Vaccines CPT 90381 Inpatient — admitted to hospital

RSV antibody shot (100 mg dose) cost in Madison, WI — inpatient

In Madison, WI, 1 hospital lists a cash price for RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) as an inpatient: from $1,023.75 to $1,023.75, with a median of $1,023.75. Across Wisconsin, the median is $1,023.75 at 49 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$1,023.75Aspirus Divine Savior Hospital
Median$1,023.75half pay less
Highest$1,023.75in this market
Difference1.0×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 Madison, WI.

median
Lowest $1,023.75Highest $1,137.29

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Aspirus Divine Savior Hospital lowest Portage, WI · (608) 742-4131 Fac Rsv Monoclonal Antb Seasonal Dose 1 Ml Im Use $1,023.75 $1,575.00 — 35% Apr 1, 2026
source file
Aspirus Divine Savior Hospital Portage, WI · (608) 742-4131 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY $1,137.29 $1,749.67 — 35% Apr 1, 2026
source file

Inpatient: lowest $1,023.75, median $1,023.75, highest $1,023.75.

As an outpatient, the same code is billed by 1 facility here, median $1,023.75 — that is the price to compare if you are not being admitted.

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).