What is the typical price for RSV Vaccine (Abrysvo / Arexvy) in Colorado?

Across 2 Colorado hospitals reporting a commercial negotiated rate for CPT 90679, the 25th-to-75th percentile band runs $386 to $498 per hospital median. The 50th-percentile (Colorado median) is $442.

Is RSV Vaccine (Abrysvo / Arexvy) covered by Medicare?

RSV Vaccine (Abrysvo / Arexvy) is on Medicare's preventive-services list, which generally means no patient cost-sharing under Original Medicare or Medicare Advantage when the eligibility rules are met. Verify with your specific plan — frequency limits and clinical criteria still apply.

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 MRF reports rates against this code.

RSV Vaccine (Abrysvo / Arexvy)

CPT 906792 Colorado hospitals reporting

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

$386to$498

What hospitals actually accept from insurers, between the 25th and 75th percentile — half of negotiated rates fall in this window with a median of $442.

$386$498

Cash price (median)

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What you'd pay self-pay

Gross charge (median)

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The chargemaster sticker

vs Medicare

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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
Medicare preventive: Yes — typically no cost-sharing

How they price RSV Vaccine (Abrysvo / Arexvy)

Across 2 Colorado hospitals that publish a commercial negotiated rate for CPT 90679, the typical insured price for RSV Vaccine (Abrysvo / Arexvy) runs $386 to $498 (the 25th-to-75th percentile of per-hospital medians). 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, anaesthesia, 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

Pin a plan

Plans named by their MRF label. Confirm in-network status with your insurer before scheduling.

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Hospital	Position · Median	Negotiated band	Cash	Payers
Boulder Community Health Foothills Hospital Median negotiated $329 25th–75th $286 – $336 Cash — Payers 5	$329	$286 – $336	—	5
Denver Health Medical Center Median negotiated $554 25th–75th $524 – $574 Cash — Payers 3	$554	$524 – $574	—	3

Common questions

Short answers, derived from the data on this page. See the full FAQ for site-wide questions.

What is the typical price for RSV Vaccine (Abrysvo / Arexvy) in Colorado?: Across 2 Colorado hospitals reporting a commercial negotiated rate for CPT 90679, the 25th-to-75th percentile band runs $386 to $498 per hospital median. The 50th-percentile (Colorado median) is $442.
Is RSV Vaccine (Abrysvo / Arexvy) covered by Medicare?: RSV Vaccine (Abrysvo / Arexvy) is on Medicare's preventive-services list, which generally means no patient cost-sharing under Original Medicare or Medicare Advantage when the eligibility rules are met. Verify with your specific plan — frequency limits and clinical criteria still apply.
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 MRF reports rates against this code.

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