Vaccines CPT 90381 Outpatient

RSV antibody shot (100 mg dose) cost in Cleveland, OH

In Cleveland, OH, 14 hospitals list a cash price for RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg): from $123.90 to $1,569.00, with a median of $1,352.00. The lowest listed price is at Ashtabula County Medical Center — $1,228.10 less than the median here. Across Ohio, the median is $1,196.36 at 40 hospitals.

Cash prices at 14 facilities across 9 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 Apr 1, 2026 and Sep 8, 2026.

Lowest$123.90Ashtabula County Medical Center
Median$1,352.00half pay less
Highest$1,569.00in this market
Difference12.7×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 Cleveland, OH.

median
Lowest $123.90Highest $1,569.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Ashtabula County Medical Center lowest Ashtabula, OH · (440) 997-2262 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $123.90 $177.00 $44.60–$166.38 30% Sep 8, 2026
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Metrohealth System Cleveland, OH · (216) 778-7089 Beyfortus: 1 Syringe In 1 Carton (49281-574-88) / 1 Ml In 1 Syringe $355.60 $1,016.00 — 65% Apr 1, 2026
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Metrohealth System Cleveland, OH · (216) 778-7089 Beyfortus: 5 Syringe In 1 Carton (49281-574-15) / 1 Ml In 1 Syringe $355.60 $1,016.00 — 65% Apr 1, 2026
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Metrohealth System Cleveland, OH · (216) 778-7089 Respiratory Syncytial Virus (Rsv), Monoclonal Antibody, Seasonal Dose; 1Ml, Im Use $355.60 $1,016.00 — 65% Apr 1, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $354.43–$2,080.00 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $323.23–$2,080.00 35% Jun 15, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $588.22–$2,080.00 35% Jun 15, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $588.22–$2,080.00 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $323.23–$2,080.00 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $354.43–$2,080.00 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $354.43–$2,080.00 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $354.43–$2,080.00 35% Jun 15, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $453.44–$2,080.00 35% Jun 16, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $453.44–$2,080.00 35% Jun 16, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $323.23–$2,080.00 35% Jun 15, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $323.23–$2,080.00 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $354.43–$2,080.00 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $354.43–$2,080.00 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $301.39–$2,080.00 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $301.39–$2,080.00 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $354.43–$2,080.00 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $354.43–$2,080.00 35% Jun 15, 2026
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Euclid Hospital Euclid, OH · (216) 531-9000 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $354.43–$2,080.00 35% Jun 15, 2026
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Euclid Hospital Euclid, OH · (216) 531-9000 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,352.00 $2,080.00 $354.43–$2,080.00 35% Jun 15, 2026
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Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $605.82–$2,142.21 35% Jun 15, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $332.90–$2,142.21 35% Jun 15, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $332.90–$2,142.21 35% Jun 15, 2026
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Euclid Hospital Euclid, OH · (216) 531-9000 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $365.03–$2,142.21 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $365.03–$2,142.21 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $365.03–$2,142.21 35% Jun 15, 2026
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Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $605.82–$2,142.21 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $332.90–$2,142.21 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $365.03–$2,142.21 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $365.03–$2,142.21 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $365.03–$2,142.21 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $365.03–$2,142.21 35% Jun 15, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $605.82–$2,142.21 35% Jun 15, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $605.82–$2,142.21 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $332.90–$2,142.21 35% Jun 15, 2026
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Euclid Hospital Euclid, OH · (216) 531-9000 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $365.03–$2,142.21 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $310.41–$2,142.21 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $365.03–$2,142.21 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $365.03–$2,142.21 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $1,392.44 $2,142.21 $310.41–$2,142.21 35% Jun 15, 2026
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UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,569.00 $2,092.00 $698.73–$1,882.80 25% Jul 14, 2026
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UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,569.00 $2,092.00 $564.84–$5,346.00 25% Jul 14, 2026
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Outpatient: lowest $123.90, median $1,352.00, highest $1,569.00 — a 12.7× difference within the same market.

As an inpatient, the same code is billed by 14 facilities here, median $1,352.00. 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 13 of 13 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).