SelfPayRates
Vaccines CPT 90678 Maryland Outpatient

RSV vaccine (Abrysvo) cost in Maryland

In Maryland, 8 hospitals publish a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $327.00 to $1,111.59, with a median of $613.13. The lowest price is at UPMC Western Maryland (Cumberland). The highest price is 3.4× the lowest.

  • The median here, $613.13, is 35% above the US median of $454.97.
  • Maryland ranks 28th of 37 states by median, cheapest first.
  • Every hospital here lists a cash price below its full list price.

Why Maryland prices look low: Maryland is the only state where a commission (the HSCRC) sets hospital rates for every payer, so its hospitals publish prices far below the rest of the country. A separate physician fee may still apply.

Maryland law (Health-General §19-214.1) requires hospitals to give free medically necessary care to patients with family income at or below 200% of the federal poverty level and to cut the bill by 75% up to 250% and 60% up to 300%. With medical debt above 25% of family income in a year, discounts reach up to 500%. Immigration status does not count. Ask the hospital for its financial assistance application. 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 Sep 29, 2026. See them on a map

Lowest$327.00UPMC Western Maryland
Median$613.13half of hospitals charge less
Highest$1,111.59in Maryland
Lowest saves$286.13vs the median

Hospitals in Maryland, cheapest first

HospitalCash priceList priceFile date
UPMC Western Maryland lowest Cumberland · Cumberland, MD-WV RSV VACC, PREF A AND PREF B/PF $327.00 $545.00 Mar 2, 2026
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MedStar Franklin Square Medical Center Baltimore · Baltimore-Columbia-Towson, MD RSV VACCINE 120MCG/0.5ML INJ $385.20 $393.06 Apr 1, 2026
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MedStar St. Mary's Hospital Leonardtown · Lexington Park, MD RSV VACCINE 120MCG/0.5ML INJ $405.82 $414.10 Apr 1, 2026
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MedStar Montgomery Medical Center Olney · Washington-Arlington-Alexandria, DC-VA-MD-WV RSV VACCINE 120MCG/0.5ML INJ $504.18 $514.47 Apr 1, 2026
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MedStar Southern Hospital Center Clinton · Washington-Arlington-Alexandria, DC-VA-MD-WV RSV VACCINE 120MCG/0.5ML INJ $722.07 $736.81 Apr 1, 2026
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MedStar Union Memorial Hospital Baltimore · Baltimore-Columbia-Towson, MD RSV VACCINE 120MCG/0.5ML INJ $899.79 $918.15 Apr 1, 2026
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MedStar Harbor Hospital Baltimore · Baltimore-Columbia-Towson, MD RSV VACCINE 120MCG/0.5ML INJ $911.48 $930.08 Apr 1, 2026
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MedStar Good Samaritan Hospital Baltimore · Baltimore-Columbia-Towson, MD RSV VACCINE 120MCG/0.5ML INJ $1,111.59 $1,134.28 Apr 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.

By metro area

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

Metro areaHospitalsLowestMedian
Baltimore-Columbia-Towson, MD 4 $385.20 $905.64
Washington-Arlington-Alexandria, DC-VA-MD-WV 2 $504.18 $613.12
Cumberland, MD-WV 1 $327.00 $327.00
Lexington Park, MD 1 $405.82 $405.82
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.