RSV vaccine (Arexvy) cost without insurance
The median hospital cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults is $385.13 across 423 US hospitals; most list between $204.83 and $926.21. The lowest outpatient cash price in any of 250 markets is $58.80. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Nov 11, 2026 Each price links to its source file All Vaccine costs
Compared with the vaccine's list price
$321.05 (Arexvy) per dose is the manufacturer's private-sector price in the CDC vaccine price list: what a clinic or pharmacy pays for the vaccine itself. The median hospital cash price, $385.13 across 423 hospitals, is 1.2× that.
Giving the shot is billed separately (CPT 90471), and anyone who gives it adds a markup, so treat this as a floor: a concrete number to mention when you ask for a cash discount. Source: CDC.
Cash or insurance?
If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for RSV vaccine (Arexvy), the highest negotiated rate in a hospital's file has a median of $585.20 and the lowest a median of $221.93. At 246 of 288 hospitals that publish both, the cash price is below the highest negotiated rate.
With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.
Plan's rate starts at the median highest negotiated rate and cash at the national median; put in your own numbers. Nothing you type leaves your device. To price a whole year with premiums, use the insurance or cash calculator.
What is CPT 90679?
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
Among 23 states with at least 5 hospitals listing a cash price, the median is lowest in Louisiana ($79.62), Minnesota ($131.75) and West Virginia ($228.00), and highest in Indiana ($761.04), Florida ($747.70) and North Carolina ($737.50).
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alaska$406.00
- Arkansas$645.12, 3 hospitals
- California$376.91
- Connecticut$805.80, 1 hospital
- Florida$747.70
- Georgia$596.00, 4 hospitals
- Hawaii$535.21, 2 hospitals
- Idaho$448.68, 2 hospitals
- Illinois$463.62
- Indiana$761.04
- Iowa$250.90
- Kansas$369.93
- Kentucky$359.25, 4 hospitals
- Louisiana$79.62
- Maine$517.11, 1 hospital
- Massachusetts$624.96, 4 hospitals
- Michigan$420.00
- Minnesota$131.75
- Mississippi$336.00, 2 hospitals
- Missouri$446.25
- Montana$300.90
- Nebraska$385.13
- New Hampshire$358.53, 2 hospitals
- New Jersey$596.14
- New Mexico$282.36, 2 hospitals
- New York$407.74
- North Carolina$737.50
- North Dakota$312.02
- Ohio$354.57
- Oklahoma$443.18, 1 hospital
- Oregon$334.20
- Pennsylvania$440.40
- South Carolina$390.00
- South Dakota$368.00, 3 hospitals
- Tennessee$166.75, 3 hospitals
- Texas$1,547.22, 2 hospitals
- Utah$464.44, 2 hospitals
- Vermont$407.27, 4 hospitals
- Virginia$195.60, 3 hospitals
- Washington$359.49, 3 hospitals
- West Virginia$228.00
- Wisconsin$544.05
- Wyoming$637.50, 2 hospitals
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Abilene, KS single city | 1 | $442.50 | $442.50 | $442.50 | 1.0× |
| Akron, OH | 2 | $235.95 | $617.10 | $998.25 | 4.2× |
| Albany, OR | 1 | $360.00 | $360.00 | $360.00 | 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× |
| Albuquerque, NM | 1 | $190.30 | $190.30 | $190.30 | 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× |
| Anderson Creek, NC | 1 | $9,936.92 | $9,936.92 | $9,936.92 | 1.0× |
| Antigo, WI single city | 1 | $544.05 | $544.05 | $544.05 | 1.0× |
| Appleton, WI | 2 | $281.79 | $281.79 | $281.79 | 1.0× |
| Armour, SD single city | 1 | $314.10 | $314.10 | $314.10 | 1.0× |
| Asheville, NC | 1 | $2,602.64 | $2,602.64 | $2,602.64 | 1.0× |
| Atkinson, NE single city | 1 | $368.00 | $368.00 | $368.00 | 1.0× |
| Atlantic, IA single city | 1 | $172.26 | $172.26 | $172.26 | 1.0× |
| Bad Axe, MI single city | 1 | $478.00 | $478.00 | $478.00 | 1.0× |
| Bakersfield-Delano, CA | 1 | $376.91 | $376.91 | $376.91 | 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× |
| Beatrice, NE | 1 | $351.00 | $351.00 | $351.00 | 1.0× |
| Beaver Dam, WI | 1 | $553.01 | $553.01 | $553.01 | 1.0× |
| Bennington, VT | 1 | $827.98 | $827.98 | $827.98 | 1.0× |
| Berlin, WI single city | 1 | $281.79 | $281.79 | $281.79 | 1.0× |
| Bishop, CA | 1 | $471.00 | $471.00 | $471.00 | 1.0× |
| Bismarck, ND | 1 | $387.50 | $387.50 | $387.50 | 1.0× |
| Black River Falls, WI single city | 1 | $796.50 | $796.50 | $796.50 | 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 | $339.20 | $339.20 | $339.20 | 1.0× |
| Brattleboro, VT | 1 | $280.00 | $280.00 | $280.00 | 1.0× |
| Buckhannon, WV single city | 1 | $342.00 | $342.00 | $342.00 | 1.0× |
| Bucyrus, OH | 1 | $1,294.55 | $1,294.55 | $1,294.55 | 1.0× |
| Buffalo-Cheektowaga, NY | 5 | $206.51 | $353.00 | $353.00 | 1.7× |
| Cadiz, OH single city | 1 | $342.00 | $342.00 | $342.00 | 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× |
| Carbondale, IL | 1 | $463.62 | $463.62 | $463.62 | 1.0× |
| Caro, MI single city | 1 | $478.00 | $478.00 | $478.00 | 1.0× |
| Centerville, IA single city | 1 | $368.00 | $368.00 | $368.00 | 1.0× |
| Charleston, WV | 1 | $228.00 | $228.00 | $228.00 | 1.0× |
| Charleston-Mattoon, IL | 1 | $840.00 | $840.00 | $840.00 | 1.0× |
| Charlotte-Concord-Gastonia, NC-SC | 8 | $308.00 | $308.00 | $308.00 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 6 | $140.98 | $191.70 | $292.00 | 2.1× |
| Chillicothe, OH | 1 | $1,279.00 | $1,279.00 | $1,279.00 | 1.0× |
| Clarinda, IA single city | 1 | $262.50 | $262.50 | $262.50 | 1.0× |
| Clarksburg, WV | 1 | $228.00 | $228.00 | $228.00 | 1.0× |
| Clarksville, TN-KY | 1 | $1,115.38 | $1,115.38 | $1,115.38 | 1.0× |
| Cleveland, OH | 18 | $99.40 | $235.95 | $998.25 | 10.0× |
| Clinton, IA | 2 | $250.90 | $402.96 | $555.02 | 2.2× |
| Cody, WY | 1 | $519.00 | $519.00 | $519.00 | 1.0× |
| 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 | 2 | $926.35 | $1,110.45 | $1,294.55 | 1.4× |
| 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 | $360.00 | $360.00 | $360.00 | 1.0× |
| Cumberland, MD-WV | 1 | $342.00 | $342.00 | $342.00 | 1.0× |
| Davenport, WA single city | 1 | $359.49 | $359.49 | $359.49 | 1.0× |
| Davenport-Moline-Rock Island, IA-IL | 4 | $508.36 | $555.02 | $555.02 | 1.1× |
| Defiance, OH | 1 | $205.20 | $205.20 | $205.20 | 1.0× |
| Des Moines-West Des Moines, IA | 3 | $239.20 | $250.90 | $386.00 | 1.6× |
| Detroit-Warren-Dearborn, MI | 12 | $362.00 | $362.00 | $497.10 | 1.4× |
| Devils Lake, ND single city | 1 | $312.02 | $312.02 | $312.02 | 1.0× |
| Dickinson, ND | 1 | $200.75 | $200.75 | $200.75 | 1.0× |
| Dubuque, IA | 2 | $239.20 | $245.05 | $250.90 | 1.0× |
| Duluth, MN-WI | 2 | $131.75 | $293.54 | $455.33 | 3.5× |
| Durant, OK | 1 | $443.18 | $443.18 | $443.18 | 1.0× |
| Durham, NC single city | 1 | $455.65 | $455.65 | $455.65 | 1.0× |
| Eagle River, WI single city | 1 | $544.05 | $544.05 | $544.05 | 1.0× |
| Eau Claire, WI | 2 | $544.05 | $548.53 | $553.01 | 1.0× |
| Elizabethtown, NC single city | 1 | $9,936.92 | $9,936.92 | $9,936.92 | 1.0× |
| Elkader, IA single city | 1 | $239.20 | $239.20 | $239.20 | 1.0× |
| Eureka-Arcata, CA | 1 | $995.43 | $995.43 | $995.43 | 1.0× |
| Evansville, IN | 1 | $303.27 | $303.27 | $303.27 | 1.0× |
| Fairfield, IA single city | 1 | $275.71 | $275.71 | $275.71 | 1.0× |
| Farmington, CT single city | 1 | $805.80 | $805.80 | $805.80 | 1.0× |
| Faulkton, SD single city | 1 | $778.68 | $778.68 | $778.68 | 1.0× |
| Fayetteville, NC | 3 | $9,936.92 | $9,936.92 | $9,936.92 | 1.0× |
| Fergus Falls, MN | 1 | $286.00 | $286.00 | $286.00 | 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 Wayne, IN | 5 | $625.80 | $886.36 | $1,062.10 | 1.7× |
| Franklin, NC single city | 1 | $2,602.64 | $2,602.64 | $2,602.64 | 1.0× |
| Freeport, IL | 1 | $707.20 | $707.20 | $707.20 | 1.0× |
| Fresno, CA | 1 | $308.56 | $308.56 | $308.56 | 1.0× |
| Gaffney, SC | 1 | $390.00 | $390.00 | $390.00 | 1.0× |
| Gassaway, WV single city | 1 | $342.00 | $342.00 | $342.00 | 1.0× |
| Gloversville, NY | 1 | $407.68 | $407.68 | $407.68 | 1.0× |
| Grand Forks, ND-MN | 1 | $312.02 | $312.02 | $312.02 | 1.0× |
| Grand Rapids, MN | 1 | $131.75 | $131.75 | $131.75 | 1.0× |
| Grand Rapids-Wyoming-Kentwood, MI | 4 | $181.00 | $355.49 | $355.49 | 2.0× |
| Greenfield, IA single city | 1 | $390.00 | $390.00 | $390.00 | 1.0× |
| Greenfield, OH single city | 1 | $1,279.00 | $1,279.00 | $1,279.00 | 1.0× |
| Greenville-Anderson-Greer, SC | 1 | $390.00 | $390.00 | $390.00 | 1.0× |
| Hagerstown-Martinsburg, MD-WV | 1 | $228.00 | $228.00 | $228.00 | 1.0× |
| Harlan, IA single city | 1 | $533.04 | $533.04 | $533.04 | 1.0× |
| Harwarden, IA single city | 1 | $285.60 | $285.60 | $285.60 | 1.0× |
| Henderson, KY | 1 | $275.70 | $275.70 | $275.70 | 1.0× |
| Highlands, NC single city | 1 | $2,602.64 | $2,602.64 | $2,602.64 | 1.0× |
| Houghton, MI | 1 | $544.05 | $544.05 | $544.05 | 1.0× |
| Houlton, ME single city | 1 | $517.11 | $517.11 | $517.11 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 1 | $1,770.00 | $1,770.00 | $1,770.00 | 1.0× |
| Huntington-Ashland, WV-KY-OH | 1 | $274.40 | $274.40 | $274.40 | 1.0× |
| Indiana, PA | 1 | $376.93 | $376.93 | $376.93 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 1 | $276.36 | $276.36 | $276.36 | 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× |
| Jackson, MS | 2 | $336.00 | $336.00 | $336.00 | 1.0× |
| Janesville-Beloit, WI | 1 | $185.70 | $185.70 | $185.70 | 1.0× |
| Kalispell, MT | 2 | $228.80 | $245.70 | $262.60 | 1.1× |
| Kearney, NE | 1 | $368.00 | $368.00 | $368.00 | 1.0× |
| Kimball, NE single city | 1 | $843.47 | $843.47 | $843.47 | 1.0× |
| Klamath Falls, OR | 1 | $304.59 | $304.59 | $304.59 | 1.0× |
| Knox, IN single city | 1 | $925.63 | $925.63 | $925.63 | 1.0× |
| Kotzebue, AK single city | 1 | $1,444.00 | $1,444.00 | $1,444.00 | 1.0× |
| La Crosse-Onalaska, WI-MN | 1 | $332.00 | $332.00 | $332.00 | 1.0× |
| Ladysmith, WI single city | 1 | $553.01 | $553.01 | $553.01 | 1.0× |
| Lake Charles, LA | 1 | $539.78 | $539.78 | $539.78 | 1.0× |
| Lansing-East Lansing, MI | 4 | $181.00 | $212.54 | $497.10 | 2.7× |
| Lawrence, KS | 1 | $551.44 | $551.44 | $551.44 | 1.0× |
| Lebanon-Claremont, NH-VT | 1 | $473.06 | $473.06 | $473.06 | 1.0× |
| Lexington, NE | 1 | $563.00 | $563.00 | $563.00 | 1.0× |
| Lexington-Fayette, KY | 1 | $442.79 | $442.79 | $442.79 | 1.0× |
| Litchfield, MN single city | 1 | $155.14 | $155.14 | $155.14 | 1.0× |
| Little Falls, MN single city | 1 | $204.74 | $204.74 | $204.74 | 1.0× |
| Little Rock-North Little Rock-Conway, AR | 2 | $645.12 | $645.12 | $645.12 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 11 | $123.90 | $499.62 | $499.62 | 4.0× |
| Macon-Bibb County, GA | 1 | $977.00 | $977.00 | $977.00 | 1.0× |
| Madison, WI | 1 | $544.05 | $544.05 | $544.05 | 1.0× |
| Mansfield, OH | 1 | $1,294.55 | $1,294.55 | $1,294.55 | 1.0× |
| Maquoketa, IA single city | 1 | $872.68 | $872.68 | $872.68 | 1.0× |
| Marietta, OH | 2 | $354.57 | $354.57 | $354.57 | 1.0× |
| Marion, NC | 1 | $2,602.64 | $2,602.64 | $2,602.64 | 1.0× |
| Marshall, MO | 1 | $551.04 | $551.04 | $551.04 | 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× |
| McPherson, KS | 1 | $309.75 | $309.75 | $309.75 | 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× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 6 | $235.95 | $747.70 | $1,267.73 | 5.4× |
| Michigan City-La Porte, IN | 1 | $1,131.33 | $1,131.33 | $1,131.33 | 1.0× |
| Milledgeville, GA | 1 | $596.00 | $596.00 | $596.00 | 1.0× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 10 | $124.31 | $124.31 | $1,194.20 | 9.6× |
| Minocqua, WI single city | 1 | $553.01 | $553.01 | $553.01 | 1.0× |
| Mobridge, SD single city | 1 | $368.00 | $368.00 | $368.00 | 1.0× |
| Modesto, CA | 1 | $308.56 | $308.56 | $308.56 | 1.0× |
| Montpelier, ID single city | 1 | $816.85 | $816.85 | $816.85 | 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 | $485.27 | $485.27 | $485.27 | 1.0× |
| Nashville, IL single city | 1 | $588.20 | $588.20 | $588.20 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 1 | $166.75 | $166.75 | $166.75 | 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× |
| New Orleans-Metairie, LA | 6 | $58.80 | $79.62 | $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× |
| Nome, AK single city | 1 | $336.00 | $336.00 | $336.00 | 1.0× |
| Oelwein, IA single city | 1 | $239.20 | $239.20 | $239.20 | 1.0× |
| Omaha, NE-IA | 2 | $385.13 | $385.13 | $385.13 | 1.0× |
| Oneonta, NY | 1 | $191.70 | $191.70 | $191.70 | 1.0× |
| Oshkosh-Neenah, WI | 2 | $281.79 | $281.79 | $281.79 | 1.0× |
| Park Falls, WI single city | 1 | $553.01 | $553.01 | $553.01 | 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× |
| Petersburg, WV single city | 1 | $547.20 | $547.20 | $547.20 | 1.0× |
| Petoskey, MI | 1 | $497.10 | $497.10 | $497.10 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 4 | $914.00 | $914.00 | $914.00 | 1.0× |
| Phillipsburg, KS single city | 1 | $430.10 | $430.10 | $430.10 | 1.0× |
| Pine Bluff, AR | 1 | $639.00 | $639.00 | $639.00 | 1.0× |
| Pittsburgh, PA | 2 | $228.00 | $334.20 | $440.40 | 1.9× |
| Plainville, KS single city | 1 | $262.50 | $262.50 | $262.50 | 1.0× |
| Poplar Bluff, MO | 1 | $467.91 | $467.91 | $467.91 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $320.98 | $320.98 | $320.98 | 1.0× |
| Portsmouth, OH | 1 | $274.40 | $274.40 | $274.40 | 1.0× |
| Prairie Du Chien, WI single city | 1 | $511.00 | $511.00 | $511.00 | 1.0× |
| Raleigh-Cary, NC | 1 | $455.65 | $455.65 | $455.65 | 1.0× |
| Rawlins, WY single city | 1 | $756.00 | $756.00 | $756.00 | 1.0× |
| Republic, WA single city | 1 | $288.86 | $288.86 | $288.86 | 1.0× |
| Rhinelander, WI single city | 1 | $544.05 | $544.05 | $544.05 | 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× |
| Ripley, WV single city | 1 | $342.00 | $342.00 | $342.00 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 5 | $499.62 | $499.62 | $1,066.81 | 2.1× |
| Rochester, NY | 7 | $284.00 | $508.64 | $626.02 | 2.2× |
| Rolla, MO | 1 | $117.01 | $117.01 | $117.01 | 1.0× |
| Rome, GA | 1 | $297.00 | $297.00 | $297.00 | 1.0× |
| Roosevelt, UT single city | 1 | $613.17 | $613.17 | $613.17 | 1.0× |
| Roswell, NM | 1 | $374.41 | $374.41 | $374.41 | 1.0× |
| Rushville, IN single city | 1 | $591.61 | $591.61 | $591.61 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 3 | $308.56 | $308.56 | $308.56 | 1.0× |
| Salem, OR | 1 | $347.42 | $347.42 | $347.42 | 1.0× |
| 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 | 11 | $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× |
| Scobey, MT single city | 1 | $423.94 | $423.94 | $423.94 | 1.0× |
| Scottsbluff, NE single city | 1 | $560.96 | $560.96 | $560.96 | 1.0× |
| Seneca, KS single city | 1 | $270.00 | $270.00 | $270.00 | 1.0× |
| Shawano, WI | 1 | $281.79 | $281.79 | $281.79 | 1.0× |
| Shelby-Kings Mountain, NC | 1 | $308.00 | $308.00 | $308.00 | 1.0× |
| Shelbyville, TN | 1 | $166.75 | $166.75 | $166.75 | 1.0× |
| Sidney, MT single city | 1 | $226.63 | $226.63 | $226.63 | 1.0× |
| Slidell-Mandeville-Covington, LA | 1 | $58.80 | $58.80 | $58.80 | 1.0× |
| Soldotna, AK single city | 1 | $406.00 | $406.00 | $406.00 | 1.0× |
| Sparta, NC single city | 1 | $1,880.58 | $1,880.58 | $1,880.58 | 1.0× |
| Spartanburg, SC | 3 | $390.00 | $390.00 | $390.00 | 1.0× |
| Spruce Pine, NC single city | 1 | $2,602.64 | $2,602.64 | $2,602.64 | 1.0× |
| St. Johnsbury, VT single city | 1 | $277.50 | $277.50 | $277.50 | 1.0× |
| St. Joseph, MO-KS | 2 | $446.25 | $446.25 | $446.25 | 1.0× |
| Ste. Genevieve, MO single city | 1 | $300.00 | $300.00 | $300.00 | 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× |
| Summersville, WV single city | 1 | $342.00 | $342.00 | $342.00 | 1.0× |
| Syracuse, NY | 1 | $444.60 | $444.60 | $444.60 | 1.0× |
| Taylorville, IL | 1 | $429.45 | $429.45 | $429.45 | 1.0× |
| Texarkana, TX-AR | 1 | $1,324.44 | $1,324.44 | $1,324.44 | 1.0× |
| Tomahawk, WI single city | 1 | $544.05 | $544.05 | $544.05 | 1.0× |
| Traverse City, MI | 1 | $633.25 | $633.25 | $633.25 | 1.0× |
| Tullahoma-Manchester, TN | 1 | $166.75 | $166.75 | $166.75 | 1.0× |
| Two Harbors, MN single city | 1 | $688.85 | $688.85 | $688.85 | 1.0× |
| Urban Honolulu, HI | 2 | $349.80 | $535.21 | $720.61 | 2.1× |
| Utica-Rome, NY | 1 | $373.02 | $373.02 | $373.02 | 1.0× |
| Vallejo, CA | 3 | $308.56 | $308.56 | $501.82 | 1.6× |
| Warner Robins, GA | 1 | $596.00 | $596.00 | $596.00 | 1.0× |
| Warren, PA | 1 | $776.00 | $776.00 | $776.00 | 1.0× |
| Warsaw, IN | 1 | $652.54 | $652.54 | $652.54 | 1.0× |
| Washington Court House, OH | 1 | $2,558.00 | $2,558.00 | $2,558.00 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 1 | $342.00 | $342.00 | $342.00 | 1.0× |
| Waterloo-Cedar Falls, IA | 2 | $250.90 | $250.90 | $250.90 | 1.0× |
| Watford City, ND single city | 1 | $193.05 | $193.05 | $193.05 | 1.0× |
| Waupaca, WI single city | 1 | $281.79 | $281.79 | $281.79 | 1.0× |
| Wausau, WI | 2 | $544.05 | $548.53 | $553.01 | 1.0× |
| Waverly, OH single city | 1 | $1,279.00 | $1,279.00 | $1,279.00 | 1.0× |
| Weirton-Steubenville, WV-OH | 1 | $228.00 | $228.00 | $228.00 | 1.0× |
| Wellsville, NY single city | 1 | $264.00 | $264.00 | $264.00 | 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× |
| Wild Rose, WI single city | 1 | $281.79 | $281.79 | $281.79 | 1.0× |
| Winston-Salem, NC | 2 | $737.50 | $737.50 | $737.50 | 1.0× |
| Wisconsin Rapids-Marshfield, WI | 2 | $544.05 | $548.53 | $553.01 | 1.0× |
| Wolfeboro, NH single city | 1 | $244.00 | $244.00 | $244.00 | 1.0× |
| Woodruff, WI single city | 1 | $544.05 | $544.05 | $544.05 | 1.0× |
| Worcester, MA | 1 | $738.30 | $738.30 | $738.30 | 1.0× |
Common questions
What is CPT code 90679?
CPT 90679 is the billing code for RSV vaccine with adjuvant (Arexvy), one dose for older adults. 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.
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.
What does a dose of the RSV vaccine (Arexvy) cost a clinic or pharmacy?
$321.05 (Arexvy) per dose is the manufacturer's private-sector price in the CDC vaccine price list: what a clinic or pharmacy pays for the vaccine itself. The median hospital cash price, $385.13 across 423 hospitals, is 1.2× that. Giving the shot is billed separately (CPT 90471).
Is it cheaper to pay cash or use insurance for RSV vaccine (Arexvy)?
It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for RSV vaccine (Arexvy) has a median of $585.20 and the lowest a median of $221.93; at 246 of 288 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.
Which states have the cheapest RSV vaccine (Arexvy)?
Among 23 states with at least 5 hospitals listing a cash price, the median is lowest in Louisiana ($79.62), Minnesota ($131.75) and West Virginia ($228.00), and highest in Indiana ($761.04), Florida ($747.70) and North Carolina ($737.50). Prices vary as much between hospitals in the same state, so compare hospitals near you.
Other vaccine prices
Median hospital cash price, one per hospital.