Vaccines CPT 90381 Outpatient

RSV antibody shot (100 mg dose) cost in Appleton, WI

In Appleton, WI, 2 hospitals list a cash price for RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg): from $564.66 to $564.66, with a median of $564.66. The lowest listed price is at ThedaCare Regional Medical Center-OSP and 1 other hospital. Across Wisconsin, the median is $1,023.75 at 49 hospitals.

Cash prices at 2 facilities for code 90381, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$564.66ThedaCare Regional Medical Center-OSP + 1 more
Median$564.66half pay less
Highest$564.66in this market
Difference1.0×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Appleton, WI.

median
Lowest $564.66Highest $1,131.82

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
ThedaCare Regional Medical Center-OSP lowest Appleton, WI nirsevimab-alip 100 mg/mL Sosy 1 mL Syringe $564.66 $1,008.33 $1.62–$58,699.64 44% —
source file
ThedaCare Regional Medical Center-Appleton lowest Appleton, WI · (920) 731-4101 nirsevimab-alip 100 mg/mL Sosy 1 mL Syringe $564.66 $1,008.33 $1.62–$58,699.64 44% —
source file
ThedaCare Regional Medical Center-OSP Appleton, WI RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,131.82 $2,021.10 $606.33–$1,487.53 44% —
source file
ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,131.82 $2,021.10 $606.33–$1,487.53 44% —
source file

Outpatient: lowest $564.66, median $564.66, highest $564.66.

Cash or insurance?

At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is the larger dose (100 mg) of nirsevimab (Beyfortus), an antibody shot that protects infants from severe RSV. Babies weighing 5 kg (11 lb) or more in their first RSV season get this dose, and high-risk toddlers get two of them in their second season.

What the price covers

The price is for the vaccine dose. Giving the shot is usually a separate line (code 90471 for the first vaccine of the visit, 90472 for each additional one).