RSV vaccine (Arexvy) cost without insurance
Across 185 US markets, hospitals list an outpatient cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults from $58.80 to $1,428.00. The median market price is $349.80. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Sep 27, 2026 Each price links to its source file All Vaccine costs
Lowest$58.80any market
Median market$349.80middle of market medians
Highest$1,428.00any market
Listings336hospital prices
What it is
Arexvy is a single-dose RSV vaccine with an adjuvant, for older adults. The CDC recommends an RSV vaccine for everyone 75 and older and for adults 50 to 74 at higher risk; Arexvy is not used in pregnancy.
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).
Why prices differ
Pharmacies give most adult RSV shots; hospital prices for the same dose vary widely.
What to ask
Ask whether the self-pay price for CPT 90679 includes giving the shot (90471).
Prices by state
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alaska$875.23
- Arizona$305.76
- Arkansas$297.00
- California$308.56
- Connecticut$805.80
- Florida$747.70
- Georgia$595.65
- Hawaii$349.80
- Idaho$80.50
- Illinois$255.50
- Indiana$616.25
- Iowa$358.40
- Kentucky$264.95
- Louisiana$58.80
- Maryland$429.00
- Massachusetts$624.96
- Michigan$497.10
- Minnesota$124.31
- Missouri$562.54
- Montana$355.20
- Nebraska$385.13
- New Hampshire$273.14
- New Jersey$596.14
- New York$407.74
- North Carolina$307.63
- North Dakota$214.36
- Ohio$235.95
- Oklahoma$279.00
- Oregon$320.98
- Pennsylvania$677.20
- Tennessee$133.98
- Texas$315.00
- Utah$315.70
- Vermont$534.53
- Virginia$195.60
- Washington$364.52
- West Virginia$228.00
- Wisconsin$544.05
- Wyoming$294.00
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Anna, IL single city | 1 | $255.50 | $255.50 | $255.50 | 1.0× |
| Antigo, WI single city | 1 | $544.05 | $544.05 | $544.05 | 1.0× |
| Akron, OH | 2 | $235.95 | $617.10 | $998.25 | 4.2× |
| Albany, OR | 2 | $357.60 | $357.60 | $357.60 | 1.0× |
| Albany-Schenectady-Troy, NY | 1 | $315.25 | $315.25 | $315.25 | 1.0× |
| Albemarle, NC | 1 | $308.00 | $308.00 | $308.00 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 1 | $717.02 | $717.02 | $717.02 | 1.0× |
| Anchorage, AK | 2 | $322.45 | $875.23 | $1,428.00 | 4.4× |
| Appleton, WI | 2 | $281.79 | $281.79 | $281.79 | 1.0× |
| Ardmore, OK | 1 | $279.00 | $279.00 | $279.00 | 1.0× |
| Bad Axe, MI single city | 1 | $478.00 | $478.00 | $478.00 | 1.0× |
| Berlin, WI single city | 1 | $281.79 | $281.79 | $281.79 | 1.0× |
| Buckhannon, WV single city | 1 | $342.00 | $342.00 | $342.00 | 1.0× |
| Bakersfield-Delano, CA | 1 | $376.91 | $376.91 | $376.91 | 1.0× |
| Baltimore-Columbia-Towson, MD | 1 | $429.00 | $429.00 | $429.00 | 1.0× |
| Barre, VT | 1 | $534.53 | $534.53 | $534.53 | 1.0× |
| Batavia, NY | 1 | $508.64 | $508.64 | $508.64 | 1.0× |
| Bay City, MI | 1 | $497.10 | $497.10 | $497.10 | 1.0× |
| Beaver Dam, WI | 1 | $553.01 | $553.01 | $553.01 | 1.0× |
| Bennington, VT | 1 | $579.59 | $579.59 | $579.59 | 1.0× |
| Bluefield, WV-VA | 1 | $228.00 | $228.00 | $228.00 | 1.0× |
| Boston-Cambridge-Newton, MA-NH | 3 | $624.81 | $624.81 | $625.10 | 1.0× |
| Bozeman, MT | 2 | $355.20 | $355.20 | $355.20 | 1.0× |
| Buffalo-Cheektowaga, NY | 4 | $206.51 | $353.00 | $353.00 | 1.7× |
| Caro, MI single city | 1 | $478.00 | $478.00 | $478.00 | 1.0× |
| Cedar Rapids, IA single city | 1 | $358.40 | $358.40 | $358.40 | 1.0× |
| Centerville, IA single city | 1 | $368.00 | $368.00 | $368.00 | 1.0× |
| Concord, NC single city | 1 | $307.63 | $307.63 | $307.63 | 1.0× |
| Canton-Massillon, OH | 1 | $235.95 | $235.95 | $235.95 | 1.0× |
| Cape Coral-Fort Myers, FL | 1 | $391.31 | $391.31 | $391.31 | 1.0× |
| Cedar Rapids, IA | 1 | $358.40 | $358.40 | $358.40 | 1.0× |
| Charleston, WV | 1 | $228.00 | $228.00 | $228.00 | 1.0× |
| Charlotte-Concord-Gastonia, NC-SC | 8 | $307.63 | $307.63 | $307.63 | 1.0× |
| Cheyenne, WY | 1 | $294.00 | $294.00 | $294.00 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 4 | $140.98 | $231.33 | $292.00 | 2.1× |
| Clarksburg, WV | 1 | $228.00 | $228.00 | $228.00 | 1.0× |
| Cleveland, OH | 17 | $99.40 | $235.95 | $998.25 | 10.0× |
| Clinton, IA | 2 | $250.90 | $402.96 | $555.02 | 2.2× |
| Coeur d'Alene, ID | 1 | $80.50 | $80.50 | $80.50 | 1.0× |
| Columbia, MO | 1 | $574.04 | $574.04 | $574.04 | 1.0× |
| Columbus, OH | 1 | $926.35 | $926.35 | $926.35 | 1.0× |
| Corning, NY | 1 | $336.00 | $336.00 | $336.00 | 1.0× |
| Cortland, NY | 1 | $336.00 | $336.00 | $336.00 | 1.0× |
| Corvallis, OR | 1 | $357.60 | $357.60 | $357.60 | 1.0× |
| Cumberland, MD-WV | 1 | $342.00 | $342.00 | $342.00 | 1.0× |
| Decorah, IA single city | 1 | $428.89 | $428.89 | $428.89 | 1.0× |
| Durham, NC single city | 1 | $455.65 | $455.65 | $455.65 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 1 | $315.00 | $315.00 | $315.00 | 1.0× |
| Davenport-Moline-Rock Island, IA-IL | 6 | $358.40 | $531.69 | $555.02 | 1.5× |
| Decatur, IN | 1 | $616.25 | $616.25 | $616.25 | 1.0× |
| Defiance, OH | 1 | $205.20 | $205.20 | $205.20 | 1.0× |
| Des Moines-West Des Moines, IA | 4 | $239.20 | $304.65 | $386.00 | 1.6× |
| Detroit-Warren-Dearborn, MI | 4 | $497.10 | $497.10 | $497.10 | 1.0× |
| Dickinson, ND | 1 | $214.36 | $214.36 | $214.36 | 1.0× |
| Dubuque, IA | 3 | $239.20 | $250.90 | $358.40 | 1.5× |
| Duluth, MN-WI | 2 | $131.75 | $293.54 | $455.33 | 3.5× |
| Durant, OK | 1 | $443.18 | $443.18 | $443.18 | 1.0× |
| Eagle River, WI single city | 1 | $544.05 | $544.05 | $544.05 | 1.0× |
| Elkader, IA single city | 1 | $239.20 | $239.20 | $239.20 | 1.0× |
| Eau Claire, WI | 2 | $544.05 | $548.53 | $553.01 | 1.0× |
| Eureka-Arcata, CA | 1 | $995.43 | $995.43 | $995.43 | 1.0× |
| Evansville, IN | 1 | $255.50 | $255.50 | $255.50 | 1.0× |
| Farmington, CT single city | 1 | $805.80 | $805.80 | $805.80 | 1.0× |
| Flint, MI | 1 | $497.10 | $497.10 | $497.10 | 1.0× |
| Fond du Lac, WI | 1 | $281.79 | $281.79 | $281.79 | 1.0× |
| Fort Dodge, IA | 1 | $358.40 | $358.40 | $358.40 | 1.0× |
| Fort Wayne, IN | 4 | $625.80 | $882.19 | $1,062.10 | 1.7× |
| Fresno, CA | 1 | $308.56 | $308.56 | $308.56 | 1.0× |
| Gassaway, WV single city | 1 | $342.00 | $342.00 | $342.00 | 1.0× |
| Grinnell, IA single city | 1 | $358.40 | $358.40 | $358.40 | 1.0× |
| Grand Rapids, MN | 1 | $131.75 | $131.75 | $131.75 | 1.0× |
| Hagerstown-Martinsburg, MD-WV | 1 | $228.00 | $228.00 | $228.00 | 1.0× |
| Henderson, KY | 1 | $255.50 | $255.50 | $255.50 | 1.0× |
| Houghton, MI | 1 | $544.05 | $544.05 | $544.05 | 1.0× |
| Huntington-Ashland, WV-KY-OH | 1 | $274.40 | $274.40 | $274.40 | 1.0× |
| Iron River, MI single city | 1 | $544.05 | $544.05 | $544.05 | 1.0× |
| Ironwood, MI single city | 1 | $544.05 | $544.05 | $544.05 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 1 | $276.36 | $276.36 | $276.36 | 1.0× |
| Jasper, IN | 1 | $255.50 | $255.50 | $255.50 | 1.0× |
| Ladysmith, WI single city | 1 | $553.01 | $553.01 | $553.01 | 1.0× |
| Lansing-East Lansing, MI | 1 | $497.10 | $497.10 | $497.10 | 1.0× |
| Lebanon-Claremont, NH-VT | 1 | $273.14 | $273.14 | $273.14 | 1.0× |
| Lexington-Fayette, KY | 1 | $442.79 | $442.79 | $442.79 | 1.0× |
| Little Rock-North Little Rock-Conway, AR | 1 | $645.12 | $645.12 | $645.12 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 11 | $123.90 | $499.62 | $499.62 | 4.0× |
| Louisville/Jefferson County, KY-IN | 1 | $345.00 | $345.00 | $345.00 | 1.0× |
| Magazine, AR single city | 1 | $297.00 | $297.00 | $297.00 | 1.0× |
| Mansfield, AR single city | 1 | $297.00 | $297.00 | $297.00 | 1.0× |
| Medford, WI single city | 1 | $544.05 | $544.05 | $544.05 | 1.0× |
| Merrill, WI single city | 1 | $544.05 | $544.05 | $544.05 | 1.0× |
| Minocqua, WI single city | 1 | $553.01 | $553.01 | $553.01 | 1.0× |
| Morganfield, KY single city | 1 | $255.50 | $255.50 | $255.50 | 1.0× |
| Macon-Bibb County, GA | 2 | $976.85 | $976.85 | $976.85 | 1.0× |
| Madison, WI | 2 | $456.80 | $500.43 | $544.05 | 1.2× |
| Marietta, OH | 1 | $354.57 | $354.57 | $354.57 | 1.0× |
| Marion-Herrin, IL | 1 | $255.50 | $255.50 | $255.50 | 1.0× |
| Marshall, MO | 1 | $551.04 | $551.04 | $551.04 | 1.0× |
| Marshalltown, IA | 1 | $358.40 | $358.40 | $358.40 | 1.0× |
| Mason City, IA | 1 | $250.90 | $250.90 | $250.90 | 1.0× |
| Massena-Ogdensburg, NY | 3 | $407.74 | $407.74 | $407.74 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 5 | $235.95 | $747.70 | $747.70 | 3.2× |
| Michigan City-La Porte, IN | 1 | $1,131.33 | $1,131.33 | $1,131.33 | 1.0× |
| Milledgeville, GA | 1 | $595.65 | $595.65 | $595.65 | 1.0× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 9 | $124.31 | $124.31 | $131.75 | 1.1× |
| Modesto, CA | 1 | $308.56 | $308.56 | $308.56 | 1.0× |
| Morgantown, WV | 1 | $228.00 | $228.00 | $228.00 | 1.0× |
| Mount Pleasant, MI | 1 | $497.10 | $497.10 | $497.10 | 1.0× |
| Mount Vernon, IL | 1 | $255.50 | $255.50 | $255.50 | 1.0× |
| Muscatine, IA | 1 | $358.40 | $358.40 | $358.40 | 1.0× |
| Neillsville, WI single city | 1 | $553.01 | $553.01 | $553.01 | 1.0× |
| New Hampton, IA single city | 1 | $239.20 | $239.20 | $239.20 | 1.0× |
| New London, WI single city | 1 | $281.79 | $281.79 | $281.79 | 1.0× |
| New Martinsville, WV single city | 1 | $228.00 | $228.00 | $228.00 | 1.0× |
| Newberry, MI single city | 1 | $365.72 | $365.72 | $365.72 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 2 | $133.98 | $191.73 | $249.48 | 1.9× |
| New Orleans-Metairie, LA | 5 | $58.80 | $58.80 | $882.00 | 15.0× |
| New Philadelphia-Dover, OH | 1 | $235.95 | $235.95 | $235.95 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 12 | $94.97 | $560.96 | $840.00 | 8.8× |
| Newport, OR | 2 | $357.60 | $357.60 | $357.60 | 1.0× |
| Oelwein, IA single city | 1 | $239.20 | $239.20 | $239.20 | 1.0× |
| Ontario, CA single city | 1 | $499.62 | $499.62 | $499.62 | 1.0× |
| Oklahoma City, OK | 1 | $279.00 | $279.00 | $279.00 | 1.0× |
| Omaha, NE-IA | 2 | $385.13 | $385.13 | $385.13 | 1.0× |
| Oshkosh-Neenah, WI | 2 | $281.79 | $281.79 | $281.79 | 1.0× |
| Paris, AR single city | 1 | $297.00 | $297.00 | $297.00 | 1.0× |
| Park Falls, WI single city | 1 | $553.01 | $553.01 | $553.01 | 1.0× |
| Petersburg, WV single city | 1 | $547.20 | $547.20 | $547.20 | 1.0× |
| Princeton, IN single city | 1 | $255.50 | $255.50 | $255.50 | 1.0× |
| Parkersburg-Vienna, WV | 1 | $228.00 | $228.00 | $228.00 | 1.0× |
| Pensacola-Ferry Pass-Brent, FL | 1 | $210.89 | $210.89 | $210.89 | 1.0× |
| Peru, IN | 1 | $1,324.44 | $1,324.44 | $1,324.44 | 1.0× |
| Petoskey, MI | 1 | $497.10 | $497.10 | $497.10 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 5 | $914.00 | $914.00 | $914.00 | 1.0× |
| Pittsburgh, PA | 2 | $228.00 | $334.20 | $440.40 | 1.9× |
| Port Townsend, WA | 1 | $364.52 | $364.52 | $364.52 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 7 | $254.41 | $254.41 | $320.98 | 1.3× |
| Portsmouth, OH | 1 | $274.40 | $274.40 | $274.40 | 1.0× |
| Rhinelander, WI single city | 1 | $544.05 | $544.05 | $544.05 | 1.0× |
| Richmond, CA single city | 1 | $308.56 | $308.56 | $308.56 | 1.0× |
| Ripley, WV single city | 1 | $342.00 | $342.00 | $342.00 | 1.0× |
| Raleigh-Cary, NC | 1 | $455.65 | $455.65 | $455.65 | 1.0× |
| Rice Lake, WI | 1 | $553.01 | $553.01 | $553.01 | 1.0× |
| Richmond, VA | 3 | $195.60 | $195.60 | $195.60 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 3 | $499.62 | $499.62 | $499.62 | 1.0× |
| Rochester, NY | 7 | $202.50 | $508.64 | $626.02 | 3.1× |
| Rome, GA | 1 | $297.00 | $297.00 | $297.00 | 1.0× |
| St. Johnsbury, VT single city | 1 | $277.50 | $277.50 | $277.50 | 1.0× |
| Summersville, WV single city | 1 | $342.00 | $342.00 | $342.00 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 3 | $308.56 | $308.56 | $308.56 | 1.0× |
| Salem, OR | 2 | $254.41 | $300.92 | $347.42 | 1.4× |
| Salt Lake City-Murray, UT | 1 | $315.70 | $315.70 | $315.70 | 1.0× |
| San Diego-Chula Vista-Carlsbad, CA | 4 | $499.62 | $499.62 | $810.52 | 1.6× |
| San Francisco-Oakland-Fremont, CA | 10 | $308.56 | $308.56 | $942.00 | 3.1× |
| San Jose-Sunnyvale-Santa Clara, CA | 3 | $308.56 | $308.56 | $686.40 | 2.2× |
| Santa Rosa-Petaluma, CA | 1 | $308.56 | $308.56 | $308.56 | 1.0× |
| Sayre, PA | 3 | $336.00 | $336.00 | $336.00 | 1.0× |
| Shawano, WI | 1 | $281.79 | $281.79 | $281.79 | 1.0× |
| Shelby-Kings Mountain, NC | 1 | $307.63 | $307.63 | $307.63 | 1.0× |
| Shelbyville, TN | 1 | $133.98 | $133.98 | $133.98 | 1.0× |
| Sioux City, IA-NE-SD | 1 | $358.40 | $358.40 | $358.40 | 1.0× |
| Slidell-Mandeville-Covington, LA | 1 | $58.80 | $58.80 | $58.80 | 1.0× |
| Stevens Point-Plover, WI | 3 | $544.05 | $544.05 | $553.01 | 1.0× |
| Stockton-Lodi, CA | 1 | $308.56 | $308.56 | $308.56 | 1.0× |
| Syracuse, NY | 1 | $444.60 | $444.60 | $444.60 | 1.0× |
| Tomahawk, WI single city | 1 | $544.05 | $544.05 | $544.05 | 1.0× |
| Two Harbors, MN single city | 1 | $688.85 | $688.85 | $688.85 | 1.0× |
| Traverse City, MI | 1 | $633.25 | $633.25 | $633.25 | 1.0× |
| Tullahoma-Manchester, TN | 1 | $133.98 | $133.98 | $133.98 | 1.0× |
| Urban Honolulu, HI | 1 | $349.80 | $349.80 | $349.80 | 1.0× |
| Vallejo, CA | 3 | $308.56 | $308.56 | $501.82 | 1.6× |
| Waupaca, WI single city | 1 | $281.79 | $281.79 | $281.79 | 1.0× |
| Wellsville, NY single city | 1 | $264.00 | $264.00 | $264.00 | 1.0× |
| Wild Rose, WI single city | 1 | $281.79 | $281.79 | $281.79 | 1.0× |
| Woodruff, WI single city | 1 | $544.05 | $544.05 | $544.05 | 1.0× |
| Warner Robins, GA | 1 | $595.65 | $595.65 | $595.65 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 1 | $342.00 | $342.00 | $342.00 | 1.0× |
| Waterloo-Cedar Falls, IA | 3 | $250.90 | $250.90 | $358.40 | 1.4× |
| Wausau, WI | 2 | $544.05 | $548.53 | $553.01 | 1.0× |
| Weirton-Steubenville, WV-OH | 1 | $228.00 | $228.00 | $228.00 | 1.0× |
| Wenatchee-East Wenatchee, WA | 1 | $674.10 | $674.10 | $674.10 | 1.0× |
| Wheeling, WV-OH | 3 | $228.00 | $228.00 | $342.00 | 1.5× |
| Winston-Salem, NC | 2 | $737.50 | $815.49 | $893.48 | 1.2× |
| Wisconsin Rapids-Marshfield, WI | 2 | $544.05 | $548.53 | $553.01 | 1.0× |
| Worcester, MA | 1 | $738.30 | $738.30 | $738.30 | 1.0× |
| Yuma, AZ | 1 | $305.76 | $305.76 | $305.76 | 1.0× |
Common questions
How is Arexvy different from Abrysvo?
Both are single-dose RSV vaccines for older adults; only Abrysvo is used in pregnancy. The CDC does not prefer one over the other.
Does Medicare cover RSV vaccines?
Yes, through Part D drug plans, which charge nothing out of pocket for vaccines the CDC recommends for adults.
Other vaccine prices
Median hospital cash price, one per hospital.