, IN single city | 1 | $925.45 | $925.45 | $925.45 | 1.0× |
| Knoxville, TN | 5 | $301.61 | $331.77 | $331.77 | 1.1× |
| Kotzebue, AK single city | 1 | $1,521.00 | $1,521.00 | $1,521.00 | 1.0× |
| La Crosse-Onalaska, WI-MN | 1 | $412.91 | $412.91 | $412.91 | 1.0× |
| La Grande, OR | 1 | $227.85 | $227.85 | $227.85 | 1.0× |
| Ladysmith, WI single city | 1 | $554.90 | $554.90 | $554.90 | 1.0× |
| Lafayette-West Lafayette, IN | 1 | $555.05 | $555.05 | $555.05 | 1.0× |
| LaGrange, IN single city | 1 | $588.40 | $588.40 | $588.40 | 1.0× |
| Lakeland-Winter Haven, FL | 1 | $1,391.10 | $1,391.10 | $1,391.10 | 1.0× |
| Lakeview, OR single city | 1 | $1,299.65 | $1,299.65 | $1,299.65 | 1.0× |
| Lancaster, PA | 1 | $177.00 | $177.00 | $177.00 | 1.0× |
| Lansing-East Lansing, MI | 4 | $203.00 | $230.48 | $497.10 | 2.4× |
| Larned, KS single city | 1 | $216.00 | $216.00 | $216.00 | 1.0× |
| Las Vegas-Henderson-North Las Vegas, NV | 2 | $1,188.00 | $1,830.50 | $2,473.00 | 2.1× |
| Lawrence, KS | 1 | $574.34 | $574.34 | $574.34 | 1.0× |
| Lebanon-Claremont, NH-VT | 2 | $152.21 | $316.82 | $481.43 | 3.2× |
| Lewiston-Auburn, ME | 1 | $215.08 | $215.08 | $215.08 | 1.0× |
| Lexington Park, MD | 1 | $405.82 | $405.82 | $405.82 | 1.0× |
| Lexington, NE | 2 | $449.00 | $568.95 | $688.90 | 1.5× |
| Lexington-Fayette, KY | 1 | $442.45 | $442.45 | $442.45 | 1.0× |
| Litchfield, MN single city | 1 | $157.41 | $157.41 | $157.41 | 1.0× |
| Little Falls, MN single city | 1 | $179.80 | $179.80 | $179.80 | 1.0× |
| Little Rock-North Little Rock-Conway, AR | 2 | $679.68 | $679.68 | $679.68 | 1.0× |
| Livingston, MT single city | 1 | $605.34 | $605.34 | $605.34 | 1.0× |
| Logansport, IN | 1 | $588.40 | $588.40 | $588.40 | 1.0× |
| Longview-Kelso, WA | 1 | $321.10 | $321.10 | $321.10 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 11 | $249.08 | $249.08 | $1,059.79 | 4.3× |
| Louisville, KY single city | 1 | $297.20 | $297.20 | $297.20 | 1.0× |
| Louisville/Jefferson County, KY-IN | 6 | $297.20 | $297.20 | $360.00 | 1.2× |
| Lubbock, TX | 1 | $2,043.48 | $2,043.48 | $2,043.48 | 1.0× |
| Lyons, KS single city | 1 | $464.63 | $464.63 | $464.63 | 1.0× |
| Machias, ME single city | 1 | $276.00 | $276.00 | $276.00 | 1.0× |
| Macon-Bibb County, GA | 1 | $1,108.00 | $1,108.00 | $1,108.00 | 1.0× |
| Madison, SD single city | 1 | $882.78 | $882.78 | $882.78 | 1.0× |
| Madison, WI | 2 | $542.00 | $554.40 | $566.80 | 1.0× |
| Madisonville, KY | 1 | $473.07 | $473.07 | $473.07 | 1.0× |
| Manchester-Nashua, NH | 2 | $214.23 | $217.49 | $220.74 | 1.0× |
| Manning, SC single city | 1 | $320.92 | $320.92 | $320.92 | 1.0× |
| Mansfield, OH | 1 | $1,264.80 | $1,264.80 | $1,264.80 | 1.0× |
| Maquoketa, IA single city | 1 | $918.29 | $918.29 | $918.29 | 1.0× |
| Marietta, OH | 2 | $354.57 | $354.57 | $354.57 | 1.0× |
| Marion, OH | 1 | $844.45 | $844.45 | $844.45 | 1.0× |
| Mason City, IA | 1 | $263.90 | $263.90 | $263.90 | 1.0× |
| Massena-Ogdensburg, NY | 3 | $391.27 | $391.27 | $391.27 | 1.0× |
| McCall, ID single city | 1 | $442.50 | $442.50 | $442.50 | 1.0× |
| McCook, NE single city | 1 | $345.15 | $345.15 | $345.15 | 1.0× |
| McPherson, KS | 1 | $309.75 | $309.75 | $309.75 | 1.0× |
| Meadville, PA | 1 | $657.60 | $657.60 | $657.60 | 1.0× |
| Medford, WI single city | 1 | $566.80 | $566.80 | $566.80 | 1.0× |
| Memphis, TN-MS-AR | 1 | $574.78 | $574.78 | $574.78 | 1.0× |
| Merced, CA | 1 | $388.24 | $388.24 | $388.24 | 1.0× |
| Meridian, MS | 1 | $558.58 | $558.58 | $558.58 | 1.0× |
| Merrill, WI single city | 1 | $566.80 | $566.80 | $566.80 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 7 | $498.55 | $498.55 | $718.90 | 1.4× |
| Michigan City-La Porte, IN | 1 | $1,131.10 | $1,131.10 | $1,131.10 | 1.0× |
| Milledgeville, GA | 1 | $1,381.00 | $1,381.00 | $1,381.00 | 1.0× |
| Milwaukee-Waukesha, WI | 3 | $235.06 | $305.10 | $308.80 | 1.3× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 16 | $116.24 | $120.11 | $517.14 | 4.4× |
| Minocqua, WI single city | 1 | $554.90 | $554.90 | $554.90 | 1.0× |
| Moab, UT single city | 1 | $801.73 | $801.73 | $801.73 | 1.0× |
| Mobridge, SD single city | 1 | $369.00 | $369.00 | $369.00 | 1.0× |
| Modesto, CA | 1 | $309.12 | $309.12 | $309.12 | 1.0× |
| Monroe, LA | 1 | $244.26 | $244.26 | $244.26 | 1.0× |
| Mora, MN single city | 1 | $991.20 | $991.20 | $991.20 | 1.0× |
| Morehead, KY single city | 1 | $1,170.75 | $1,170.75 | $1,170.75 | 1.0× |
| Morgantown, WV | 1 | $238.50 | $238.50 | $238.50 | 1.0× |
| Morris, MN single city | 1 | $484.50 | $484.50 | $484.50 | 1.0× |
| Morristown, TN | 1 | $301.61 | $301.61 | $301.61 | 1.0× |
| Mount Pleasant, MI | 1 | $497.10 | $497.10 | $497.10 | 1.0× |
| Mount Vernon-Anacortes, WA | 1 | $264.00 | $264.00 | $264.00 | 1.0× |
| Muskegon-Norton Shores, MI | 1 | $312.65 | $312.65 | $312.65 | 1.0× |
| Myrtle Beach-Conway-North Myrtle Beach, SC | 3 | $320.92 | $320.92 | $320.92 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 2 | $142.10 | $203.35 | $264.60 | 1.9× |
| Neillsville, WI single city | 1 | $554.90 | $554.90 | $554.90 | 1.0× |
| New Britain, CT single city | 1 | $271.59 | $271.59 | $271.59 | 1.0× |
| New Castle, IN | 1 | $423.71 | $423.71 | $423.71 | 1.0× |
| New Hampton, IA single city | 1 | $251.55 | $251.55 | $251.55 | 1.0× |
| New London, WI single city | 1 | $293.55 | $293.55 | $293.55 | 1.0× |
| New Martinsville, WV single city | 1 | $271.00 | $271.00 | $271.00 | 1.0× |
| New Orleans-Metairie, LA | 5 | $123.90 | $123.90 | $675.00 | 5.4× |
| New Philadelphia-Dover, OH | 1 | $718.90 | $718.90 | $718.90 | 1.0× |
| New Ulm, MN | 1 | $568.52 | $568.52 | $568.52 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 22 | $245.18 | $578.94 | $1,149.00 | 4.7× |
| Newcastle, WY single city | 1 | $458.00 | $458.00 | $458.00 | 1.0× |
| Nome, AK single city | 1 | $575.00 | $575.00 | $575.00 | 1.0× |
| North Wilkesboro, NC | 1 | $936.00 | $936.00 | $936.00 | 1.0× |
| Oakes, ND single city | 1 | $558.38 | $558.38 | $558.38 | 1.0× |
| Oelwein, IA single city | 1 | $251.55 | $251.55 | $251.55 | 1.0× |
| Oklahoma City, OK | 1 | $106.20 | $106.20 | $106.20 | 1.0× |
| Olney, IL single city | 1 | $459.46 | $459.46 | $459.46 | 1.0× |
| Omaha, NE-IA | 2 | $1,231.82 | $1,231.82 | $1,231.82 | 1.0× |
| Oneonta, NY | 1 | $216.54 | $216.54 | $216.54 | 1.0× |
| Orange City, IA single city | 1 | $346.40 | $346.40 | $346.40 | 1.0× |
| Orlando-Kissimmee-Sanford, FL | 6 | $697.90 | $1,391.10 | $1,391.10 | 2.0× |
| Ortonville, MN single city | 1 | $293.25 | $293.25 | $293.25 | 1.0× |
| Oshkosh, NE single city | 1 | $420.00 | $420.00 | $420.00 | 1.0× |
| Oshkosh-Neenah, WI | 2 | $293.55 | $293.55 | $293.55 | 1.0× |
| Oxnard-Thousand Oaks-Ventura, CA | 1 | $1,741.50 | $1,741.50 | $1,741.50 | 1.0× |
| Park Falls, WI single city | 1 | $554.90 | $554.90 | $554.90 | 1.0× |
| Park Rapids, MN single city | 1 | $173.60 | $173.60 | $173.60 | 1.0× |
| Parkersburg-Vienna, WV | 1 | $271.00 | $271.00 | $271.00 | 1.0× |
| Pensacola-Ferry Pass-Brent, FL | 1 | $210.85 | $210.85 | $210.85 | 1.0× |
| Peoria, IL | 4 | $459.46 | $459.46 | $459.46 | 1.0× |
| Peru, IN | 1 | $1,324.18 | $1,324.18 | $1,324.18 | 1.0× |
| Petersburg, WV single city | 1 | $649.60 | $649.60 | $649.60 | 1.0× |
| Petoskey, MI | 1 | $497.10 | $497.10 | $497.10 | 1.0× |
| Philadelphia, MS single city | 1 | $387.86 | $387.86 | $387.86 | 1.0× |
| Pine Bluff, AR | 1 | $674.96 | $674.96 | $674.96 | 1.0× |
| Pittsburgh, PA | 7 | $165.67 | $504.00 | $525.35 | 3.2× |
| Pittsfield, ME single city | 1 | $164.29 | $164.29 | $164.29 | 1.0× |
| Plainville, KS single city | 1 | $262.50 | $262.50 | $262.50 | 1.0× |
| Platteville, WI | 1 | $396.00 | $396.00 | $396.00 | 1.0× |
| Poplar Bluff, MO | 1 | $467.81 | $467.81 | $467.81 | 1.0× |
| Port St. Lucie, FL | 1 | $718.90 | $718.90 | $718.90 | 1.0× |
| Port Townsend, WA | 1 | $389.04 | $389.04 | $389.04 | 1.0× |
| Portland-South Portland, ME | 1 | $119.65 | $119.65 | $119.65 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 6 | $321.44 | $848.61 | $1,563.44 | 4.9× |
| Portsmouth, OH | 1 | $289.10 | $289.10 | $289.10 | 1.0× |
| Prairie Du Chien, WI single city | 1 | $570.00 | $570.00 | $570.00 | 1.0× |
| Presque Isle, ME single city | 1 | $96.64 | $96.64 | $96.64 | 1.0× |
| Provo-Orem-Lehi, UT | 1 | $910.77 | $910.77 | $910.77 | 1.0× |
| Pullman, WA | 1 | $245.82 | $245.82 | $245.82 | 1.0× |
| Raleigh-Cary, NC | 3 | $443.92 | $443.92 | $444.37 | 1.0× |
| Rapid City, SD | 1 | $366.40 | $366.40 | $366.40 | 1.0× |
| Rhinelander, WI single city | 1 | $566.80 | $566.80 | $566.80 | 1.0× |
| Rice Lake, WI | 1 | $554.90 | $554.90 | $554.90 | 1.0× |
| Richmond, VA | 3 | $211.80 | $211.80 | $211.80 | 1.0× |
| Richmond-Berea, KY | 1 | $559.36 | $559.36 | $559.36 | 1.0× |
| Ripley, WV single city | 1 | $406.00 | $406.00 | $406.00 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 5 | $249.08 | $249.08 | $464.00 | 1.9× |
| Roanoke Rapids, NC | 1 | $2,455.75 | $2,455.75 | $2,455.75 | 1.0× |
| Rochester, NY | 7 | $201.71 | $531.55 | $654.22 | 3.2× |
| Rockford, IL | 1 | $576.47 | $576.47 | $576.47 | 1.0× |
| Rocky Mount, NC | 1 | $2,455.75 | $2,455.75 | $2,455.75 | 1.0× |
| Rolla, MO | 1 | $832.17 | $832.17 | $832.17 | 1.0× |
| Rome, GA | 1 | $375.50 | $375.50 | $375.50 | 1.0× |
| Roseau, MN single city | 1 | $674.96 | $674.96 | $674.96 | 1.0× |
| Roseburg, OR | 1 | $560.90 | $560.90 | $560.90 | 1.0× |
| Roswell, NM | 1 | $374.34 | $374.34 | $374.34 | 1.0× |
| Russellville, AL | 1 | $1,811.56 | $1,811.56 | $1,811.56 | 1.0× |
| Russellville, KY single city | 1 | $338.25 | $338.25 | $338.25 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 4 | $309.12 | $309.12 | $1,805.40 | 5.8× |
| Salem, OR | 2 | $177.57 | $177.57 | $177.57 | 1.0× |
| Salt Lake City-Murray, UT | 2 | $429.80 | $937.49 | $1,445.17 | 3.4× |
| San Antonio-New Braunfels, TX | 2 | $421.93 | $1,015.02 | $1,608.11 | 3.8× |
| San Diego-Chula Vista-Carlsbad, CA | 4 | $249.08 | $249.08 | $795.16 | 3.2× |
| San Francisco-Oakland-Fremont, CA | 12 | $309.12 | $309.12 | $1,770.00 | 5.7× |
| San Jose-Sunnyvale-Santa Clara, CA | 5 | $309.12 | $431.00 | $5,383.34 | 17.4× |
| Santa Cruz-Watsonville, CA | 1 | $1,302.70 | $1,302.70 | $1,302.70 | 1.0× |
| Santa Rosa-Petaluma, CA | 2 | $309.12 | $587.94 | $866.76 | 2.8× |
| Savannah, GA | 1 | $1,969.85 | $1,969.85 | $1,969.85 | 1.0× |
| Sayre, PA | 3 | $360.36 | $360.36 | $360.36 | 1.0× |
| Scottsbluff, NE single city | 1 | $242.14 | $242.14 | $242.14 | 1.0× |
| Seaford, DE | 1 | $1,107.33 | $1,107.33 | $1,107.33 | 1.0× |
| Seattle-Tacoma-Bellevue, WA | 6 | $147.44 | $698.14 | $706.86 | 4.8× |
| Sebastian-Vero Beach-West Vero Corridor, FL | 1 | $746.62 | $746.62 | $746.62 | 1.0× |
| Seneca, KS single city | 1 | $270.00 | $270.00 | $270.00 | 1.0× |
| Sevierville, TN | 1 | $291.55 | $291.55 | $291.55 | 1.0× |
| Shattuck, OK single city | 1 | $971.94 | $971.94 | $971.94 | 1.0× |
| Shawano, WI | 1 | $293.55 | $293.55 | $293.55 | 1.0× |
| Shelby, MT single city | 1 | $290.06 | $290.06 | $290.06 | 1.0× |
| Shelby-Kings Mountain, NC | 1 | $389.00 | $389.00 | $389.00 | 1.0× |
| Shelbyville, TN | 1 | $194.01 | $194.01 | $194.01 | 1.0× |
| Shreveport-Bossier City, LA | 2 | $276.12 | $286.74 | $297.36 | 1.1× |
| Sidney, MT single city | 1 | $256.97 | $256.97 | $256.97 | 1.0× |
| Sioux Center, IA single city | 1 | $311.20 | $311.20 | $311.20 | 1.0× |
| Sioux Falls, SD-MN | 1 | $370.40 | $370.40 | $370.40 | 1.0× |
| Slidell-Mandeville-Covington, LA | 1 | $123.90 | $123.90 | $123.90 | 1.0× |
| Soda Springs, ID single city | 1 | $257.71 | $257.71 | $257.71 | 1.0× |
| Soldotna, AK single city | 1 | $320.00 | $320.00 | $320.00 | 1.0× |
| Somerset, PA | 1 | $177.00 | $177.00 | $177.00 | 1.0× |
| Sparta, NC single city | 1 | $1,922.40 | $1,922.40 | $1,922.40 | 1.0× |
| Spartanburg, SC | 3 | $408.00 | $408.00 | $408.00 | 1.0× |
| Spencer, IA | 1 | $282.75 | $282.75 | $282.75 | 1.0× |
| Spirit Lake, IA | 1 | $373.35 | $373.35 | $373.35 | 1.0× |
| Spokane-Spokane Valley, WA | 2 | $521.74 | $521.74 | $521.74 | 1.0× |
| Spruce Pine, NC single city | 1 | $2,893.78 | $2,893.78 | $2,893.78 | 1.0× |
| St. Johnsbury, VT single city | 1 | $405.00 | $405.00 | $405.00 | 1.0× |
| St. Joseph, MO-KS | 2 | $467.50 | $467.50 | $467.50 | 1.0× |
| St. Louis, MO-IL | 1 | $881.43 | $881.43 | $881.43 | 1.0× |
| St. Marys, PA | 1 | $885.00 | $885.00 | $885.00 | 1.0× |
| Staples, MN single city | 1 | $169.11 | $169.11 | $169.11 | 1.0× |
| Ste. Genevieve, MO single city | 1 | $730.64 | $730.64 | $730.64 | 1.0× |
| Stephenville, TX | 1 | $637.20 | $637.20 | $637.20 | 1.0× |
| Stevens Point-Plover, WI | 3 | $554.90 | $566.80 | $566.80 | 1.0× |
| Stockton-Lodi, CA | 1 | $309.12 | $309.12 | $309.12 | 1.0× |
| Summersville, WV single city | 1 | $406.00 | $406.00 | $406.00 | 1.0× |
| Sweetwater, TN single city | 1 | $260.90 | $260.90 | $260.90 | 1.0× |
| Syracuse, KS single city | 1 | $372.00 | $372.00 | $372.00 | 1.0× |
| Syracuse, NY | 1 | $523.25 | $523.25 | $523.25 | 1.0× |
| Tampa-St. Petersburg-Clearwater, FL | 1 | $1,391.10 | $1,391.10 | $1,391.10 | 1.0× |
| Taylorville, IL | 1 | $452.55 | $452.55 | $452.55 | 1.0× |
| Terre Haute, IN | 1 | $922.61 | $922.61 | $922.61 | 1.0× |
| Texarkana, TX-AR | 1 | $1,324.18 | $1,324.18 | $1,324.18 | 1.0× |
| Toledo, OH | 1 | $609.99 | $609.99 | $609.99 | 1.0× |
| Tomahawk, WI single city | 1 | $566.80 | $566.80 | $566.80 | 1.0× |
| Traverse City, MI | 2 | $766.53 | $781.92 | $797.30 | 1.0× |
| Trenton-Princeton, NJ | 2 | $1,334.00 | $1,334.00 | $1,334.00 | 1.0× |
| Tucson, AZ | 2 | $218.82 | $218.82 | $218.82 | 1.0× |
| Tullahoma-Manchester, TN | 1 | $142.10 | $142.10 | $142.10 | 1.0× |
| Twin Falls, ID | 1 | $442.50 | $442.50 | $442.50 | 1.0× |
| Two Harbors, MN single city | 1 | $717.66 | $717.66 | $717.66 | 1.0× |
| Urban Honolulu, HI | 3 | $369.00 | $721.67 | $766.51 | 2.1× |
| Utah Hiawatha, KS single city | 1 | $821.00 | $821.00 | $821.00 | 1.0× |
| Utica-Rome, NY | 2 | $388.76 | $619.18 | $849.60 | 2.2× |
| Vallejo, CA | 3 | $309.12 | $309.12 | $528.70 | 1.7× |
| Vermillion, SD | 1 | $449.76 | $449.76 | $449.76 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 1 | $383.50 | $383.50 | $383.50 | 1.0× |
| Visalia, CA | 1 | $1,646.00 | $1,646.00 | $1,646.00 | 1.0× |
| Wabash, IN | 1 | $588.40 | $588.40 | $588.40 | 1.0× |
| Wahpeton, ND-MN | 1 | $189.10 | $189.10 | $189.10 | 1.0× |
| Warner Robins, GA | 1 | $1,108.00 | $1,108.00 | $1,108.00 | 1.0× |
| Warren, PA | 1 | $810.00 | $810.00 | $810.00 | 1.0× |
| Warsaw, IN | 1 | $652.41 | $652.41 | $652.41 | 1.0× |
| Washington Court House, OH | 1 | $368.00 | $368.00 | $368.00 | 1.0× |
| Washington, NC | 1 | $2,455.75 | $2,455.75 | $2,455.75 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 10 | $343.10 | $374.55 | $722.07 | 2.1× |
| Waterloo-Cedar Falls, IA | 2 | $263.90 | $263.90 | $263.90 | 1.0× |
| Watertown-Fort Drum, NY | 1 | $594.06 | $594.06 | $594.06 | 1.0× |
| Watford City, ND single city | 1 | $707.52 | $707.52 | $707.52 | 1.0× |
| Waukon, IA single city | 1 | $420.61 | $420.61 | $420.61 | 1.0× |
| Waupaca, WI single city | 1 | $293.55 | $293.55 | $293.55 | 1.0× |
| Wausau, WI | 2 | $554.90 | $560.85 | $566.80 | 1.0× |
| Waverly, OH single city | 1 | $184.00 | $184.00 | $184.00 | 1.0× |
| Waynesboro, MS single city | 1 | $354.00 | $354.00 | $354.00 | 1.0× |
| Waynesburg, PA single city | 1 | $525.35 | $525.35 | $525.35 | 1.0× |
| Webster, SD single city | 1 | $493.46 | $493.46 | $493.46 | 1.0× |
| Weirton-Steubenville, WV-OH | 1 | $271.00 | $271.00 | $271.00 | 1.0× |
| Wellsboro, PA single city | 1 | $529.20 | $529.20 | $529.20 | 1.0× |
| Wellsville, NY single city | 1 | $291.00 | $291.00 | $291.00 | 1.0× |
| Wenatchee-East Wenatchee, WA | 1 | $764.10 | $764.10 | $764.10 | 1.0× |
| West Union, IA single city | 1 | $466.29 | $466.29 | $466.29 | 1.0× |
| Wheeling, WV-OH | 3 | $238.49 | $238.50 | $406.00 | 1.7× |
| Wichita, KS | 2 | $1,727.57 | $1,727.57 | $1,727.57 | 1.0× |
| Wild Rose, WI single city | 1 | $293.55 | $293.55 | $293.55 | 1.0× |
| Williamsport, PA | 2 | $504.00 | $588.00 | $672.00 | 1.3× |
| Williston, ND | 1 | $300.48 | $300.48 | $300.48 | 1.0× |
| Windsor, NC single city | 1 | $2,455.75 | $2,455.75 | $2,455.75 | 1.0× |
| Winner, SD single city | 1 | $330.34 | $330.34 | $330.34 | 1.0× |
| Winston-Salem, NC | 3 | $773.50 | $777.50 | $777.50 | 1.0× |
| Wisconsin Rapids-Marshfield, WI | 2 | $554.90 | $560.85 | $566.80 | 1.0× |
| Woodruff, WI single city | 1 | $566.80 | $566.80 | $566.80 | 1.0× |
| Worthington, MN | 1 | $449.67 | $449.67 | $449.67 | 1.0× |
| York-Hanover, PA | 3 | $177.00 | $177.00 | $327.20 | 1.8× |
| Ypsilanti, MI single city | 1 | $292.50 | $292.50 | $292.50 | 1.0× |
| Zanesville, OH | 1 | $662.07 | $662.07 | $662.07 | 1.0× |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
Highest The highest cash price among those hospitals. A single very high price can be an error in the file; check the median too.
Highest ÷ lowest How many times the highest cash price is above the lowest in the same market.
Common questions
What is CPT code 90678?
CPT 90678 is the billing code for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy. Abrysvo is a single-dose RSV vaccine. The CDC recommends an RSV vaccine for everyone 75 and older and for adults 50 to 74 at higher risk, and Abrysvo is also given in weeks 32 to 36 of pregnancy to protect the newborn.
Do I need an RSV shot every year?
No. For adults it is currently a single dose, and a repeat dose is not recommended.
Should I get the vaccine in pregnancy or give my baby the antibody shot?
Either one protects the baby in its first RSV season, and most babies need only one of the two. Your doctor can help choose based on timing.
What does a dose of the RSV vaccine (Abrysvo) cost a clinic or pharmacy?
$319.07 (Abrysvo) per dose is the manufacturer's private-sector price in the CDC vaccine price list: what a clinic or pharmacy pays for the vaccine itself. The median hospital cash price, $454.97 across 846 hospitals, is 1.4× that. Giving the shot is billed separately (CPT 90471).
Is it cheaper to pay cash or use insurance for RSV vaccine (Abrysvo)?
It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for RSV vaccine (Abrysvo) has a median of $804.95 and the lowest a median of $192.00; at 538 of 643 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.
Which states have the cheapest RSV vaccine (Abrysvo)?
Among 37 states with at least 5 hospitals listing a cash price, the median is lowest in Maine ($206.29), Minnesota ($220.80) and Mississippi ($220.90), and highest in Alabama ($1,811.56), Georgia ($1,112.28) and Colorado ($963.72). Prices vary as much between hospitals in the same state, so compare hospitals near you.
Other vaccine prices
Median hospital cash price, one per hospital.