Vaccines CPT 90381 Outpatient

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

In Houston-Pasadena-The Woodlands, TX, 10 hospitals list a cash price for RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg): from $351.44 to $3,119.00, with a median of $1,859.97. The lowest listed price is at Harris Health and 1 other hospital — $1,508.53 less than the median here. Across Texas, the median is $980.10 at 61 hospitals.

Cash prices at 10 facilities across 6 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 5, 2026 and Sep 1, 2026.

Lowest$351.44Harris Health + 1 more
Median$1,859.97half pay less
Highest$3,119.00in this market
Difference8.9×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 Houston-Pasadena-The Woodlands, TX.

median
Lowest $351.44Highest $3,119.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Harris Health lowest Houston, TX · (713) 873-2000 CHG BEYFORTUS 1ML VACCINE (PEDI) $351.44 $743.00 $187.24–$650.67 53% —
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Harris Health lowest Taub Loop Houston, TX · (713) 873-2000 CHG BEYFORTUS 1ML VACCINE (PEDI) $351.44 $743.00 $187.24–$650.67 53% —
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HCA Houston Mainland Texas City, TX · (281) 332-2511 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use $1,542.39 $1,542.39 $1,178.22 — Sep 1, 2026
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HCA Houston Mainland Texas City, TX · (281) 332-2511 BEYFORTUS 1 ML IM $1,542.39 $1,542.39 $92.54–$1,388.15 — Sep 1, 2026
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HCA Houston Healthcare Clear Lake Friendswood, TX · (281) 332-2511 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use $1,542.39 $1,542.39 $1,178.22 — Sep 1, 2026
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HCA Houston Healthcare Clear Lake Friendswood, TX · (281) 332-2511 BEYFORTUS 1 ML IM $1,542.39 $1,542.39 $92.54–$1,388.15 — Sep 1, 2026
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Texas Children's Hospital Houston, TX · (832) 824-1000 nirsevimab 100 mg/mL Sosy 1 mL Syringe $1,811.93 $2,704.37 $730.18–$2,569.15 33% Mar 5, 2026
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Texas Children's Hospital Houston, TX · (832) 824-1000 nirsevimab 100 mg/mL Sosy 1 mL Syringe $1,811.93 $2,704.37 $730.18–$2,569.15 33% Mar 5, 2026
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Texas Children's Hospital Houston, TX · (832) 824-1000 nirsevimab 100 mg/mL Sosy 1 mL Syringe $1,811.93 $2,704.37 $730.18–$2,569.15 33% Mar 5, 2026
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HCA Houston Healthcare West Houston, TX · (281) 588-8080 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use $1,908.00 $1,908.00 $1,178.22 — Sep 1, 2026
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HCA Houston Healthcare West Houston, TX · (281) 588-8080 BEYFORTUS 1 ML IM $1,908.00 $1,908.00 $114.48–$1,717.20 — Sep 1, 2026
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HCA Houston Healthcare Tomball Houston, TX · (281) 351-7500 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use $2,263.40 $2,263.40 $1,178.22 — Sep 1, 2026
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HCA Houston Healthcare Tomball Houston, TX · (281) 351-7500 BEYFORTUS 1 ML IM $2,263.40 $2,263.40 $135.80–$1,923.89 — Sep 1, 2026
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HCA Houston Healthcare Northwest Spring, TX · (281) 440-1000 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use $2,340.38 $2,340.38 $1,178.22 — Sep 1, 2026
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HCA Houston Healthcare Northwest Spring, TX · (281) 440-1000 BEYFORTUS 1 ML IM $2,340.38 $2,340.38 $140.42–$1,989.32 — Sep 1, 2026
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HCA Houston Healthcare Kingwood Cleveland, TX · (281) 359-7500 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use $2,676.14 $2,676.14 $1,178.22 — Sep 1, 2026
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HCA Houston Healthcare Kingwood Cleveland, TX · (281) 359-7500 BEYFORTUS 1 ML IM $2,676.14 $2,676.14 $160.57–$2,408.53 — Sep 1, 2026
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The Womans Hospital of Texas Houston, TX · (713) 790-1234 BEYFORTUS 1 ML IM $3,119.00 $3,119.00 $187.14–$2,651.15 — Sep 1, 2026
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The Womans Hospital of Texas Houston, TX · (713) 790-1234 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use $3,119.00 $3,119.00 $630.77–$1,943.35 — Sep 1, 2026
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Outpatient: lowest $351.44, median $1,859.97, highest $3,119.00 — a 8.9× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $351.44. 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 3 of 10 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).