SelfPayRates
Vaccines CPT 90381 Outpatient

RSV antibody shot (100 mg dose) cost in Dallas, TX

In Dallas-Fort Worth-Arlington, TX, 23 hospitals list a cash price for RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg): from $503.76 to $2,975.05, with a median of $980.10. The lowest listed price is at The University of Texas Southwestern Medical Center at Dallas — $476.34 less than the median here. Across Texas, the median is $980.10 at 61 hospitals.

Cash prices at 23 facilities across 14 cities for code 90381, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 28, 2026; the hospital files themselves were last updated between Mar 10, 2026 and Sep 1, 2026.

Lowest$503.76The University of Texas Southwestern Medical Center at Dallas
Median$980.10half of hospitals charge less
Highest$2,975.05in this market
Difference5.9×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 Dallas-Fort Worth-Arlington, TX.

median
Lowest $503.76Highest $2,975.05

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
The University of Texas Southwestern Medical Center at Dallas lowest Dallas, TX · (214) 633-5555 nirsevimab-alip 100 mg/mL Syrg 1 mL Syringe File of Mar 10, 2026 · source file $503.76 $1,007.52 $145.55–$2,130.98 50%
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Bedford, TX · (817) 848-4000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $176.42–$5,121.77 40%
Texas Health Presbyterian Hospital Rockwall Rockwall, TX · (469) 698-1000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $156.49–$5,121.77 40%
Texas Health Presbyterian Hospital Denton Denton, TX · (940) 898-7000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $152.90–$5,121.77 40%
Texas Health Center for Diagnostics & Surgery Plano Plano, TX NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $234.73–$5,121.77 40%
Texas Health Harris Methodist Hospital Cleburne Cleburne, TX · (817) 641-2251 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $164.66–$5,121.77 40%
Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth, TX · (817) 433-5000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $134.11–$5,121.77 40%
Texas Health Specialty Hospital Fort Worth Fort Worth, TX NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 — 40%
Texas Health Harris Methodist Hospital Fort Worth Fort Worth, TX · (817) 250-2100 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $211.70–$5,121.77 40%
Texas Health Heart & Vascular Hospital Arlington Arlington, TX NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $145.38–$5,121.77 40%
Texas Health Presbyterian Hospital Flower Mound Flower Mound, TX · (972) 419-1530 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $246.01–$5,121.77 40%
Texas Health Harris Methodist Hospital Alliance Fort Worth, TX · (682) 212-2004 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $167.76–$5,121.77 40%
Texas Health Seay Behavioral Health Center Plano Plano, TX NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $164.66–$5,121.77 40%
Texas Health Presbyterian Hospital Plano Plano, TX · (972) 981-8000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $199.94–$5,121.77 40%
Texas Health Harris Methodist Hospital Southlake Southlake, TX NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $178.87–$5,121.77 40%
Texas Health Arlington Memorial Hospital Arlington, TX · (817) 548-6200 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $164.66–$5,121.77 40%
Texas Health Presbyterian Hospital Kaufman Kaufman, TX · (972) 932-7200 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $152.90–$5,121.77 40%
Texas Health Presbyterian Hospital Dallas Dallas, TX · (214) 345-6789 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $152.90–$5,121.77 40%
Texas Health Presbyterian Hospital Allen Allen, TX · (972) 747-1000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $188.18–$5,121.77 40%
Texas Health Harris Methodist Hospital Azle Azle, TX · (817) 444-8700 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $178.87–$5,121.77 40%
Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $164.66–$5,121.77 40%
Texas Health Hospital Frisco Frisco, TX · (469) 495-2000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777] File of Apr 21, 2026 · source file $980.10 $1,633.50 $290.60–$5,121.77 40%
Medical City Dallas Dallas, TX · (972) 566-6222 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use +1 more line at this price File of Sep 1, 2026 · source file $2,975.05 $2,975.05 $208.25–$2,975.05 —
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

Outpatient: lowest $503.76, median $980.10, highest $2,975.05 — a 5.9× difference within the same market.

As an inpatient, the same code is billed by 22 facilities here, median $980.10. 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 21 of 22 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).