Vaccines CPT 90678 California Outpatient

RSV vaccine (Abrysvo) cost in California

In California, 57 hospitals publish a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $156.56 to $5,383.34, with a median of $309.12. The lowest price is at Kern Valley Healthcare District (Mountain Mesa). The highest price is 34.4× the lowest.

  • The median here, $309.12, is 32% below the US median of $454.97.
  • California ranks 8th of 37 states by median, cheapest first.
  • 9 of 57 hospitals list a cash price equal to their full list price, with no self-pay discount.

California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.

Outpatient cash prices, one line per hospital — its lowest listed price for code 90678. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 8, 2026. See them on a map

Lowest$156.56Kern Valley Healthcare District
Median$309.12half of hospitals charge less
Highest$5,383.34in California
Lowest saves$152.56vs the median

Hospitals in California, cheapest first

HospitalCash priceList priceFile date
Kern Valley Healthcare District lowest Mountain Mesa · Bakersfield-Delano, CA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use $156.56 $767.37 Jun 11, 2026
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Kaiser Foundation Hospital - Baldwin Park Baldwin Park · Los Angeles-Long Beach-Anaheim, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $249.08 $479.00 Apr 1, 2026
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Kaiser Foundation Hospital - Downey Downey · Los Angeles-Long Beach-Anaheim, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $249.08 $479.00 Apr 1, 2026
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Kaiser Foundation Hospital - Fontana Fontana · Riverside-San Bernardino-Ontario, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $249.08 $479.00 Apr 1, 2026
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Kaiser Foundation Hospital - Los Angeles Los Angeles · Los Angeles-Long Beach-Anaheim, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $249.08 $479.00 Apr 1, 2026
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Kaiser Foundation Hospital - Moreno Valley Moreno Valley · Riverside-San Bernardino-Ontario, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $249.08 $479.00 Apr 1, 2026
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Kaiser Foundation Hospital - Orange County - Anaheim Anaheim · Los Angeles-Long Beach-Anaheim, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $249.08 $479.00 Apr 1, 2026
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Kaiser Foundation Hospital - Panorama City Panorama City · Los Angeles-Long Beach-Anaheim, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $249.08 $479.00 Apr 1, 2026
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Kaiser Foundation Hospital - Riverside Riverside · Riverside-San Bernardino-Ontario, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $249.08 $479.00 Apr 1, 2026
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Kaiser Foundation Hospital - San Diego - Clairemont Mesa San Diego · San Diego-Chula Vista-Carlsbad, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $249.08 $479.00 Apr 1, 2026
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Kaiser Foundation Hospital - San Diego - Zion San Diego · San Diego-Chula Vista-Carlsbad, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $249.08 $479.00 Apr 1, 2026
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Kaiser Foundation Hospital - San Marcos San Marcos · San Diego-Chula Vista-Carlsbad, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $249.08 $479.00 Apr 1, 2026
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Kaiser Foundation Hospital - South Bay Harbor City · Los Angeles-Long Beach-Anaheim, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $249.08 $479.00 Apr 1, 2026
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Kaiser Foundation Hospital - West LA Los Angeles · Los Angeles-Long Beach-Anaheim, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $249.08 $479.00 Apr 1, 2026
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Kaiser Foundation Hospital - Woodland Hills Woodland Hills · Los Angeles-Long Beach-Anaheim, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $249.08 $479.00 Apr 1, 2026
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Kaiser Fnd Hospital - Irvine Irvine · Los Angeles-Long Beach-Anaheim, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $249.08 $479.00 Apr 1, 2026
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Kaiser Ontario Medical Center Campus Ontario · Riverside-San Bernardino-Ontario, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $249.08 $479.00 Apr 1, 2026
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Kaiser Foundation Hospital & Rehab Center - Vallejo Vallejo · Vallejo, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - Antioch Antioch · San Francisco-Oakland-Fremont, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - Fremont Fremont · San Francisco-Oakland-Fremont, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - Fresno Fresno · Fresno, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - Manteca Manteca · Stockton-Lodi, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - Modesto Modesto · Modesto, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - Oakland/Richmond Oakland · San Francisco-Oakland-Fremont, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - Redwood City Redwood City · San Francisco-Oakland-Fremont, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - Roseville Roseville · Sacramento-Roseville-Folsom, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - Sacramento Sacramento · Sacramento-Roseville-Folsom, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - San Francisco San Francisco · San Francisco-Oakland-Fremont, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - San Jose San Jose · San Jose-Sunnyvale-Santa Clara, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - San Leandro San Leandro · San Francisco-Oakland-Fremont, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - San Rafael San Rafael · San Francisco-Oakland-Fremont, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - Santa Clara Santa Clara · San Jose-Sunnyvale-Santa Clara, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - Santa Rosa Santa Rosa · Santa Rosa-Petaluma, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - South Sacramento Sacramento · Sacramento-Roseville-Folsom, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - South San Francisco South San Francisco · San Francisco-Oakland-Fremont, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - Vacaville Vacaville · Vallejo, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Foundation Hospital - Walnut Creek Walnut Creek · San Francisco-Oakland-Fremont, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Kaiser Fnd Hospital - Richmond Campus Richmond · San Francisco-Oakland-Fremont, CA RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $309.12 $552.00 Apr 1, 2026
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Mercy Medical Center Merced · Merced, CA RSV VAC 120MCG/0.5MLKIT $388.24 $749.00 Sep 30, 2026
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Ridgecrest Regional Hospital Ridgecrest · Bakersfield-Delano, CA Rsv vacc pref bivalent im $396.78 $748.65 Nov 6, 2026
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Lucile Salter Packard Children's Hospital at Stanford Palo Alto · San Jose-Sunnyvale-Santa Clara, CA HB Rsv Vacc Pf Recomb Bivalent Im $431.00 $862.00 Mar 31, 2026
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San Bernardino County Colton · Riverside-San Bernardino-Ontario, CA HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $464.00 $464.00 Feb 25, 2026
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NorthBay Medical Center Fairfield · Vallejo, CA *Abrysvo 0.5Ml $528.70 $528.70 Apr 1, 2026
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UC San Diego Medical Center San Diego · San Diego-Chula Vista-Carlsbad, CA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use (Abrysvo) $795.16 $1,445.74 Apr 1, 2026
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Providence Redwood Memorial Hospital Fortuna · Eureka-Arcata, CA HC PR RX RSV PREF BIVALENT IM 1 EA $800.29 $1,569.19 Apr 1, 2026
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Providence Santa Rosa Memorial Hospital Santa Rosa · Santa Rosa-Petaluma, CA RSV PRE-FUSION F A&B VAC RECOMB FOR IM SOLN 120 MCG/0.5ML $866.76 $1,699.52 Apr 1, 2026
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Mission Hospital Regional Med Center Mission Viejo · Los Angeles-Long Beach-Anaheim, CA RSV PRE-FUSION F A&B VAC RECOMB FOR IM SOLN 120 MCG/0.5ML $869.57 $1,811.60 Apr 1, 2026
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Saint John's Health Center Santa Monica · Los Angeles-Long Beach-Anaheim, CA RSV PRE-FUSION F A&B VAC RECOMB FOR IM SOLN 120 MCG/0.5ML $1,059.79 $3,027.96 Apr 1, 2026
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Northern Inyo Hospital Bishop · Bishop, CA 90678 Abrysvo $1,062.00 $1,062.00 Oct 1, 2024
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Stanford Health Care Stanford · San Jose-Sunnyvale-Santa Clara, CA Rsv Abrysvo 120mcg/0.5ml Im $1,214.80 $3,037.00 Apr 1, 2026
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Dominican Hospital Santa Cruz · Santa Cruz-Watsonville, CA RSV VAC 120MCG/0.5MLKIT $1,302.70 $2,945.28 Sep 30, 2026
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Kaweah Health Medical Center Visalia · Visalia, CA RSV vaccine, preF A-preF B, recombinant 120 mcg IM Inj $1,646.00 $1,646.00 Jul 14, 2026
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Los Robles Hospital and Medical Center Thousand Oaks · Oxnard-Thousand Oaks-Ventura, CA ABRYSVO VAC IM $1,741.50 $1,741.50 Sep 1, 2026
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Alta Bates Summit Medical Center Oakland · San Francisco-Oakland-Fremont, CA RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR $1,770.00 $1,770.00 Apr 1, 2026
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Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland · San Francisco-Oakland-Fremont, CA RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR $1,770.00 $1,770.00 Apr 1, 2026
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Sutter Medical Center, Sacramento Sacramento · Sacramento-Roseville-Folsom, CA RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR $1,805.40 $1,805.40 Apr 1, 2026
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Good Samaritan Hospital San Jose · San Jose-Sunnyvale-Santa Clara, CA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use $5,383.34 $5,383.34 Sep 1, 2026
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Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
San Francisco-Oakland-Fremont, CA 12 $309.12 $309.12
Los Angeles-Long Beach-Anaheim, CA 11 $249.08 $249.08
Riverside-San Bernardino-Ontario, CA 5 $249.08 $249.08
San Jose-Sunnyvale-Santa Clara, CA 5 $309.12 $431.00
Sacramento-Roseville-Folsom, CA 4 $309.12 $309.12
San Diego-Chula Vista-Carlsbad, CA 4 $249.08 $249.08
Vallejo, CA 3 $309.12 $309.12
Bakersfield-Delano, CA 2 $156.56 $276.67
Santa Rosa-Petaluma, CA 2 $309.12 $587.94
Bishop, CA 1 $1,062.00 $1,062.00
Eureka-Arcata, CA 1 $800.29 $800.29
Fresno, CA 1 $309.12 $309.12
Merced, CA 1 $388.24 $388.24
Modesto, CA 1 $309.12 $309.12
Oxnard-Thousand Oaks-Ventura, CA 1 $1,741.50 $1,741.50
Santa Cruz-Watsonville, CA 1 $1,302.70 $1,302.70
Stockton-Lodi, CA 1 $309.12 $309.12
Visalia, CA 1 $1,646.00 $1,646.00
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

What RSV vaccine (Abrysvo) is, what the price covers and why prices differ: RSV vaccine (Abrysvo) explained.

RSV vaccine (Abrysvo), one dose for older adults or during pregnancy in other states

Median cash price across the state's hospitals.