RSV vaccine (Arexvy) cost in California
In California, 47 hospitals publish a cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults: from $123.90 to $1,066.81, with a median of $376.91. The lowest price is at Keck Hospital of USC (Los Angeles) and 1 other hospital. The highest price is 8.6× the lowest.
- The median here, $376.91, is 2% below the US median of $385.13.
- California ranks 10th of 23 states by median, cheapest first.
- 5 of 47 hospitals list a cash price equal to their full list price, with no self-pay discount.
California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.
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 Nov 8, 2026. See them on a map
Lowest$123.90Keck Hospital of USC + 1 more
Median$376.91half of hospitals charge less
Highest$1,066.81in California
Lowest saves$253.01vs 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 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Antioch Antioch · San Francisco-Oakland-Fremont, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Fremont Fremont · San Francisco-Oakland-Fremont, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Fresno Fresno · Fresno, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Manteca Manteca · Stockton-Lodi, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Modesto Modesto · Modesto, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | Apr 1, 2026 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 | Apr 1, 2026 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 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Roseville Roseville · Sacramento-Roseville-Folsom, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Sacramento Sacramento · Sacramento-Roseville-Folsom, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | Apr 1, 2026 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 | Apr 1, 2026 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 | Apr 1, 2026 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 | Apr 1, 2026 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 | Apr 1, 2026 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 | Apr 1, 2026 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 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - South Sacramento Sacramento · Sacramento-Roseville-Folsom, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | Apr 1, 2026 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 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Vacaville Vacaville · Vallejo, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | Apr 1, 2026 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 | Apr 1, 2026 source file |
| Kaiser Fnd Hospital - Richmond Campus Richmond · San Francisco-Oakland-Fremont, CA RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.56 | $551.00 | Apr 1, 2026 source file |
| Ridgecrest Regional Hospital Ridgecrest · Bakersfield-Delano, CA Rsv vacc pref recomb adjt im | $376.91 | $711.15 | Nov 6, 2026 source file |
| Northern Inyo Hospital Bishop · Bishop, CA 90679 Abrysvo Adult RSV Vaccine | $471.00 | $471.00 | Oct 1, 2024 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 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Downey Downey · Los Angeles-Long Beach-Anaheim, CA RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $499.62 | $960.81 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Fontana Fontana · Riverside-San Bernardino-Ontario, CA RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $499.62 | $960.81 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Los Angeles Los Angeles · Los Angeles-Long Beach-Anaheim, CA RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $499.62 | $960.81 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Moreno Valley Moreno Valley · Riverside-San Bernardino-Ontario, CA RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $499.62 | $960.81 | Apr 1, 2026 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 | Apr 1, 2026 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 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Riverside Riverside · Riverside-San Bernardino-Ontario, CA RSVPref3 antigen AREXVY component (2 of 2) 120 mcg Recon susp 1 Each VIAL | $499.62 | $960.81 | Apr 1, 2026 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 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Diego - Zion 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 | Apr 1, 2026 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 | Apr 1, 2026 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 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - West LA Los Angeles · Los Angeles-Long Beach-Anaheim, CA RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $499.62 | $960.81 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Woodland Hills Woodland Hills · Los Angeles-Long Beach-Anaheim, CA RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $499.62 | $960.81 | Apr 1, 2026 source file |
| Kaiser Fnd Hospital - 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 | Apr 1, 2026 source file |
| Kaiser Ontario Medical Center Campus Ontario · Riverside-San Bernardino-Ontario, CA RSVPreF3 antigen-AS01E (PF) 120 mcg/0.5 mL Recon susp 1 Each KIT | $499.62 | $960.81 | Apr 1, 2026 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 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 |
| Eisenhower Medical Center Rancho Mirage · Riverside-San Bernardino-Ontario, CA RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION, KIT | $1,066.81 | $3,232.75 | Apr 2, 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.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
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 | 11 | $308.56 | $308.56 |
| Riverside-San Bernardino-Ontario, CA | 5 | $499.62 | $499.62 |
| San Diego-Chula Vista-Carlsbad, CA | 4 | $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 |
| Bishop, CA | 1 | $471.00 | $471.00 |
| Eureka-Arcata, CA | 1 | $995.43 | $995.43 |
| Fresno, CA | 1 | $308.56 | $308.56 |
| Modesto, CA | 1 | $308.56 | $308.56 |
| Santa Rosa-Petaluma, CA | 1 | $308.56 | $308.56 |
| Stockton-Lodi, CA | 1 | $308.56 | $308.56 |
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 (Arexvy) is, what the price covers and why prices differ: RSV vaccine (Arexvy) explained.
RSV vaccine with adjuvant (Arexvy), one dose for older adults in other states
- Alaska$406.00
- Arkansas$645.12, 3 hospitals
- 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
Median cash price across the state's hospitals.