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Procedure price report · Prophylactic vaccinations and inoculations

RSV vaccine, two-protein type, single shot

CPT 90678the billing code this page is about

Covers one dose of a respiratory syncytial virus vaccine made with two recombinant surface proteins, given as an injection into the muscle; the vaccine product only.

Hospitals typically charge $444 cash for this outpatient procedure — the median across 1,000 hospitals that filed a usable cash price; the average of the middle 60% is $471. Most fall between $279 and $767 (20th–80th percentile).

Hospitals
1,000
States
49
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,000 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$216$302$444$698$1,108

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($216 vs $1,108).

How the prices are spread

$166 – $206: 42 hospitals$166$206 – $257: 72 hospitals$257 – $321: 133 hospitals$257$321 – $399: 136 hospitals$399 – $498: 125 hospitals$399$498 – $620: 128 hospitals$620 – $773: 118 hospitals$620$773 – $963: 70 hospitals$963 – $1,200: 36 hospitals$963$1,200 – $1,496: 42 hospitals$1,200median $444price bands are equal on a log scale
Hospitals per price band (902 of 1,000 — the bands cover the 5th to 95th percentile)
FromToHospitals
$166$20642
$206$25772
$257$321133
$321$399136
$399$498125
$498$620128
$620$773118
$773$96370
$963$1,20036
$1,200$1,49642

By state

The median cash price in each state, against the national median of $444.

Alaska: median $637 across 11 hospitalsAK$637Maine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $227 across 10 hospitalsNH$227Washington: median $460 across 19 hospitalsWA$460Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $354 across 15 hospitalsMT$354North Dakota: median $462 across 12 hospitalsND$462Minnesota: median $331 across 52 hospitalsMN$331Illinois: median $403 across 34 hospitalsIL$403Wisconsin: median $542 across 51 hospitalsWI$542Michigan: median $497 across 41 hospitalsMI$497New York: median $465 across 51 hospitalsNY$465Massachusetts: median $661 across 16 hospitalsMA$661Oregon: median $377 across 27 hospitalsOR$377Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $450 across 10 hospitalsSD$450Iowa: median $403 across 48 hospitalsIA$403Indiana: median $555 across 45 hospitalsIN$555Ohio: median $719 across 56 hospitalsOH$719Pennsylvania: median $504 across 38 hospitalsPA$504New Jersey: 9 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $309 across 63 hospitalsCA$309Utah: 5 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $478 across 22 hospitalsCO$478Nebraska: median $376 across 20 hospitalsNE$376Missouri: median $468 across 15 hospitalsMO$468Kentucky: median $297 across 11 hospitalsKY$297West Virginia: median $358 across 21 hospitalsWV$358Virginia: median $306 across 15 hospitalsVA$306Maryland: median $722 across 11 hospitalsMD$722Delaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $732 across 10 hospitalsNM$732Kansas: median $414 across 25 hospitalsKS$414Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $302 across 14 hospitalsTN$302North Carolina: median $778 across 39 hospitalsNC$778South Carolina: median $1,496 across 21 hospitalsSC$1,496Oklahoma: median $379 across 12 hospitalsOK$379Louisiana: median $350 across 13 hospitalsLA$350Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $637 across 40 hospitalsTX$637Florida: median $630 across 26 hospitalsFL$630
Cash price by state, most expensive first. National median $444. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC21$1,496+237%$321 – $1,496
North Carolina NC39$778+75%$389 – $2,456
New Mexico NM10$732+65%$396 – $732
Maryland MD11$722+63%$406 – $911
Ohio OH56$719+62%$285 – $908
Massachusetts MA16$661+49%$316 – $1,263
Alaska AK11$637+44%$322 – $1,392
Texas TX40$637+44%$406 – $1,020
Florida FL26$630+42%$499 – $747
Indiana IN45$555+25%$332 – $660
Wisconsin WI51$542+22%$294 – $567
Pennsylvania PA38$504+14%$177 – $672
Michigan MI41$497+12%$300 – $685
Colorado CO22$478+8%$279 – $964
Missouri MO15$468+5%$276 – $532
New York NY51$465+5%$304 – $850
North Dakota ND12$462+4%$326 – $644
Washington WA19$460+4%$231 – $698
South Dakota SD10$450+1%$366 – $1,125
Kansas KS25$414−7%$243 – $552
Iowa IA48$403−9%$264 – $552
Illinois IL34$403−9%$254 – $576
Oklahoma OK12$379−15%$379 – $379
Oregon OR27$377−15%$234 – $990
Nebraska NE20$376−15%$320 – $433
West Virginia WV21$358−19%$239 – $650
Montana MT15$354−20%$257 – $457
Louisiana LA13$350−21%$244 – $3,660
Minnesota MN52$331−25%$135 – $493
California CA63$309−30%$249 – $870
Virginia VA15$306−31%$212 – $343
Tennessee TN14$302−32%$142 – $332
Kentucky KY11$297−33%$256 – $473
New Hampshire NH10$227−49%$152 – $259
Georgia GA9not enough hospitals filed a usable price
Maine ME9not enough hospitals filed a usable price
Mississippi MS9not enough hospitals filed a usable price
New Jersey NJ9not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Utah UT5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $444.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care703$443$271 – $817
Children’s15fewer than 20 hospitals
Critical access278$443$294 – $688
Ownership
For-profit61$577$279 – $1,324
Government170$432$293 – $767
Non-profit765$443$276 – $732
System affiliation
Part of a system852$450$282 – $747
Independent148$430$258 – $849

Cash price vs list price

Median list price (chargemaster)$751
Median cash price$444
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

751 hospitals filed a usable inpatient cash price for this code. The median is $481 and the average of the middle 60% is $489; most fall between $290 and $767.

Cash price percentiles, inpatient, across 751 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$221$309$481$718$1,125

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($221 vs $1,125).

Of the 818 hospitals that filed this code inpatient, 751 gave a usable cash price; 24 carried a plausibility flag, 7 filed a number their own filing marks as not a price, 0 gave an estimate, and 36 a list price only.

How complete is this

1,000 of the 3,956 hospitals with a price file in our corpus (25%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,087 hospitals that filed this code at all gave us
Usable cash price — counted1,000
Cash price carrying a plausibility flag — shown on the compare tool, excluded here32
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded9
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded46
Hospitals that filed this code1,087

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Prophylactic vaccinations and inoculations family.

Hospitals file this code under descriptions such as Rsv Vaccine Pref Subunit Bivalent for Im Use.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “RSV vaccine, two-protein type, single shot (CPT 90678) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90678-rsv-vaccine-two-protein-type-single-shot