RSV Vaccine (Abrysvo / Arexvy)
Respiratory syncytial virus vaccine, recommended as a one-time dose for adults 60 and older to reduce risk of severe lower-respiratory illness.
Typical insured price · Colorado
What hospitals actually accept from insurers, between the 25th and 75th percentile of per-hospital medians with a median of $442.
Based on only 2 reporting hospitals.
Cash price (median)
—
What you'd pay self-pay
Gross charge (median)
—
The chargemaster sticker
vs Medicare
—
Coming with enrichment
Sourced from 2 Colorado hospitals publishing under 45 CFR §180.50.
At a glance
- Code
- CPT 90679
- Code system
- CPT (Current Procedural Terminology)
- Typical setting
- an outpatient setting
- Hospitals reporting
- 2
How they price RSV Vaccine (Abrysvo / Arexvy)
2 Colorado hospitals report pricing for RSV Vaccine (Abrysvo / Arexvy). The Colorado median is $442 — half of reporting hospitals are at or below that figure.
What affects the price
Structural and contractual factors that move the price for this code — not clinical reasons.
- Outpatient setting (hospital outpatient department, ambulatory surgery center, or office) is the single biggest non-clinical price driver — the same code in a hospital outpatient department often costs 2–4× the ambulatory-surgery-center rate.
- In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
- Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
- Bundled vs unbundled billing — the rate may or may not include radiology read, anesthesia, or pathology. Ask which professional services are included.
Where to get it
Sorted by median negotiated rate, low to high. The bar shows each hospital’s position in the Colorado range.
2 hospitals listed
Medians shown combine all commercial payers; your plan's rate may differ. Choose your insurance carrier to filter.
Carriers named by their MRF label. Confirm in-network status with your insurer before scheduling.
| Compare | Hospital | Metro | Position · Median | Your carrier's rate | Negotiated band | Cash | Payers |
|---|---|---|---|---|---|---|---|
Boulder Community Health Foothills Hospital
| Boulder | $329 | — | $286 – $336 | — | 5 | |
Denver Health Medical Center
| Denver Metro | $554 | — | $524 – $574 | — | 3 |
0 of 3 hospitals selected
Prices by metro: Denver MetroBoulder
What to do next
Ask the hospital for a Good Faith Estimate — under the federal No Surprises Act, hospitals must give uninsured and self-pay patients a written estimate for scheduled care. If you're insured, ask your insurer for your expected cost-sharing in advance, confirm the hospital is in-network, and bring your insurance card.
Common questions
Short answers, derived from the data on this page. See the full FAQ for site-wide questions.
Is the doctor's fee included in these prices?
Vaccines are usually administered by hospital staff with no separate physician fee — the price shown is typically for the vaccine itself. Confirm when scheduling whether an office-visit or administration fee applies.
Does insurance change what I'd pay?
Yes. The negotiated rate depends on which insurer and plan you have, and what you actually pay depends on your deductible, coinsurance, and whether the hospital is in your network. Colorado hospitals publish negotiated rates for RSV Vaccine (Abrysvo / Arexvy) under 5 different payer names. Verify coverage with your insurer before scheduling. Choose your insurance carrier above the hospital table to see per-insurer rates.
Is this a price quote?
No. These are rates hospitals have published under the federal price-transparency rule — they show what insurers have negotiated, not what you will be billed. Your bill depends on your plan, deductible, in-network status, and clinical circumstances. Verify the price with the hospital and confirm coverage with your insurer before scheduling.
What are my rights if the bill doesn't match?
If you're uninsured or paying cash, the federal No Surprises Act gives you the right to a written Good Faith Estimate before scheduled care — and if the final bill is at least $400 over that estimate, you can dispute it. Most insured patients are also protected from surprise bills for emergency care and certain out-of-network care at in-network facilities.
What does CPT 90679 mean?
CPT 90679 is the CPT (Current Procedural Terminology) code for RSV Vaccine (Abrysvo / Arexvy). It identifies the procedure for billing and price-disclosure purposes — every hospital's machine-readable file reports rates against this code.
Browse related collections
The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.