RSV vaccine (Abrysvo) cost in North Carolina
In North Carolina, 28 hospitals publish a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $388.95 to $2,455.75, with a median of $775.50. The lowest price is at Atrium Health Anson (Wadesboro) and 9 other hospitals. The highest price is 6.3× 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 24, 2026.
Lowest$388.95Atrium Health Anson + 9 more
Median$775.50half pay less
Highest$2,455.75in North Carolina
Lowest saves$386.55vs the median
Hospitals in North Carolina, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Atrium Health Anson lowest Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | Dec 1, 2025 source file |
| Atrium Health Cleveland lowest Shelby · Shelby-Kings Mountain, NC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | Dec 1, 2025 source file |
| Atrium Health Lincoln lowest Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | Dec 1, 2025 source file |
| Atrium Health Pineville lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | Dec 5, 2025 source file |
| Atrium Health Union lowest Monroe · Charlotte-Concord-Gastonia, NC-SC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | Dec 4, 2025 source file |
| Carolinas Medical Center lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | Dec 4, 2025 source file |
| Carolinas Medical Center-Northeast lowest Concord · Charlotte-Concord-Gastonia, NC-SC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | Dec 1, 2025 source file |
| Carolinas Rehabilitation lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | Dec 5, 2025 source file |
| Carolinas Rehabilitation lowest Belmont · Charlotte-Concord-Gastonia, NC-SC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | Dec 5, 2025 source file |
| Carolinas Rehabilitation lowest Concord · Concord, NC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $388.95 | $777.90 | Dec 5, 2025 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $389.00 | $778.00 | Sep 15, 2026 source file |
| Duke University Hospital Raleigh · Raleigh-Cary, NC Rsv Vaccine Pref Subunit Bivalent for Im Use (Abrysvo) | $444.37 | $1,645.82 | — source file |
| Duke University Hospital Durham · Durham, NC Rsv Vaccine Pref Subunit Bivalent for Im Use (Abrysvo) | $444.37 | $1,645.82 | — source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $773.50 | $1,547.00 | Oct 8, 2025 source file |
| North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $777.50 | $1,555.00 | Oct 8, 2025 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $931.10 | $1,862.20 | Oct 21, 2025 source file |
| High Point Regional Health High Point · Greensboro-High Point, NC RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $936.00 | $1,872.00 | Oct 8, 2025 source file |
| Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $936.00 | $1,872.00 | Jul 16, 2026 source file |
| Wilkes Regional Medical Center North Wilkesboro · North Wilkesboro, NC RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $936.00 | $1,872.00 | Oct 8, 2025 source file |
| ECU Health Medical Center Greenville · Greenville, NC RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR | $2,455.75 | $2,455.75 | Apr 1, 2026 source file |
| ECU Health North Hospital Roanoke Rapids · Roanoke Rapids, NC RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR | $2,455.75 | $2,455.75 | Apr 1, 2026 source file |
| East Carolina Health Ahoskie · Ahoskie, NC RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR | $2,455.75 | $2,455.75 | Apr 1, 2026 source file |
| East Carolina Health-Bertie Windsor · Windsor, NC RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR | $2,455.75 | $2,455.75 | Apr 1, 2026 source file |
| Pitt County Memorial Hospital Washington · Washington, NC RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR | $2,455.75 | $2,455.75 | Apr 1, 2026 source file |
| The Outer Banks Hospital Nags Head · Kill Devil Hills, NC RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR | $2,455.75 | $2,455.75 | Apr 1, 2026 source file |
| Vidant Chowan Hospital Edenton · Edenton, NC RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR | $2,455.75 | $2,455.75 | Apr 1, 2026 source file |
| Vidant Duplin Hospital Kenansville · Kenansville, NC RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR | $2,455.75 | $2,455.75 | Apr 1, 2026 source file |
| Vidant Edgecombe Hospital Tarboro · Rocky Mount, NC RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR | $2,455.75 | $2,455.75 | Apr 1, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 8 | $388.95 | $388.95 |
| Winston-Salem, NC | 3 | $773.50 | $777.50 |
| Ahoskie, NC | 1 | $2,455.75 | $2,455.75 |
| Albemarle, NC | 1 | $389.00 | $389.00 |
| Concord, NC | 1 | $388.95 | $388.95 |
| Durham, NC | 1 | $444.37 | $444.37 |
| Edenton, NC | 1 | $2,455.75 | $2,455.75 |
| Greensboro-High Point, NC | 1 | $936.00 | $936.00 |
| Greenville, NC | 1 | $2,455.75 | $2,455.75 |
| Kenansville, NC | 1 | $2,455.75 | $2,455.75 |
| Kill Devil Hills, NC | 1 | $2,455.75 | $2,455.75 |
| Mount Airy, NC | 1 | $936.00 | $936.00 |
| North Wilkesboro, NC | 1 | $936.00 | $936.00 |
| Raleigh-Cary, NC | 1 | $444.37 | $444.37 |
| Roanoke Rapids, NC | 1 | $2,455.75 | $2,455.75 |
| Rocky Mount, NC | 1 | $2,455.75 | $2,455.75 |
| Shelby-Kings Mountain, NC | 1 | $388.95 | $388.95 |
| Windsor, NC | 1 | $2,455.75 | $2,455.75 |
| Washington, NC | 1 | $2,455.75 | $2,455.75 |
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
- Missouri$318.75
- Montana$441.79
- Nebraska$1,231.82
- New Hampshire$186.48
- New Jersey$818.34
- New York$439.32
- 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.