Vaccines CPT 90678 Michigan Outpatient

RSV vaccine (Abrysvo) cost in Michigan

In Michigan, 47 hospitals publish a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $197.70 to $804.95, with a median of $478.00. The lowest price is at University of Michigan Health (Ann Arbor). The highest price is 4.1× the lowest.

  • The median here, $478.00, is 5% above the US median of $454.97.
  • Michigan ranks 23rd of 37 states by median, cheapest first.
  • 11 of 47 hospitals list a cash price equal to their full list price, with no self-pay discount.

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 5, 2026. See them on a map

Lowest$197.70University of Michigan Health
Median$478.00half of hospitals charge less
Highest$804.95in Michigan
Lowest saves$280.30vs the median

Hospitals in Michigan, cheapest first

HospitalCash priceList priceFile date
University of Michigan Health lowest Ann Arbor · Ann Arbor, MI RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION $197.70 $494.24 Mar 31, 2026
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University of Michigan Health-Sparrow Clinton St. Johns · Lansing-East Lansing, MI PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $203.00 $406.00 Apr 1, 2026
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University of Michigan Health-Sparrow Eaton Charlotte · Lansing-East Lansing, MI PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $203.00 $406.00 Apr 1, 2026
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University of Michigan Health-Sparrow Ionia Ionia · Grand Rapids-Wyoming-Kentwood, MI PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $203.00 $406.00 Apr 1, 2026
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Holland Community Hospital Holland · Holland, MI Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use $210.00 $350.00 Sep 21, 2026
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University of Michigan Health-Sparrow Lansing Lansing · Lansing-East Lansing, MI RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR $257.95 $1,031.81 Apr 1, 2026
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St Joseph Mercy Ann Arbor Ypsilanti · Ypsilanti, MI HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im $292.50 $450.00 Mar 31, 2026
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St Joseph Mercy Oakland Pontiac · Detroit-Warren-Dearborn, MI HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im $292.50 $450.00 Mar 31, 2026
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Henry Ford Health Hospital Detroit · Detroit-Warren-Dearborn, MI RSV VACC PREF BIVALENT IM $300.00 — Jun 28, 2026
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Henry Ford Health West Bloomfield Hospital West Bloomfield · Detroit-Warren-Dearborn, MI RSV VACC PREF BIVALENT IM $300.00 — Jun 28, 2026
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Mercy Health Partners, Mercy Campus Muskogen · Muskegon-Norton Shores, MI HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im $312.65 $481.00 Mar 31, 2026
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Mercy Health Saint Marys Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im $312.65 $481.00 Mar 31, 2026
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Corewell Health Blodgett Hospital Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI HC VACCINE RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $378.60 $378.60 May 1, 2026
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Corewell Health Butterworth Hospital Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI HC VACCINE RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $378.60 $378.60 May 1, 2026
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Corewell Helen Devos Childrens Hospital Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI HC VACCINE RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $378.60 $378.60 May 1, 2026
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Beaumont Hospital - Dearborn Dearborn · Detroit-Warren-Dearborn, MI HC VACCINE RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $381.00 $381.00 May 1, 2026
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Beaumont Hospital - Grosse Pointe Grosse Pointe · Detroit-Warren-Dearborn, MI HC VACCINE RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $381.00 $381.00 May 1, 2026
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Beaumont Hospital - Taylor Taylor · Detroit-Warren-Dearborn, MI HC VACCINE RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $381.00 $381.00 May 1, 2026
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Beaumont Hospital Royal Oak Royal Oak · Detroit-Warren-Dearborn, MI HC VACCINE RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $381.00 $381.00 May 1, 2026
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Beaumont Hospital, Troy Troy · Detroit-Warren-Dearborn, MI HC VACCINE RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $381.00 $381.00 May 1, 2026
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Corewell Health Farmington Hills Hospital Farmington Hills · Detroit-Warren-Dearborn, MI HC VACCINE RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $381.00 $381.00 May 1, 2026
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Corewell Health Trenton Hospital Trenton · Detroit-Warren-Dearborn, MI HC VACCINE RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $381.00 $381.00 May 1, 2026
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Corewell Health Wayne Hospital Wayne · Detroit-Warren-Dearborn, MI HC VACCINE RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $381.00 $381.00 May 1, 2026
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McLaren Caro Region Caro · Caro, MI RSV Vial (Abryso) -> Abrysvo RSV preF A-preF B 0.5 mL 90678 $478.00 $956.00 Dec 31, 2025
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McLaren Thumb Region Bad Axe · Bad Axe, MI RSV Vial (Abryso) -> Abrysvo RSV preF A-preF B 0.5 mL 90678 $478.00 $956.00 Dec 31, 2025
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McLaren Bay Region Bay City · Bay City, MI RSV Vial (Abryso) -> Abrysvo RSV preF A-preF B 0.5 mL 90678 $497.10 $994.20 Dec 31, 2025
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McLaren Central Michigan Mount Pleasant · Mount Pleasant, MI RSV Vial (Abryso) -> Abrysvo RSV preF A-preF B 0.5 mL 90678 $497.10 $994.20 Dec 31, 2025
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McLaren Flint Flint · Flint, MI RSV Vial (Abryso) -> Abrysvo RSV preF A-preF B 0.5 mL 90678 $497.10 $994.20 Dec 31, 2025
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McLaren Greater Lansing Lansing · Lansing-East Lansing, MI RSV Vial (Abryso) -> Abrysvo RSV preF A-preF B 0.5 mL 90678 $497.10 $994.20 Dec 31, 2025
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McLaren Lapeer Region Lapeer · Detroit-Warren-Dearborn, MI RSV Vial (Abryso) -> Abrysvo RSV preF A-preF B 0.5 mL 90678 $497.10 $994.20 Dec 31, 2025
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McLaren Macomb Mount Clemens · Detroit-Warren-Dearborn, MI RSV Vial (Abryso) -> Abrysvo RSV preF A-preF B 0.5 mL 90678 $497.10 $994.20 Dec 31, 2025
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McLaren Northern Michigan Petoskey · Petoskey, MI RSV Vial (Abryso) -> Abrysvo RSV preF A-preF B 0.5 mL 90678 $497.10 $994.20 Dec 31, 2025
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McLaren Oakland Pontiac · Detroit-Warren-Dearborn, MI RSV Vial (Abryso) -> Abrysvo RSV preF A-preF B 0.5 mL 90678 $497.10 $994.20 Dec 31, 2025
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McLaren Port Huron Port Huron · Detroit-Warren-Dearborn, MI RSV Vial (Abryso) -> Abrysvo RSV preF A-preF B 0.5 mL 90678 $497.10 $994.20 Dec 31, 2025
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VHS Detroit Receiving Hospital Detroit · Detroit-Warren-Dearborn, MI RSV VAC P-A P-B REC IJ $505.50 $674.00 Apr 7, 2026
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Harper University Hospital Detroit · Detroit-Warren-Dearborn, MI RSV VAC P-A P-B REC IJ $551.25 $735.00 Sep 2, 2026
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VHS Childrens Hospital of Michigan Detroit · Detroit-Warren-Dearborn, MI RSV VAC P-A P-B REC IJ $551.25 $735.00 Apr 6, 2026
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VHS Huron Valley-Sinai Hospital Commerce Charter Twp · Detroit-Warren-Dearborn, MI RSV VAC P-A P-B REC IJ $551.25 $735.00 May 20, 2026
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Aspirus Iron River Hospital Iron River · Iron River, MI Fac Rsv Vaccine Pref Subunit Bivalent for Im Use $566.80 $872.00 Apr 1, 2026
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Aspirus Ironwood Hospital Ironwood · Ironwood, MI Fac Rsv Vaccine Pref Subunit Bivalent for Im Use $566.80 $872.00 Apr 1, 2026
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Aspirus Keweenaw Hospital Laurium · Houghton, MI Fac Rsv Vaccine Pref Subunit Bivalent for Im Use $566.80 $872.00 Apr 1, 2026
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Kalkaska Memorial Health Center Kalkaska · Traverse City, MI RSV vac preF A-preF B recomb Charge $766.53 $901.80 Apr 17, 2026
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Munson Healthcare Charlevoix Hospital Charlevoix · Charlevoix, MI RSV vac preF A-preF B recomb Charge $789.65 $929.00 Apr 17, 2026
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Munson Healthcare Otsego Memorial Hospital Gaylord · Gaylord, MI RSV vac preF A-preF B recomb Charge $797.30 $938.00 Apr 17, 2026
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Munson Medical Center Traverse City · Traverse City, MI RSV vac preF A-preF B recomb Charge $797.30 $938.00 Apr 17, 2026
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Munson Healthcare Cadillac Cadillac · Cadillac, MI RSV vac preF A-preF B recomb Charge $804.95 $947.00 Apr 17, 2026
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Munson Healthcare Grayling Grayling · Grayling, MI RSV vac preF A-preF B recomb Charge $804.95 $947.00 Apr 17, 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
Detroit-Warren-Dearborn, MI 19 $292.50 $381.00
Grand Rapids-Wyoming-Kentwood, MI 5 $203.00 $378.60
Lansing-East Lansing, MI 4 $203.00 $230.48
Traverse City, MI 2 $766.53 $781.92
Ann Arbor, MI 1 $197.70 $197.70
Bad Axe, MI 1 $478.00 $478.00
Bay City, MI 1 $497.10 $497.10
Caro, MI 1 $478.00 $478.00
Charlevoix, MI 1 $789.65 $789.65
Cadillac, MI 1 $804.95 $804.95
Flint, MI 1 $497.10 $497.10
Gaylord, MI 1 $797.30 $797.30
Grayling, MI 1 $804.95 $804.95
Holland, MI 1 $210.00 $210.00
Houghton, MI 1 $566.80 $566.80
Iron River, MI 1 $566.80 $566.80
Ironwood, MI 1 $566.80 $566.80
Mount Pleasant, MI 1 $497.10 $497.10
Muskegon-Norton Shores, MI 1 $312.65 $312.65
Petoskey, MI 1 $497.10 $497.10
Ypsilanti, MI 1 $292.50 $292.50
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.