Vaccines CPT 90678 Washington Outpatient

RSV vaccine (Abrysvo) cost in Washington

In Washington, 12 hospitals publish a cash price for RSV vaccine (Abrysvo), one dose for older adults or during pregnancy: from $147.44 to $764.10, with a median of $487.34. The lowest price is at Virginia Mason Medical Center (Seattle). The highest price is 5.2× 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 23, 2026.

Lowest$147.44Virginia Mason Medical Center
Median$487.34half pay less
Highest$764.10in Washington
Lowest saves$339.90vs the median

Hospitals in Washington, cheapest first

HospitalCash price List priceFile date
Virginia Mason Medical Center lowest Seattle · Seattle-Tacoma-Bellevue, WA INJ, RSV VACCINE PREF BIVALENT IM 0.5ML PF (STATE SUPP) $147.44 $289.10 —
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Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC RSV VACC PREF BIVALENT IM ADULT $264.00 $330.00 —
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Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $268.04 $412.37 Apr 1, 2026
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St. John Medical Center Longview · Longview-Kelso, WA Abrysvo $321.10 $494.00 —
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Jefferson Healthcare Port Townsend · Port Townsend, WA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use $389.04 $486.30 Aug 6, 2026
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Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION $452.94 $905.88 Apr 1, 2026
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Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA RSV PRE-FUSION F A&B VAC RECOMB FOR IM SOLN 120 MCG/0.5ML $521.74 $745.34 Apr 1, 2026
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Swedish Edmonds Edmonds · Seattle-Tacoma-Bellevue, WA RSV PRE-FUSION F A&B VAC RECOMB FOR IM SOLN 120 MCG/0.5ML $698.14 $1,454.45 Apr 1, 2026
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Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA RSV PRE-FUSION F A&B VAC RECOMB FOR IM SOLN 120 MCG/0.5ML $698.14 $1,454.45 Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA RSV PRE-FUSION F A&B VAC RECOMB FOR IM SOLN 120 MCG/0.5ML $698.15 $1,454.47 Apr 1, 2026
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Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR [188587] $706.86 $883.58 —
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Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Rsv Vaccine Pref Subunit Bivalent for Im Use $764.10 $849.00 —
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By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitals LowestMedian
Seattle-Tacoma-Bellevue, WA 6 $147.44 $698.14
Longview-Kelso, WA 1 $321.10 $321.10
Mount Vernon-Anacortes, WA 1 $264.00 $264.00
Port Townsend, WA 1 $389.04 $389.04
Portland-Vancouver-Hillsboro, OR-WA 1 $268.04 $268.04
Spokane-Spokane Valley, WA 1 $521.74 $521.74
Wenatchee-East Wenatchee, WA 1 $764.10 $764.10

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

Median cash price across the state's hospitals.