RSV vaccine (Abrysvo) cost in North Carolina
In North Carolina, 35 hospitals publish a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $389.00 to $2,893.78, with a median of $936.00. The lowest price is at Atrium Health Anson (Wadesboro) and 9 other hospitals. The highest price is 7.4× the lowest.
- The median here, $936.00, is 107% above the US median of $452.55.
- North Carolina ranks 34th of 37 states by median, cheapest first.
- 11 of 35 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 11, 2026. See them on a map
Lowest$389.00Atrium Health Anson + 9 more
Median$936.00half of hospitals charge less
Highest$2,893.78in North Carolina
Lowest saves$547.00vs 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 | $389.00 | $778.00 | Oct 28, 2026 source file |
| Atrium Health Cleveland lowest Shelby · Shelby-Kings Mountain, NC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $389.00 | $778.00 | Oct 28, 2026 source file |
| Atrium Health Lincoln lowest Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $389.00 | $778.00 | Oct 29, 2026 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $389.00 | $778.00 | Oct 29, 2026 source file |
| Atrium Health Pineville lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $389.00 | $778.00 | Oct 29, 2026 source file |
| Atrium Health Union lowest Monroe · Charlotte-Concord-Gastonia, NC-SC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $389.00 | $778.00 | Oct 29, 2026 source file |
| Atrium Health University City lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $389.00 | $778.00 | Oct 29, 2026 source file |
| Carolinas Medical Center lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $389.00 | $778.00 | Oct 29, 2026 source file |
| Carolinas Medical Center-Northeast lowest Concord · Charlotte-Concord-Gastonia, NC-SC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $389.00 | $778.00 | Nov 4, 2026 source file |
| Stanly Regional Medical Center lowest Albermarle · Albemarle, NC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $389.00 | $778.00 | Oct 29, 2026 source file |
| WakeMed Cary Hospital Cary · Raleigh-Cary, NC HC Rsv Vacv Pref Bivalent Im | $443.92 | $1,168.20 | Feb 11, 2026 source file |
| WakeMed Raleigh Campus Raleigh · Raleigh-Cary, NC HC Rsv Vacv Pref Bivalent Im | $443.92 | $1,168.20 | Feb 11, 2026 source file |
| Duke University Hospital Durham · Durham, NC Rsv Vaccine Pref Subunit Bivalent for Im Use (Abrysvo) | $444.37 | $1,645.82 | Apr 1, 2026 source file |
| Duke Health Raleigh Hospital Raleigh · Raleigh-Cary, NC Rsv Vaccine Pref Subunit Bivalent for Im Use (Abrysvo) | $444.37 | $1,645.82 | Apr 1, 2026 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $773.50 | $1,547.00 | Oct 30, 2026 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 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $777.50 | $1,555.00 | Oct 30, 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 |
| Betsy Johnson Hospital Dunn · Anderson Creek, NC Abrysvo | $1,005.26 | $1,675.44 | Apr 7, 2026 source file |
| Cape Fear Valley - Bladen County Hospital Elizabethtown · Elizabethtown, NC Abrysvo | $1,005.26 | $1,675.44 | Mar 21, 2026 source file |
| Cape Fear Valley - Hoke Hospital Raeford · Fayetteville, NC Abrysvo | $1,005.26 | $1,675.44 | Mar 30, 2026 source file |
| Cape Fear Valley Medical Center Fayetteville · Fayetteville, NC Abrysvo | $1,005.26 | $1,675.44 | Mar 21, 2026 source file |
| Highsmith-Rainey Specialty Hospital Fayetteville · Fayetteville, NC Abrysvo | $1,005.26 | $1,675.44 | Mar 22, 2026 source file |
| Alleghany County Memorial Hospital Sparta · Sparta, NC RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $1,922.40 | $3,844.80 | Aug 12, 2025 source file |
| ECU Health Beaufort 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 |
| ECU Health Bertie Hospital 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 |
| ECU Health 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 |
| ECU Health 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 |
| ECU Health 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 |
| 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 |
| 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 |
| Blue Ridge Regional Hospital Spruce Pine · Spruce Pine, NC ABRYSVO VAC IM | $2,893.78 | $2,893.78 | Sep 1, 2026 source file |
| Mission Hospital Asheville · Asheville, NC ABRYSVO VAC IM | $2,893.78 | $2,893.78 | Sep 1, 2026 source file |
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 area | Hospitals | Lowest | Median |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 8 | $389.00 | $389.00 |
| Fayetteville, NC | 3 | $1,005.26 | $1,005.26 |
| Raleigh-Cary, NC | 3 | $443.92 | $443.92 |
| Winston-Salem, NC | 3 | $773.50 | $777.50 |
| Ahoskie, NC | 1 | $2,455.75 | $2,455.75 |
| Albemarle, NC | 1 | $389.00 | $389.00 |
| Anderson Creek, NC | 1 | $1,005.26 | $1,005.26 |
| Asheville, NC | 1 | $2,893.78 | $2,893.78 |
| Durham, NC | 1 | $444.37 | $444.37 |
| Edenton, NC | 1 | $2,455.75 | $2,455.75 |
| Elizabethtown, NC | 1 | $1,005.26 | $1,005.26 |
| 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 |
| North Wilkesboro, NC | 1 | $936.00 | $936.00 |
| Roanoke Rapids, NC | 1 | $2,455.75 | $2,455.75 |
| Rocky Mount, NC | 1 | $2,455.75 | $2,455.75 |
| Sparta, NC | 1 | $1,922.40 | $1,922.40 |
| Spruce Pine, NC | 1 | $2,893.78 | $2,893.78 |
| Shelby-Kings Mountain, NC | 1 | $389.00 | $389.00 |
| Windsor, NC | 1 | $2,455.75 | $2,455.75 |
| Washington, NC | 1 | $2,455.75 | $2,455.75 |
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
- Alabama$1,811.56
- Alaska$585.05
- Arizona$218.82, 2 hospitals
- Arkansas$677.32, 4 hospitals
- California$309.12
- Colorado$963.72
- Connecticut$271.59, 3 hospitals
- Delaware$1,107.33, 2 hospitals
- District of Columbia$589.10, 2 hospitals
- Florida$697.90
- Georgia$1,112.28
- Hawaii$744.09, 4 hospitals
- Idaho$442.50
- Illinois$459.46
- Indiana$607.04
- Iowa$315.00
- Kansas$435.96
- Kentucky$297.20
- Louisiana$244.26
- Maine$185.29
- Maryland$613.13
- Massachusetts$695.83
- Michigan$478.00
- Minnesota$220.80
- Mississippi$220.90
- Missouri$467.66
- Montana$390.90
- Nebraska$376.20
- Nevada$1,830.50, 2 hospitals
- New Hampshire$217.49, 4 hospitals
- New Jersey$817.81
- New Mexico$396.28, 3 hospitals
- New York$423.40
- North Dakota$364.78
- Ohio$718.90
- Oklahoma$443.09, 3 hospitals
- Oregon$468.85
- Pennsylvania$504.00
- South Carolina$320.92
- South Dakota$370.40
- Tennessee$301.61
- Texas$637.20
- Utah$856.25, 4 hospitals
- Vermont$500.00, 3 hospitals
- Virginia$343.10
- Washington$477.91
- West Virginia$271.00
- Wisconsin$554.90
- Wyoming$502.38, 2 hospitals
Median cash price across the state's hospitals.