RSV vaccine (Abrysvo) cost in Washington
In Washington, 15 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 $477.91. The lowest price is at Virginia Mason Medical Center (Seattle). The highest price is 5.2× the lowest.
- The median here, $477.91, is 5% above the US median of $454.97.
- Washington ranks 22nd of 37 states by median, cheapest first.
- Every hospital here lists a cash price below its full list price.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
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 4, 2026. See them on a map
Lowest$147.44Virginia Mason Medical Center
Median$477.91half of hospitals charge less
Highest$764.10in Washington
Lowest saves$330.47vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File 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 | Jan 1, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC PR RX RSV PREF BIVALENT IM 1 EA | $156.20 | $284.00 | Jan 1, 2025 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $245.82 | $289.20 | Jun 9, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC RSV VACC PREF BIVALENT IM ADULT | $264.00 | $330.00 | Mar 26, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA Abrysvo | $321.10 | $494.00 | Mar 21, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $389.04 | $486.30 | Aug 6, 2026 source file |
| 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 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $477.91 | $562.25 | Oct 7, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs 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 source file |
| 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 source file |
| 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 source file |
| 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 source file |
| Swedish Medical Center 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 source file |
| 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 | Mar 26, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Rsv Vaccine Pref Subunit Bivalent for Im Use | $764.10 | $849.00 | Aug 10, 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.
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 6 | $147.44 | $698.14 |
| Spokane-Spokane Valley, WA | 2 | $521.74 | $521.74 |
| Ellensburg, WA | 1 | $477.91 | $477.91 |
| Kennewick-Richland, WA | 1 | $156.20 | $156.20 |
| 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 |
| Pullman, WA | 1 | $245.82 | $245.82 |
| Wenatchee-East Wenatchee, WA | 1 | $764.10 | $764.10 |
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$206.29
- 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 Carolina$936.00
- 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
- West Virginia$271.00
- Wisconsin$554.90
- Wyoming$502.38, 2 hospitals
Median cash price across the state's hospitals.