RSV vaccine (Arexvy) cost in North Carolina
In North Carolina, 25 hospitals publish a cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults: from $308.00 to $9,936.92, with a median of $737.50. The lowest price is at Atrium Health Anson (Wadesboro) and 9 other hospitals. The highest price is 32.3× the lowest.
- The median here, $737.50, is 91% above the US median of $385.13.
- North Carolina ranks 21st of 23 states by median, cheapest first.
- 5 of 25 hospitals list a cash price equal to their full list price, with no self-pay discount.
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 11, 2026. See them on a map
Lowest$308.00Atrium Health Anson + 9 more
Median$737.50half of hospitals charge less
Highest$9,936.92in North Carolina
Lowest saves$429.50vs the median
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 | $308.00 | $616.00 | Oct 28, 2026 source file |
| Atrium Health Cleveland lowest Shelby · Shelby-Kings Mountain, NC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.00 | $616.00 | Oct 28, 2026 source file |
| Atrium Health Lincoln lowest Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.00 | $616.00 | Oct 29, 2026 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.00 | $616.00 | Oct 29, 2026 source file |
| Atrium Health Pineville lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.00 | $616.00 | Oct 29, 2026 source file |
| Atrium Health Union lowest Monroe · Charlotte-Concord-Gastonia, NC-SC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.00 | $616.00 | Oct 29, 2026 source file |
| Atrium Health University City lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.00 | $616.00 | Oct 29, 2026 source file |
| Carolinas Medical Center lowest Charlotte · Charlotte-Concord-Gastonia, NC-SC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.00 | $616.00 | Oct 29, 2026 source file |
| Carolinas Medical Center-Northeast lowest Concord · Charlotte-Concord-Gastonia, NC-SC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.00 | $616.00 | Nov 4, 2026 source file |
| Stanly Regional Medical Center lowest Albermarle · Albemarle, NC HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $308.00 | $616.00 | Oct 29, 2026 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 | Apr 1, 2026 source file |
| Duke Health Raleigh Hospital Raleigh · Raleigh-Cary, NC Rsvpref3 Antigen-As01e Adj (Pf) 120 Mcg/0.5 Ml Im Susp (Arexvy) | $455.65 | $1,687.59 | Apr 1, 2026 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 HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $737.50 | $1,475.00 | Oct 30, 2026 source file |
| Alleghany County Memorial Hospital Sparta · Sparta, NC RESPIRATORY SYNCYTIAL VIRUS VACCINE, ADJUVANTED (PF) 120 MCG/0.5 ML IM SUSPENSION, KIT | $1,880.58 | $3,761.15 | Aug 12, 2025 source file |
| Angel Medical Center Franklin · Franklin, NC AREXVY VAC IM | $2,602.64 | $2,602.64 | Sep 1, 2026 source file |
| Blue Ridge Regional Hospital Spruce Pine · Spruce Pine, NC AREXVY VAC IM | $2,602.64 | $2,602.64 | Sep 1, 2026 source file |
| Highlands-Cashiers Hospital Highlands · Highlands, NC AREXVY VAC IM | $2,602.64 | $2,602.64 | Sep 1, 2026 source file |
| Mission Hospital Asheville · Asheville, NC Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use | $2,602.64 | $2,602.64 | Sep 1, 2026 source file |
| Mission Hospital McDowell Marion · Marion, NC AREXVY VAC IM | $2,602.64 | $2,602.64 | Sep 1, 2026 source file |
| Betsy Johnson Hospital Dunn · Anderson Creek, NC Arexvy | $9,936.92 | $16,561.53 | Apr 7, 2026 source file |
| Cape Fear Valley - Bladen County Hospital Elizabethtown · Elizabethtown, NC Arexvy | $9,936.92 | $16,561.53 | Mar 21, 2026 source file |
| Cape Fear Valley - Hoke Hospital Raeford · Fayetteville, NC Arexvy | $9,936.92 | $16,561.53 | Mar 30, 2026 source file |
| Cape Fear Valley Medical Center Fayetteville · Fayetteville, NC Arexvy | $9,936.92 | $16,561.53 | Mar 21, 2026 source file |
| Highsmith-Rainey Specialty Hospital Fayetteville · Fayetteville, NC Arexvy | $9,936.92 | $16,561.53 | Mar 22, 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 |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 8 | $308.00 | $308.00 |
| Fayetteville, NC | 3 | $9,936.92 | $9,936.92 |
| Winston-Salem, NC | 2 | $737.50 | $737.50 |
| Albemarle, NC | 1 | $308.00 | $308.00 |
| Anderson Creek, NC | 1 | $9,936.92 | $9,936.92 |
| Asheville, NC | 1 | $2,602.64 | $2,602.64 |
| Durham, NC | 1 | $455.65 | $455.65 |
| Elizabethtown, NC | 1 | $9,936.92 | $9,936.92 |
| Franklin, NC | 1 | $2,602.64 | $2,602.64 |
| Highlands, NC | 1 | $2,602.64 | $2,602.64 |
| Marion, NC | 1 | $2,602.64 | $2,602.64 |
| Raleigh-Cary, NC | 1 | $455.65 | $455.65 |
| Sparta, NC | 1 | $1,880.58 | $1,880.58 |
| Spruce Pine, NC | 1 | $2,602.64 | $2,602.64 |
| Shelby-Kings Mountain, NC | 1 | $308.00 | $308.00 |
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
- 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 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.