RSV vaccine (Arexvy) cost in Missouri
In Missouri, 7 hospitals publish a cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults: from $117.01 to $574.04, with a median of $446.25. The lowest price is at Phelps Health (Rolla). The highest price is 4.9× the lowest.
- The median here, $446.25, is 16% above the US median of $385.13.
- Missouri ranks 17th of 23 states by median, cheapest first.
- Every hospital here lists a cash price below its full list price.
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 29, 2026. See them on a map
Lowest$117.01Phelps Health
Median$446.25half of hospitals charge less
Highest$574.04in Missouri
Lowest saves$329.24vs the median
Hospitals in Missouri, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Phelps Health lowest Rolla · Rolla, MO RSV VACC PREF RECOMB ADJT IM | $117.01 | $167.16 | Feb 26, 2026 source file |
| Ste. Genevieve County Memorial Hospital Ste. Genevieve · Ste. Genevieve, MO PREFUSION F (RSV) VACCINE | $300.00 | $600.00 | May 19, 2026 source file |
| Heartland Long Term Acute Hospital St. Joseph · St. Joseph, MO-KS HC RSV VACC PREF RECOMB ADJT IM | $446.25 | $525.00 | Jun 23, 2026 source file |
| Mosaic Life Care at St Joseph Medical Center St. Joseph · St. Joseph, MO-KS HC RSV VACC PREF RECOMB ADJT IM | $446.25 | $525.00 | Sep 26, 2025 source file |
| Poplar Bluff Regional Medical Center Poplar Bluff · Poplar Bluff, MO 58160-0848-11 - RSV vaccine preF3, recombinant pre | $467.91 | $2,228.12 | Apr 1, 2026 source file |
| Fitzgibbon Hospital Marshall · Marshall, MO Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use | $551.04 | $688.80 | Feb 2, 2026 source file |
| Curators of the University of Missouri Columbia · Columbia, MO respiratory syncytial virus vaccine (Arexvy) 0.5 mL Inj | $574.04 | $956.73 | Dec 15, 2025 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 |
|---|---|---|---|
| St. Joseph, MO-KS | 2 | $446.25 | $446.25 |
| Columbia, MO | 1 | $574.04 | $574.04 |
| Marshall, MO | 1 | $551.04 | $551.04 |
| Poplar Bluff, MO | 1 | $467.91 | $467.91 |
| Rolla, MO | 1 | $117.01 | $117.01 |
| Ste. Genevieve, MO | 1 | $300.00 | $300.00 |
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
- 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
- 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.