RSV antibody shot (100 mg dose) cost in Charlotte, NC
In Charlotte-Concord-Gastonia, NC-SC, 17 hospitals list a cash price for RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg): from $213.30 to $4,362.10, with a median of $1,177.25. The lowest listed price is at Iredell Memorial Hospital — $963.95 less than the median here. Across North Carolina, the median is $1,177.25 at 44 hospitals.
Cash prices at 17 facilities across 11 cities for code 90381, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Dec 1, 2025 and Sep 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Charlotte-Concord-Gastonia, NC-SC.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Iredell Memorial Hospital lowest Statesville, NC · (704) 878-5661 Nirsevimab (cvx 307) alip PF 100 mg/mL Susp Inj [IMH] | $213.30 | $790.00 | $180.99–$1,580.00 | 73% | Dec 31, 2025 source file |
| Iredell Memorial Hospital lowest Statesville, NC · (704) 878-5661 Nirsevimab (cvx 307) alip PF 100 mg/mL Susp Inj [IMH] | $213.30 | $790.00 | $180.99–$1,580.00 | 73% | Dec 31, 2025 source file |
| Piedmont Medical Center Rock Hill, SC · (803) 329-1234 NIRSEVIMAB-ALIP RSV MAB 1ML IJ | $243.00 | $324.00 | $1.00–$669.20 | 25% | Sep 1, 2026 source file |
| Piedmont Medical Center Fort Mill, SC · (803) 329-1234 NIRSEVIMAB-ALIP RSV MAB 1ML IJ | $243.00 | $324.00 | $1.00–$669.20 | 25% | Apr 15, 2026 source file |
| Atrium Health Lincoln Lincolnton, NC · (980) 212-2000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $1,177.25 | $2,354.50 | $265.59–$2,236.78 | 50% | Dec 1, 2025 source file |
| Atrium Health Anson Wadesboro, NC · (704) 694-5131 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $1,177.25 | $2,354.50 | $352.23–$2,236.78 | 50% | Dec 1, 2025 source file |
| Atrium Health Behavioral Health Charlotte, NC NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $1,177.25 | $2,354.50 | $447.36–$2,354.50 | 50% | Dec 4, 2025 source file |
| Atrium Health University City Charlotte, NC · (704) 548-6000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $1,177.25 | $2,354.50 | $235.45–$2,283.87 | 50% | Dec 5, 2025 source file |
| Atrium Health Pineville Charlotte, NC · (704) 379-5000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $1,177.25 | $2,354.50 | $235.45–$2,166.14 | 50% | Dec 5, 2025 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte, NC NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $1,177.25 | $2,354.50 | $513.52–$2,166.14 | 50% | Dec 4, 2025 source file |
| Carolinas Rehabilitation Charlotte, NC NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $1,177.25 | $2,354.50 | $664.20–$2,166.14 | 50% | Dec 5, 2025 source file |
| Carolinas Medical Center-Northeast Concord, NC · (704) 783-3000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $1,177.25 | $2,354.50 | $288.90–$2,236.78 | 50% | Dec 1, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $1,177.25 | $2,354.50 | $513.52–$2,119.05 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $1,177.25 | $2,354.50 | $513.52–$2,119.05 | 50% | Dec 5, 2025 source file |
| Atrium Health Union Monroe, NC · (704) 283-3100 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $1,177.25 | $2,354.50 | $306.09–$2,236.78 | 50% | Dec 4, 2025 source file |
| Carolinas Rehabilitation Belmont, NC NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $1,177.25 | $2,354.50 | $664.20–$2,166.14 | 50% | Dec 5, 2025 source file |
| Carolinas Rehabilitation Belmont, NC HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE | $1,628.38 | $3,256.75 | $918.73–$2,996.21 | 50% | Dec 5, 2025 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte, NC HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE | $1,628.38 | $3,256.75 | $710.30–$2,996.21 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE | $1,628.38 | $3,256.75 | $710.30–$2,931.08 | 50% | Dec 5, 2025 source file |
| Carolinas Medical Center-Northeast Concord, NC · (704) 783-3000 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE | $1,628.38 | $3,256.75 | $399.60–$3,093.91 | 50% | Dec 1, 2025 source file |
| Atrium Health Pineville Charlotte, NC · (704) 379-5000 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE | $1,628.38 | $3,256.75 | $325.68–$2,996.21 | 50% | Dec 5, 2025 source file |
| Atrium Health Union Monroe, NC · (704) 283-3100 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE | $1,628.38 | $3,256.75 | $423.38–$3,093.91 | 50% | Dec 4, 2025 source file |
| Atrium Health Lincoln Lincolnton, NC · (980) 212-2000 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE | $1,628.38 | $3,256.75 | $367.36–$3,093.91 | 50% | Dec 1, 2025 source file |
| Carolinas Rehabilitation Charlotte, NC HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE | $1,628.38 | $3,256.75 | $918.73–$2,996.21 | 50% | Dec 5, 2025 source file |
| Atrium Health Anson Wadesboro, NC · (704) 694-5131 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE | $1,628.38 | $3,256.75 | $487.21–$3,093.91 | 50% | Dec 1, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE | $1,628.38 | $3,256.75 | $710.30–$2,931.08 | 50% | Dec 4, 2025 source file |
| Atrium Health Behavioral Health Charlotte, NC HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE | $1,628.38 | $3,256.75 | $618.78–$3,256.75 | 50% | Dec 4, 2025 source file |
| Atrium Health University City Charlotte, NC · (704) 548-6000 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE | $1,628.38 | $3,256.75 | $325.68–$3,159.05 | 50% | Dec 5, 2025 source file |
| CaroMont Regional Medical Center - Gastonia Gastonia, NC · (704) 834-4891 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $4,362.10 | $4,362.10 | $656.50–$4,144.00 | — | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont, NC · (704) 834-4891 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $4,362.10 | $4,362.10 | $656.50–$4,144.00 | — | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly, NC · (704) 834-4891 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $4,362.10 | $4,362.10 | $656.50–$4,144.00 | — | May 11, 2026 source file |
Outpatient: lowest $213.30, median $1,177.25, highest $4,362.10 — a 20.5× difference within the same market.
As an inpatient, the same code is billed by 17 facilities here, median $1,177.25. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 14 of 17 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).