Vaccines CPT 90678 Missouri Outpatient

RSV vaccine (Abrysvo) cost in Missouri

In Missouri, 10 hospitals publish a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $435.96 to $881.43, with a median of $467.66. The lowest price is at Freeman Health System - Freeman West (Joplin) and 2 other hospitals. The highest price is 2.0× the lowest.

  • The median here, $467.66, is 3% above the US median of $454.97.
  • Missouri ranks 20th of 37 states by median, cheapest first.
  • Every hospital here lists a cash price below its full list price.

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 2, 2026. See them on a map

Lowest$435.96Freeman Health System - Freeman West + 2 more
Median$467.66half of hospitals charge less
Highest$881.43in Missouri
Lowest saves$31.70vs the median

Hospitals in Missouri, cheapest first

HospitalCash priceList priceFile date
Freeman Health System - Freeman West lowest Joplin · Joplin, MO-KS RSV VACCINE 0.5 ML BIVALENT $435.96 $1,089.90 Sep 1, 2026
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Freeman Health System - Freeman West lowest Joplin · Joplin, MO-KS RSV VACCINE 0.5 ML BIVALENT $435.96 $1,089.90 Sep 1, 2026
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Freeman Neosho Hospital lowest Neosho · Joplin, MO-KS RSV VACCINE 0.5 ML BIVALENT $435.96 $1,089.90 Sep 1, 2026
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Heartland Long Term Acute Hospital St. Joseph · St. Joseph, MO-KS HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $467.50 $550.00 Jun 23, 2026
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Mosaic Life Care at St Joseph Medical Center St. Joseph · St. Joseph, MO-KS HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $467.50 $550.00 Sep 26, 2025
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Poplar Bluff Regional Medical Center Poplar Bluff · Poplar Bluff, MO 00069-0344-05 - RSV vaccine, preF A-preF B, recomb $467.81 $2,227.68 Apr 1, 2026
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Curators of the University of Missouri Columbia · Columbia, MO RESPIRATORY SYNCYTIAL VIRUS VACCINE (ABRYSVO) 0.5 ML INJ $590.24 $983.73 Dec 15, 2025
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Ste. Genevieve County Memorial Hospital Ste. Genevieve · Ste. Genevieve, MO RSV Vac, Pref A&B/PF 0.5ml $730.64 $1,461.27 May 19, 2026
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Phelps Health Rolla · Rolla, MO RSV VACC PREF BIVALENT IM $832.17 $1,188.82 Feb 26, 2026
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Mercy Hospital St Louis Saint Louis · St. Louis, MO-IL RESPIRATORY SYNCYTIAL VIRUS VACCINE, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION $881.43 $1,356.05 Jun 4, 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
Joplin, MO-KS 3 $435.96 $435.96
St. Joseph, MO-KS 2 $467.50 $467.50
Columbia, MO 1 $590.24 $590.24
Poplar Bluff, MO 1 $467.81 $467.81
Rolla, MO 1 $832.17 $832.17
Ste. Genevieve, MO 1 $730.64 $730.64
St. Louis, MO-IL 1 $881.43 $881.43
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.