Vaccines CPT 90381 Inpatient — admitted to hospital

RSV antibody shot (100 mg dose) cost in Kapaa, HI — inpatient

In Kapaa, HI, 1 hospital lists a cash price for RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) as an inpatient: from $1,253.30 to $1,253.30, with a median of $1,253.30. Across Hawaii, the median is $1,253.30 at 6 hospitals.

Cash prices at 1 facility for code 90381, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 12, 2026 and Feb 12, 2026.

Lowest$1,253.30Wilcox Memorial Hospital
Median$1,253.30half pay less
Highest$1,253.30in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Wilcox Memorial Hospital Lihue, HI · (808) 245-1100 Nirsevimab-alip IM Soln Prefilled Syringe 100 MG/ML $1,253.30 $2,088.83 $586.96–$1,879.95 40% Feb 12, 2026
source file

Inpatient: lowest $1,253.30, median $1,253.30, highest $1,253.30.

As an outpatient, the same code is billed by 1 facility here, median $1,253.30 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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).