Vaccines CPT 90381 Outpatient

RSV antibody shot (100 mg dose) cost in Detroit, MI

In Detroit-Warren-Dearborn, MI, 10 hospitals list a cash price for RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg): from $525.00 to $1,778.85, with a median of $750.90. The lowest listed price is at Henry Ford Health West Bloomfield Hospital and 3 other hospitals — $225.90 less than the median here. Across Michigan, the median is $750.90 at 39 hospitals.

Cash prices at 10 facilities across 8 cities for code 90381, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Jun 28, 2026.

Lowest$525.00Henry Ford Health West Bloomfield Hospital + 3 more
Median$750.90half of hospitals charge less
Highest$1,778.85in this market
Difference3.4×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 Detroit-Warren-Dearborn, MI.

median
Lowest $525.00Highest $1,778.85

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Henry Ford Health West Bloomfield Hospital lowest West Bloomfield, MI · (248) 325-1000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Jun 28, 2026 · source file $525.00 $1,835.19 $550.56–$1,835.19 71%
Henry Ford Wyandotte Hospital lowest Wyandotte, MI · (734) 246-6000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Jun 28, 2026 · source file $525.00 $1,835.19 $350.34–$1,835.19 71%
Henry Ford Macomb Hospital lowest Clinton Twp, MI · (586) 263-2300 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Jun 28, 2026 · source file $525.00 $1,835.19 $470.73–$1,835.19 71%
Henry Ford Health Hospital lowest Detroit, MI · (313) 916-2600 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Jun 28, 2026 · source file $525.00 $1,835.19 $550.56–$1,835.19 71%
McLaren Macomb Mount Clemens, MI · (586) 493-8000 Nirsevimab (RSV) 1 mL Vial -> Beyfortus RSV PF 1mL 90381 File of Dec 31, 2025 · source file $750.90 $1,501.80 $1,076.33 50%
McLaren Port Huron Port Huron, MI · (810) 987-5000 Nirsevimab (RSV) 1 mL Vial -> Beyfortus RSV PF 1mL 90381 File of Dec 31, 2025 · source file $750.90 $1,501.80 $762.91–$1,076.50 50%
McLaren Oakland Pontiac, MI · (248) 338-5000 Nirsevimab (RSV) 1 mL Vial -> Beyfortus RSV PF 1mL 90381 File of Dec 31, 2025 · source file $750.90 $1,501.80 $970.22 50%
McLaren Lapeer Region Lapeer, MI · (810) 667-5500 Nirsevimab (RSV) 1 mL Vial -> Beyfortus RSV PF 1mL 90381 File of Dec 31, 2025 · source file $750.90 $1,501.80 $1,748.03 50%
VHS Childrens Hospital of Michigan Detroit, MI · (313) 745-5437 NIRSEVIMAB-ALIP RSV MAB 1MLIJ File of Apr 6, 2026 · source file $1,057.50 $1,410.00 — 25%
St Joseph Mercy Oakland Pontiac, MI · (248) 858-3000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE File of Mar 31, 2026 · source file $1,778.85 $2,736.70 $570.59–$2,736.70 35%
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.

Outpatient: lowest $525.00, median $750.90, highest $1,778.85 — a 3.4× difference within the same market.

As an inpatient, the same code is billed by 10 facilities here, median $750.90. 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 9 of 9 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 6 it is 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).