Procedure price report · Prophylactic vaccinations and inoculations

RSV vaccine with booster ingredient, single shot

CPT code CPT 90679the billing code this page is about

Covers one dose of a respiratory syncytial virus vaccine made with a recombinant surface protein plus an immune-boosting additive, given as an injection into the muscle.

Hospitals typically charge $370 cash for this outpatient procedure — the median across 536 hospitals that filed a usable cash price; the average of the middle 60% is $397. Most fall between $254 and $600 (20th–80th percentile).

Hospitals
536
States
47
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 536 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
$210$280$370$551$926

The most expensive tenth of hospitals charges at least 4.4× what the cheapest tenth charges ($210 vs $926).

How the prices are spread

$134 – $167: 7 hospitals$134$167 – $208: 19 hospitals$208 – $258: 65 hospitals$208$258 – $321: 82 hospitals$321 – $400: 103 hospitals$321$400 – $498: 54 hospitals$498 – $620: 79 hospitals$498$620 – $771: 31 hospitals$771 – $960: 24 hospitals$771$960 – $1,194: 22 hospitals$960median $370price bands are equal on a log scale
Hospitals per price band (486 of 536 — the bands cover the 5th to 95th percentile)
FromToHospitals
$134$1677
$167$20819
$208$25865
$258$32182
$321$400103
$400$49854
$498$62079
$620$77131
$771$96024
$960$1,19422

By state

The median cash price in each state, against the national median of $370.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 8 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $302 across 10 hospitalsMT$302North Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $337 across 28 hospitalsMN$337Illinois: median $358 across 19 hospitalsIL$358Wisconsin: median $544 across 43 hospitalsWI$544Michigan: median $497 across 22 hospitalsMI$497New York: median $408 across 36 hospitalsNY$408Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $321 across 15 hospitalsOR$321Nevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $358 across 35 hospitalsIA$358Indiana: median $349 across 26 hospitalsIN$349Ohio: median $926 across 35 hospitalsOH$926Pennsylvania: median $377 across 11 hospitalsPA$377New Jersey: 6 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $405 across 47 hospitalsCA$405Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: median $441 across 11 hospitalsNE$441Missouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $228 across 18 hospitalsWV$228Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 4 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $456 across 26 hospitalsNC$456South Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $370 across 11 hospitalsOK$370Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 4 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: 3 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $370. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH35$926+150%$236 – $998
Wisconsin WI43$544+47%$332 – $553
Michigan MI22$497+34%$478 – $633
North Carolina NC26$456+23%$308 – $2,603
Nebraska NE11$441+19%$378 – $563
New York NY36$408+10%$284 – $576
California CA47$405+9%$309 – $500
Pennsylvania PA11$377+2%$228 – $914
Oklahoma OK11$3700%$370 – $370
Iowa IA35$358−3%$239 – $358
Illinois IL19$358−3%$226 – $588
Indiana IN26$349−6%$284 – $616
Minnesota MN28$337−9%$124 – $455
Oregon OR15$321−13%$254 – $358
Montana MT10$302−18%$229 – $355
West Virginia WV18$228−38%$228 – $342
Kansas KS9not enough hospitals filed a usable price
Kentucky KY9not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
Washington WA8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
New Jersey NJ6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Georgia GA4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Nevada NV1not 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 $370.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care368$360$239 – $600
Children’s1fewer than 20 hospitals
Critical access167$389$282 – $596
Ownership
For-profit31$456$256 – $1,008
Government91$359$276 – $588
Non-profit414$370$251 – $567
System affiliation
Part of a system455$370$254 – $580
Independent81$374$274 – $639

Cash price vs list price

Median list price (chargemaster)$594
Median cash price$370
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

390 hospitals filed a usable inpatient cash price for this code. The median is $377 and the average of the middle 60% is $411; most fall between $256 and $613.

Cash price percentiles, inpatient, across 390 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
$218$297$377$553$943

The most expensive tenth of hospitals charges at least 4.3× what the cheapest tenth charges ($218 vs $943).

Of the 415 hospitals that filed this code inpatient, 390 gave a usable cash price; 9 carried a plausibility flag, 6 filed a number their own filing marks as not a price, 0 gave an estimate, and 10 a list price only.

How complete is this

536 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 571 hospitals that filed this code at all gave us
Usable cash price — counted536
Cash price carrying a plausibility flag — shown on the compare tool, excluded here18
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded6
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded11
Hospitals that filed this code571

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.

Hospitals file this code under descriptions such as HC Rsv Vacc Pref Recombinant Adjuvanted 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 with booster ingredient, single shot (CPT 90679) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90679-rsv-vaccine-with-booster-ingredient-single-shot