RSV vaccine (Arexvy) cost in Missouri
In Missouri, 2 hospitals publish a cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults: from $551.04 to $574.04, with a median of $562.54. The lowest price is at Fitzgibbon Hospital (Marshall).
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 22, 2026.
Hospitals in Missouri, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Fitzgibbon Hospital lowest 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 |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Columbia, MO | 1 | $574.04 | $574.04 |
| Marshall, MO | 1 | $551.04 | $551.04 |
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
- 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
- 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.