RSV vaccine (Arexvy) cost in Ohio
In Ohio, 36 hospitals publish a cash price for RSV vaccine with adjuvant (Arexvy), one dose for older adults: from $99.40 to $2,558.00, with a median of $354.57. The lowest price is at Metrohealth System (Cleveland). The highest price is 25.7× the lowest.
- The median here, $354.57, is 8% below the US median of $385.13.
- Ohio ranks 8th of 23 states by median, cheapest first.
- 1 of 36 hospitals list a cash price equal to their full list price, with no self-pay discount.
Ohio's Hospital Care Assurance Program (HCAP): Ohio residents who are not on Medicaid and whose income is at or below 100% of the federal poverty level get basic, medically necessary hospital services free at hospitals in the program; physician bills are not included. Ask the hospital's billing office for an HCAP application. 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 10, 2026. See them on a map
Lowest$99.40Metrohealth System
Median$354.57half of hospitals charge less
Highest$2,558.00in Ohio
Lowest saves$255.17vs the median
Hospitals in Ohio, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Metrohealth System lowest Cleveland · Cleveland, OH Respiratory Syncytial Virus (Rsv) Vaccine, Pref, Recomb, Subunit, Adjuvanted, Im Use | $99.40 | $284.00 | Apr 1, 2026 source file |
| Mercy Health Defiance Hospital Defiance · Defiance, OH HC Rsv Vaccine Pref Recombinant Subunit Adjvtd for Im Use | $205.20 | $342.00 | Apr 1, 2026 source file |
| Akron General Medical Center Akron · Akron, OH RSV VACCINE, ADJUVANTED (AREXVY) | $235.95 | $363.00 | Jun 15, 2026 source file |
| Cleveland Clinic Avon Hospital Avon · Cleveland, OH RSV VACCINE, ADJUVANTED (AREXVY) | $235.95 | $363.00 | Jun 15, 2026 source file |
| Cleveland Clinic Mercy Hospital Canton · Canton-Massillon, OH RSV VACCINE, ADJUVANTED (AREXVY) | $235.95 | $363.00 | Jun 15, 2026 source file |
| Euclid Hospital Euclid · Cleveland, OH RSV VACCINE, ADJUVANTED (AREXVY) | $235.95 | $363.00 | Jun 15, 2026 source file |
| Fairview Hospital Cleveland · Cleveland, OH RSV VACCINE, ADJUVANTED (AREXVY) | $235.95 | $363.00 | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights · Cleveland, OH RSV VACCINE, ADJUVANTED (AREXVY) | $235.95 | $363.00 | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland · Cleveland, OH RSV VACCINE, ADJUVANTED (AREXVY) | $235.95 | $363.00 | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights · Cleveland, OH RSV VACCINE, ADJUVANTED (AREXVY) | $235.95 | $363.00 | Jun 15, 2026 source file |
| Medina Hospital Medina · Cleveland, OH RSV VACCINE, ADJUVANTED (AREXVY) | $235.95 | $363.00 | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights · Cleveland, OH RSV VACCINE, ADJUVANTED (AREXVY) | $235.95 | $363.00 | Jun 15, 2026 source file |
| The Cleveland Clinic Foundation Cleveland · Cleveland, OH RSV VACCINE, ADJUVANTED (AREXVY) | $235.95 | $363.00 | Jun 16, 2026 source file |
| Union Hospital Dover · New Philadelphia-Dover, OH RSV VACCINE, ADJUVANTED (AREXVY) | $235.95 | $363.00 | Jun 15, 2026 source file |
| Kings Daughters Medical Center Ohio Portsmouth · Portsmouth, OH HCHG AREXVY RSV VACCINE 0.5ML IM 60+YRS | $274.40 | $686.00 | Sep 25, 2026 source file |
| Barnesville Hospital Association Barnesville · Wheeling, WV-OH RSV VACC PREF RECOMB ADJT IM | $342.00 | $684.00 | Jul 14, 2026 source file |
| Harrison Community Hospital Cadiz · Cadiz, OH RSV VACC PREF RECOMB ADJT IM | $342.00 | $684.00 | Jul 17, 2026 source file |
| Marietta Memorial Hospital Marietta · Marietta, OH Arexvy Rsv Vacc .5Ml | $354.57 | $590.95 | Oct 1, 2026 source file |
| Selby General Hospital Marietta · Marietta, OH Arexvy Rsv Vacc .5Ml | $354.57 | $590.95 | Oct 1, 2026 source file |
| Grady Memorial Hospital Delaware · Columbus, OH RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION, KIT | $926.35 | $1,425.15 | Apr 1, 2026 source file |
| UH Cleveland Medical Center Cleveland · Cleveland, OH HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $994.50 | $1,326.00 | Jul 14, 2026 source file |
| Lake West Hospital Willoughby · Cleveland, OH HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $998.25 | $1,331.00 | Jul 14, 2026 source file |
| Parma Community General Hospital Parma · Cleveland, OH HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $998.25 | $1,331.00 | Jul 14, 2026 source file |
| UH Regional Hospitals Chardon · Cleveland, OH HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $998.25 | $1,331.00 | Jul 14, 2026 source file |
| UH St John Medical Center Westlake · Cleveland, OH HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $998.25 | $1,331.00 | Jul 14, 2026 source file |
| University Hospitals - Elyria Medical Center Elyria · Cleveland, OH HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $998.25 | $1,331.00 | Jul 14, 2026 source file |
| University Hospitals Ahuja Medical Center Beachwood · Cleveland, OH HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $998.25 | $1,331.00 | Jul 14, 2026 source file |
| University Hospitals Beachwood Medical Center Beachwood · Cleveland, OH HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $998.25 | $1,331.00 | Jul 14, 2026 source file |
| University Hospitals Portage Medical Center Ravenna · Akron, OH HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $998.25 | $1,331.00 | Jul 14, 2026 source file |
| Adena Pike Medical Center Waverly · Waverly, OH HC Cch Rsv Vaccine Im | $1,279.00 | $2,558.00 | Aug 19, 2026 source file |
| Adena Regional Medical Center Chillicothe · Chillicothe, OH HC Cch Rsv Vaccine Im | $1,279.00 | $2,558.00 | Aug 19, 2026 source file |
| Greenfield Area Medical Center Greenfield · Greenfield, OH HC Cch Rsv Vaccine Im | $1,279.00 | $2,558.00 | Aug 19, 2026 source file |
| Avita Ontario Hospital Ontario · Mansfield, OH HC CCH RSV VACCINE IM | $1,294.55 | $1,523.00 | Mar 23, 2026 source file |
| Bucyrus Community Hospital Bucyrus · Bucyrus, OH HC CCH RSV VACCINE IM | $1,294.55 | $1,523.00 | Mar 23, 2026 source file |
| Galion Community Hospital Galion · Columbus, OH HC CCH RSV VACCINE IM | $1,294.55 | $1,523.00 | Mar 20, 2026 source file |
| Adena Fayette Medical Center Washington Court House · Washington Court House, OH HC Cch Rsv Vaccine Im | $2,558.00 | $2,558.00 | Aug 19, 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 |
|---|---|---|---|
| Cleveland, OH | 18 | $99.40 | $235.95 |
| Akron, OH | 2 | $235.95 | $617.10 |
| Columbus, OH | 2 | $926.35 | $1,110.45 |
| Marietta, OH | 2 | $354.57 | $354.57 |
| Bucyrus, OH | 1 | $1,294.55 | $1,294.55 |
| Cadiz, OH | 1 | $342.00 | $342.00 |
| Canton-Massillon, OH | 1 | $235.95 | $235.95 |
| Chillicothe, OH | 1 | $1,279.00 | $1,279.00 |
| Defiance, OH | 1 | $205.20 | $205.20 |
| Greenfield, OH | 1 | $1,279.00 | $1,279.00 |
| Mansfield, OH | 1 | $1,294.55 | $1,294.55 |
| New Philadelphia-Dover, OH | 1 | $235.95 | $235.95 |
| Portsmouth, OH | 1 | $274.40 | $274.40 |
| Waverly, OH | 1 | $1,279.00 | $1,279.00 |
| Washington Court House, OH | 1 | $2,558.00 | $2,558.00 |
| Wheeling, WV-OH | 1 | $342.00 | $342.00 |
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 Carolina$737.50
- North Dakota$312.02
- 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.