RSV vaccine (Abrysvo) cost in Missouri
In Missouri, 7 hospitals publish a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $318.75 to $881.43, with a median of $318.75. The lowest price is at Mercy Hospital Lincoln (Elsberry) and 3 other hospitals. The highest price is 2.8× the lowest.
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 25, 2026.
Hospitals in Missouri, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Mercy Hospital Lincoln lowest Elsberry · St. Louis, MO-IL Rsv Vaccine Pref Subunit Bivalent for Im Use | $318.75 | $425.00 | Jun 12, 2026 source file |
| Mercy Hospital Perry lowest Perryville · Perryville, MO Rsv Vaccine Pref Subunit Bivalent for Im Use | $318.75 | $425.00 | Jun 12, 2026 source file |
| Mercy Hospital Southeast lowest Cape Girardeau · Cape Girardeau, MO-IL Rsv Vaccine Pref Subunit Bivalent for Im Use | $318.75 | $425.00 | Jun 12, 2026 source file |
| Mercy Hospitals East Communities lowest Washington · St. Louis, MO-IL Rsv Vaccine Pref Subunit Bivalent for Im Use | $318.75 | $425.00 | Jun 12, 2026 source file |
| Freeman Health System - Freeman West Joplin · Joplin, MO-KS RSV VACCINE 0.5 ML BIVALENT | $435.96 | $1,089.90 | Sep 1, 2026 source file |
| 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 source file |
| 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 | — source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| St. Louis, MO-IL | 3 | $318.75 | $318.75 |
| Cape Girardeau, MO-IL | 1 | $318.75 | $318.75 |
| Columbia, MO | 1 | $590.24 | $590.24 |
| Joplin, MO-KS | 1 | $435.96 | $435.96 |
| Perryville, MO | 1 | $318.75 | $318.75 |
What it is
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).
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy in other states
- Alabama$595.50
- Alaska$1,102.29
- Arizona$218.82
- Arkansas$297.75
- California$309.12
- Colorado$304.11
- Connecticut$271.59
- Delaware$1,107.33
- Florida$697.90
- Georgia$1,107.73
- Hawaii$766.51
- Idaho$442.50
- Illinois$281.25
- Indiana$588.40
- Iowa$403.20
- Kentucky$289.10
- Louisiana$123.90
- Maine$164.29
- Maryland$327.00
- Massachusetts$1,262.55
- Michigan$497.10
- Minnesota$123.25
- Montana$441.79
- Nebraska$1,231.82
- New Hampshire$186.48
- New Jersey$818.34
- New York$439.32
- North Carolina$775.50
- North Dakota$451.00
- Ohio$718.90
- Oklahoma$294.00
- Oregon$376.80
- Pennsylvania$504.00
- South Dakota$449.76
- Tennessee$301.61
- Texas$637.20
- Utah$429.80
- Vermont$377.50
- Virginia$343.10
- Washington$487.34
- West Virginia$271.00
- Wisconsin$554.90
- Wyoming$297.60
Median cash price across the state's hospitals.