RSV vaccine (Arexvy) cost in California
In California, 45 hospitals publish a cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults: from $123.90 to $995.43, with a median of $308.56. The lowest price is at Keck Hospital of USC (Los Angeles) and 1 other hospital. The highest price is 8.0× the lowest.
Outpatient cash prices, one line per hospital — its lowest listed price for code 90679. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 23, 2026.
Lowest$123.90Keck Hospital of USC + 1 more
Median$308.56half pay less
Highest$995.43in California
Lowest saves$184.66vs the median
Hospitals in California, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Keck Hospital of USC lowest Los Angeles · Los Angeles-Long Beach-Anaheim, CA Rsv Vaccine, Pref A-Pref B, Recombinant Preservative-Free 60 Mcg-60 Mcg Inject | $123.90 | $123.90 | Apr 1, 2026 source file |
| USC Kenneth Norris Jr Cancer Hospital lowest Los Angeles · Los Angeles-Long Beach-Anaheim, CA Abrysvo: 1 Tray In 1 Carton (0069-0344-01) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01) | $123.90 | $123.90 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital & Rehab Center - Vallejo Vallejo · Vallejo, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - Antioch Antioch · San Francisco-Oakland-Fremont, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - Fremont Fremont · San Francisco-Oakland-Fremont, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - Fresno Fresno · Fresno, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - Manteca Manteca · Stockton-Lodi, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - Modesto Modesto · Modesto, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - Oakland/Richmond Oakland · San Francisco-Oakland-Fremont, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - Redwood City Redwood City · San Francisco-Oakland-Fremont, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - Richmond Campus Richmond · Richmond, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - Roseville Roseville · Sacramento-Roseville-Folsom, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - Sacramento Sacramento · Sacramento-Roseville-Folsom, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - San Francisco San Francisco · San Francisco-Oakland-Fremont, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - San Jose San Jose · San Jose-Sunnyvale-Santa Clara, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - San Leandro San Leandro · San Francisco-Oakland-Fremont, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - San Rafael San Rafael · San Francisco-Oakland-Fremont, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - Santa Clara Santa Clara · San Jose-Sunnyvale-Santa Clara, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - Santa Rosa Santa Rosa · Santa Rosa-Petaluma, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - South Sacramento Sacramento · Sacramento-Roseville-Folsom, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - South San Francisco South San Francisco · San Francisco-Oakland-Fremont, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - Vacaville Vacaville · Vallejo, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Kaiser Foundation Hospital - Walnut Creek Walnut Creek · San Francisco-Oakland-Fremont, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | — source file |
| Ridgecrest Regional Hospital Ridgecrest · Bakersfield-Delano, CA Rsv vacc pref reomb adjt im | $376.91 | $711.15 | Sep 11, 2026 source file |
| Kaiser Foundation Hospital - Baldwin Park Baldwin Park · Los Angeles-Long Beach-Anaheim, CA RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $499.62 | $960.81 | — source file |
| Kaiser Foundation Hospital - Downey Downey · Los Angeles-Long Beach-Anaheim, CA RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $499.62 | $960.81 | — source file |
| Kaiser Foundation Hospital - Fontana Fontana · Riverside-San Bernardino-Ontario, CA RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $499.62 | $960.81 | — source file |
| Kaiser Foundation Hospital - Los Angeles Los Angeles · Los Angeles-Long Beach-Anaheim, CA RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $499.62 | $960.81 | — source file |
| Kaiser Foundation Hospital - Moreno Valley Moreno Valley · Riverside-San Bernardino-Ontario, CA RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $499.62 | $960.81 | — source file |
| Kaiser Foundation Hospital - Ontario Ontario · Ontario, CA RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $499.62 | $960.81 | — source file |
| Kaiser Foundation Hospital - Orange County - Anaheim Anaheim · Los Angeles-Long Beach-Anaheim, CA RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $499.62 | $960.81 | — source file |
| Kaiser Foundation Hospital - Orange County - Irvine Irvine · Los Angeles-Long Beach-Anaheim, CA RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $499.62 | $960.81 | — source file |
| Kaiser Foundation Hospital - Panorama City Panorama City · Los Angeles-Long Beach-Anaheim, CA RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $499.62 | $960.81 | — source file |
| Kaiser Foundation Hospital - Riverside Riverside · Riverside-San Bernardino-Ontario, CA RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $499.62 | $960.81 | — source file |
| Kaiser Foundation Hospital - San Diego - Clairemont Mesa San Diego · San Diego-Chula Vista-Carlsbad, CA RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $499.62 | $960.81 | — source file |
| Kaiser Foundation Hospital - San Diego - Zion San Diego · San Diego-Chula Vista-Carlsbad, CA RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $499.62 | $960.81 | — source file |
| Kaiser Foundation Hospital - San Marcos San Marcos · San Diego-Chula Vista-Carlsbad, CA RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $499.62 | $960.81 | — source file |
| Kaiser Foundation Hospital - South Bay Harbor City · Los Angeles-Long Beach-Anaheim, CA RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $499.62 | $960.81 | — source file |
| Kaiser Foundation Hospital - West la Los Angeles · Los Angeles-Long Beach-Anaheim, CA RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $499.62 | $960.81 | — source file |
| Kaiser Foundation Hospital - Woodland Hills Woodland Hills · Los Angeles-Long Beach-Anaheim, CA RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $499.62 | $960.81 | — source file |
| NorthBay Medical Center Fairfield · Vallejo, CA *Arexvy 0.5Ml | $501.82 | $501.82 | Apr 1, 2026 source file |
| Stanford Health Care Stanford · San Jose-Sunnyvale-Santa Clara, CA Rsv Arexvy 120mcg/0.5ml Im | $686.40 | $1,716.00 | Apr 1, 2026 source file |
| UC San Diego Medical Center San Diego · San Diego-Chula Vista-Carlsbad, CA Vaccine Rsv Pref Recombinant Adjuvanted for Im Use ( Arexvy) | $810.52 | $1,473.67 | Apr 1, 2026 source file |
| Chinese Hospital Association San Francisco · San Francisco-Oakland-Fremont, CA Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use | $942.00 | $942.00 | Jul 22, 2026 source file |
| Providence Redwood Memorial Hospital Fortuna · Eureka-Arcata, CA HC PR RX RSV PREF RECOMB IM 1 EA | $995.43 | $1,951.82 | Apr 1, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Los Angeles-Long Beach-Anaheim, CA | 11 | $123.90 | $499.62 |
| San Francisco-Oakland-Fremont, CA | 10 | $308.56 | $308.56 |
| San Diego-Chula Vista-Carlsbad, CA | 4 | $499.62 | $499.62 |
| Riverside-San Bernardino-Ontario, CA | 3 | $499.62 | $499.62 |
| Sacramento-Roseville-Folsom, CA | 3 | $308.56 | $308.56 |
| San Jose-Sunnyvale-Santa Clara, CA | 3 | $308.56 | $308.56 |
| Vallejo, CA | 3 | $308.56 | $308.56 |
| Bakersfield-Delano, CA | 1 | $376.91 | $376.91 |
| Eureka-Arcata, CA | 1 | $995.43 | $995.43 |
| Fresno, CA | 1 | $308.56 | $308.56 |
| Modesto, CA | 1 | $308.56 | $308.56 |
| Ontario, CA | 1 | $499.62 | $499.62 |
| Richmond, CA | 1 | $308.56 | $308.56 |
| Santa Rosa-Petaluma, CA | 1 | $308.56 | $308.56 |
| Stockton-Lodi, CA | 1 | $308.56 | $308.56 |
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).
RSV vaccine with adjuvant (Arexvy), one dose for older adults in other states
- Alaska$875.23
- Arizona$305.76
- Arkansas$297.00
- 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
Median cash price across the state's hospitals.