Vaccines CPT 90381 Inpatient — admitted to hospital

RSV antibody shot (100 mg dose) cost in Charlotte, NC — inpatient

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) as an inpatient: 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 inpatient (admitted to hospital) . Collected Sep 29, 2026; the hospital files themselves were last updated between Dec 1, 2025 and Sep 1, 2026.

Lowest$213.30Iredell Memorial Hospital
Median$1,177.25half of hospitals charge less
Highest$4,362.10in this market
Difference20.5×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 Charlotte-Concord-Gastonia, NC-SC.

median
Lowest $213.30Highest $4,362.10

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Iredell Memorial Hospital lowest Statesville, NC · (704) 878-5661 Nirsevimab (cvx 307) alip PF 100 mg/mL Susp Inj [IMH] File of Dec 31, 2025 · source file $213.30 $790.00 $180.99–$1,580.00 73%
Piedmont Medical Center Fort Mill, SC · (803) 329-1234 NIRSEVIMAB-ALIP RSV MAB 1ML IJ File of Apr 15, 2026 · source file $243.00 $324.00 $1.00–$669.20 25%
Piedmont Medical Center Rock Hill, SC · (803) 329-1234 NIRSEVIMAB-ALIP RSV MAB 1ML IJ File of Sep 1, 2026 · source file $243.00 $324.00 $1.00–$669.20 25%
Atrium Health Anson Wadesboro, NC · (704) 694-5131 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE File of Dec 1, 2025 · source file $1,177.25 $2,354.50 $713.41–$2,236.78 50%
Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte, NC NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE File of Dec 4, 2025 · source file $1,177.25 $2,354.50 $713.41–$2,166.14 50%
Carolinas Rehabilitation Belmont, NC NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE File of Dec 5, 2025 · source file $1,177.25 $2,354.50 $788.76–$2,166.14 50%
Atrium Health Lincoln Lincolnton, NC · (980) 212-2000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE File of Dec 1, 2025 · source file $1,177.25 $2,354.50 $675.04–$2,236.78 50%
Atrium Health Behavioral Health Charlotte, NC NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE File of Dec 4, 2025 · source file $1,177.25 $2,354.50 $729.90–$2,071.96 50%
Atrium Health University City Charlotte, NC · (704) 548-6000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE File of Dec 5, 2025 · source file $1,177.25 $2,354.50 $713.41–$2,166.14 50%
Atrium Health Pineville Charlotte, NC · (704) 379-5000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE File of Dec 5, 2025 · source file $1,177.25 $2,354.50 $713.41–$2,166.14 50%
Carolinas Rehabilitation Charlotte, NC NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE File of Dec 5, 2025 · source file $1,177.25 $2,354.50 $788.76–$2,166.14 50%
Carolinas Medical Center-Northeast Concord, NC · (704) 783-3000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE File of Dec 1, 2025 · source file $1,177.25 $2,354.50 $713.41–$2,236.78 50%
Carolinas Medical Center Charlotte, NC · (704) 355-2000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Dec 4, 2025 · source file $1,177.25 $2,354.50 $713.41–$2,119.05 50%
Atrium Health Union Monroe, NC · (704) 283-3100 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE File of Dec 4, 2025 · source file $1,177.25 $2,354.50 $713.41–$2,236.78 50%
Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte, NC HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE File of Dec 4, 2025 · source file $1,628.38 $3,256.75 $986.80–$2,996.21 50%
Atrium Health Lincoln Lincolnton, NC · (980) 212-2000 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE File of Dec 1, 2025 · source file $1,628.38 $3,256.75 $933.71–$3,093.91 50%
Atrium Health Pineville Charlotte, NC · (704) 379-5000 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE File of Dec 5, 2025 · source file $1,628.38 $3,256.75 $986.80–$2,996.21 50%
Carolinas Rehabilitation Belmont, NC HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE File of Dec 5, 2025 · source file $1,628.38 $3,256.75 $1,091.01–$2,996.21 50%
Atrium Health Anson Wadesboro, NC · (704) 694-5131 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE File of Dec 1, 2025 · source file $1,628.38 $3,256.75 $986.80–$3,093.91 50%
Carolinas Rehabilitation Charlotte, NC HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE File of Dec 5, 2025 · source file $1,628.38 $3,256.75 $1,091.01–$2,996.21 50%
Carolinas Medical Center-Northeast Concord, NC · (704) 783-3000 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE File of Dec 1, 2025 · source file $1,628.38 $3,256.75 $986.80–$3,093.91 50%
Atrium Health Union Monroe, NC · (704) 283-3100 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE File of Dec 4, 2025 · source file $1,628.38 $3,256.75 $986.80–$3,093.91 50%
Atrium Health Behavioral Health Charlotte, NC HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE File of Dec 4, 2025 · source file $1,628.38 $3,256.75 $1,009.59–$2,865.94 50%
Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE+1 more line at this price File of Dec 4, 2025 · source file $1,628.38 $3,256.75 $986.80–$2,931.08 50%
Atrium Health University City Charlotte, NC · (704) 548-6000 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE File of Dec 5, 2025 · source file $1,628.38 $3,256.75 $986.80–$2,996.21 50%
Gaston Memorial Hospital Belmont, NC · (704) 834-4891 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE File of May 11, 2026 · source file $4,362.10 $4,362.10 $3,454.78–$4,144.00 —
Gaston Memorial Hospital Mount Holly, NC · (704) 834-4891 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE File of May 11, 2026 · source file $4,362.10 $4,362.10 — —
CaroMont Regional Medical Center - Gastonia Gastonia, NC · (704) 834-4891 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE File of May 11, 2026 · source file $4,362.10 $4,362.10 $3,454.78–$4,144.00 —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Inpatient: lowest $213.30, median $1,177.25, highest $4,362.10 — a 20.5× difference within the same market.

As an outpatient, the same code is billed by 17 facilities here, median $1,177.25 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 14 of 16 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).