Vaccines CPT 90678 Texas Outpatient

RSV vaccine (Abrysvo) cost in Texas

In Texas, 52 hospitals publish a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $110.45 to $2,043.48, with a median of $637.20. The lowest price is at Methodist Celina Medical Center (Celina) and 7 other hospitals. The highest price is 18.5× the lowest.

  • The median here, $637.20, is 40% above the US median of $454.97.
  • Texas ranks 29th of 37 states by median, cheapest first.
  • 7 of 52 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$110.45Methodist Celina Medical Center + 7 more
Median$637.20half of hospitals charge less
Highest$2,043.48in Texas
Lowest saves$526.75vs the median

Hospitals in Texas, cheapest first

HospitalCash priceList priceFile date
Methodist Celina Medical Center lowest Celina · Dallas-Fort Worth-Arlington, TX HC Rsv Vaccine Pref Subunit Bivalent for Im Use $110.45 $368.16 Mar 23, 2026
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Methodist Dallas Medical Center lowest Dallas · Dallas-Fort Worth-Arlington, TX HC Rsv Vaccine Pref Subunit Bivalent for Im Use $110.45 $368.16 Mar 20, 2026
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Methodist Hospitals of Dallas – Coppell lowest Coppell · Dallas-Fort Worth-Arlington, TX HC Rsv Vaccine Pref Subunit Bivalent for Im Use $110.45 $368.16 Mar 23, 2026
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Methodist Mansfield Medical Center lowest Mansfield · Dallas-Fort Worth-Arlington, TX HC Rsv Vaccine Pref Subunit Bivalent for Im Use $110.45 $368.16 Mar 21, 2026
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Methodist Midlothian Medical Center lowest Midlothian · Dallas-Fort Worth-Arlington, TX HC Rsv Vaccine Pref Subunit Bivalent for Im Use $110.45 $368.16 Mar 21, 2026
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Methodist Richardson Campus for Continuing Care lowest Richardson · Dallas-Fort Worth-Arlington, TX HC Rsv Vaccine Pref Subunit Bivalent for Im Use $110.45 $368.16 Mar 21, 2026
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Methodist Richardson Medical Center lowest Richardson · Dallas-Fort Worth-Arlington, TX HC Rsv Vaccine Pref Subunit Bivalent for Im Use $110.45 $368.16 Mar 21, 2026
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Methodist Southlake Medical Center lowest Souhtlake · Dallas-Fort Worth-Arlington, TX HC Rsv Vaccine Pref Subunit Bivalent for Im Use $110.45 $368.16 Mar 23, 2026
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Methodist Charlton Medical Center Dallas · Dallas-Fort Worth-Arlington, TX HC Rsv Vaccine Pref Subunit Bivalent for Im Use $184.08 $368.16 Mar 21, 2026
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Harris Health Taub Loop Houston · Houston-Pasadena-The Woodlands, TX ECHG ABRYSVO 0.5ML VACCINE $217.58 $460.00 Mar 24, 2026
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Harris Health Houston · Houston-Pasadena-The Woodlands, TX ECHG ABRYSVO 0.5ML VACCINE $217.58 $460.00 Mar 24, 2026
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University Health System San Antonio · San Antonio-New Braunfels, TX RSV vaccine (ABRYSVO), adult dose 0.5 mL $421.93 $1,687.69 Oct 7, 2026
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Texas Children's Hospital - Austin Austin · Austin-Round Rock-San Marcos, TX Respiratory Syncytial Virus Vaccine (Recombinant) 120 MCG/0.5ML Solr 1 Each Vial $633.59 $945.65 Mar 5, 2026
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Flower Mound Hospital Partners, LLC Flower Mound · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 15, 2026
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Physicians Medical Center, LLC Plano · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 13, 2026
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Rockwall Regional Hospital, LLC Rockwall · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 15, 2026
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Texas Health Arlington Memorial Hospital Arlington · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 21, 2026
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Texas Health Center for Diagnostics & Surgery Plano Plano · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 21, 2026
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Texas Health Harris Methodist Hospital Alliance Fort Worth · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 21, 2026
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Texas Health Harris Methodist Hospital Azle Azle · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 21, 2026
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Texas Health Harris Methodist Hospital Cleburne Cleburne · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 21, 2026
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Texas Health Harris Methodist Hospital Fort Worth Fort Worth · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 14, 2026
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Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Bedford · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 14, 2026
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Texas Health Harris Methodist Hospital HurstEulessBedford Bedford · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 21, 2026
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Texas Health Harris Methodist Hospital Southlake Southlake · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 14, 2026
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Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 21, 2026
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Texas Health Harris Methodist Hospital Stephenville Stephenville · Stephenville, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 21, 2026
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Texas Health Heart & Vascular Hospital Arlington Arlington · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 21, 2026
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Texas Health Hospital Frisco Frisco · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 21, 2026
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Texas Health Presbyterian Hospital Allen Allen · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 21, 2026
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Texas Health Presbyterian Hospital Dallas Dallas · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 21, 2026
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Texas Health Presbyterian Hospital Denton Denton · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 21, 2026
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Texas Health Presbyterian Hospital Flower Mound Flower Mound · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 21, 2026
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Texas Health Presbyterian Hospital Kaufman Kaufman · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 21, 2026
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Texas Health Presbyterian Hospital Plano Plano · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 15, 2026
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Texas Health Presbyterian Hospital Rockwall Rockwall · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 21, 2026
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Texas Health Specialty Hospital Fort Worth Fort Worth · Dallas-Fort Worth-Arlington, TX RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495] $637.20 $1,062.00 Apr 21, 2026
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The University of Texas Southwestern Medical Center at Dallas Dallas · Dallas-Fort Worth-Arlington, TX RSV vaccine PF 120 mcg/0.5 mL Solr 1 Each Vial $677.46 $1,354.92 Mar 10, 2026
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Parkland Health Dallas · Dallas-Fort Worth-Arlington, TX Respiratory syncytial virus vaccine preF subunit bivalent for intramuscular use $734.85 $1,837.12 Oct 16, 2026
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Liberty Dayton Regional Medical Center Liberty · Houston-Pasadena-The Woodlands, TX Abrysvo (Rsv Vaccine, Pref, Subunit, Bivalen, For Im Use) $773.00 $1,104.00 —
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Heart Hosp of Austin Austin · Austin-Round Rock-San Marcos, TX ABRYSVO VAC IM $1,020.00 $1,020.00 Sep 1, 2026
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Heart Hosp of Austin at St. David's Round Rock Round Rock · Austin-Round Rock-San Marcos, TX Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use $1,020.00 $1,020.00 Sep 1, 2026
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St. David's Georgetown Hospital Georgetown · Austin-Round Rock-San Marcos, TX ABRYSVO VAC IM $1,020.00 $1,020.00 Sep 1, 2026
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St. David's Medical Center Manor · Austin-Round Rock-San Marcos, TX ABRYSVO VAC IM $1,020.00 $1,020.00 Sep 1, 2026
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St. David's North Austin Medical Center Austin · Austin-Round Rock-San Marcos, TX ABRYSVO VAC IM $1,321.00 $1,321.00 Sep 1, 2026
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CHRISTUS Health - Pine Street Texarkana · Texarkana, TX-AR 00069-0344-05 - RSV vaccine, preF A-preF B, recomb $1,324.18 $2,648.36 Jan 14, 2026
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Hendrick Medical Center Brownwood Brownwood · Brownwood, TX RSV VACC PREF BIVALENT IM 120MCG/0.5ML [2465-01] $1,535.09 $3,070.17 Oct 1, 2026
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Hendrick Medical Center Abilene · Abilene, TX RSV VACC PREF BIVALENT IM 120MCG/0.5ML [2465-01] $1,564.05 $3,128.10 Oct 1, 2026
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Hendrick Medical Center South Abilene · Abilene, TX RSV VACC PREF BIVALENT IM 120MCG/0.5ML [2465-01] $1,564.05 $3,128.10 Oct 1, 2026
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Methodist Hospital San Antonio · San Antonio-New Braunfels, TX ABRYSVO VAC IM $1,608.11 $1,608.11 Sep 1, 2026
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The Womans Hospital of Texas Houston · Houston-Pasadena-The Woodlands, TX Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use $1,770.00 $1,770.00 Sep 1, 2026
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Covenant Children's Hospital Lubbock · Lubbock, TX RSV PRE-FUSION F A&B VAC RECOMB FOR IM SOLN 120 MCG/0.5ML $2,043.48 $4,865.44 Apr 1, 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
Dallas-Fort Worth-Arlington, TX 34 $110.45 $637.20
Austin-Round Rock-San Marcos, TX 6 $633.59 $1,020.00
Houston-Pasadena-The Woodlands, TX 4 $217.58 $495.29
Abilene, TX 2 $1,564.05 $1,564.05
San Antonio-New Braunfels, TX 2 $421.93 $1,015.02
Brownwood, TX 1 $1,535.09 $1,535.09
Lubbock, TX 1 $2,043.48 $2,043.48
Stephenville, TX 1 $637.20 $637.20
Texarkana, TX-AR 1 $1,324.18 $1,324.18
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.