RSV vaccine (Arexvy) cost in North Carolina
In North Carolina, 15 hospitals publish a cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults: from $307.63 to $893.48, with a median of $307.63. The lowest price is at Atrium Health Anson (Wadesboro) and 9 other hospitals. The highest price is 2.9× 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 24, 2026.
Hospitals in North Carolina, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Atrium Health Anson lowest Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $307.63 | $615.25 | Dec 1, 2025 source file |
| Atrium Health Cleveland lowest Shelby · Shelby-Kings Mountain, NC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $307.63 | $615.25 | Dec 1, 2025 source file |
| Atrium Health Lincoln lowest Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $307.63 | $615.25 | Dec 1, 2025 source file |
| Atrium Health Pineville lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $307.63 | $615.25 | Dec 5, 2025 source file |
| Atrium Health Union lowest Monroe · Charlotte-Concord-Gastonia, NC-SC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $307.63 | $615.25 | Dec 4, 2025 source file |
| Carolinas Medical Center lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $307.63 | $615.25 | Dec 4, 2025 source file |
| Carolinas Medical Center-Northeast lowest Concord · Charlotte-Concord-Gastonia, NC-SC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $307.63 | $615.25 | Dec 1, 2025 source file |
| Carolinas Rehabilitation lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $307.63 | $615.25 | Dec 5, 2025 source file |
| Carolinas Rehabilitation lowest Belmont · Charlotte-Concord-Gastonia, NC-SC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $307.63 | $615.25 | Dec 5, 2025 source file |
| Carolinas Rehabilitation lowest Concord · Concord, NC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $307.63 | $615.25 | Dec 5, 2025 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.00 | $616.00 | Sep 15, 2026 source file |
| Duke University Hospital Raleigh · Raleigh-Cary, NC Rsvpref3 Antigen-As01e Adj (Pf) 120 Mcg/0.5 Ml Im Susp (Arexvy) | $455.65 | $1,687.59 | — source file |
| Duke University Hospital Durham · Durham, NC Rsvpref3 Antigen-As01e Adj (Pf) 120 Mcg/0.5 Ml Im Susp (Arexvy) | $455.65 | $1,687.59 | — source file |
| North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $737.50 | $1,475.00 | Oct 8, 2025 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC RESPIRATORY SYNCYTIAL VIRUS VACCINE, ADJUVANTED (PF) 120 MCG/0.5 ML IM SUSPENSION, KIT | $893.48 | $1,786.95 | Oct 21, 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 |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 8 | $307.63 | $307.63 |
| Winston-Salem, NC | 2 | $737.50 | $815.49 |
| Albemarle, NC | 1 | $308.00 | $308.00 |
| Concord, NC | 1 | $307.63 | $307.63 |
| Durham, NC | 1 | $455.65 | $455.65 |
| Raleigh-Cary, NC | 1 | $455.65 | $455.65 |
| Shelby-Kings Mountain, NC | 1 | $307.63 | $307.63 |
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
- Missouri$562.54
- Montana$355.20
- Nebraska$385.13
- New Hampshire$273.14
- New Jersey$596.14
- New York$407.74
- 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.