Vaccines CPT 90381 Inpatient — admitted to hospital

RSV antibody shot (100 mg dose) cost in Nashville, TN — inpatient

In Nashville-Davidson--Murfreesboro--Franklin, TN, 3 hospitals list a cash price for RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) as an inpatient: from $512.83 to $1,901.98, with a median of $954.93. The lowest listed price is at Vanderbilt Wilson County Hospital — $442.10 less than the median here. Across Tennessee, the median is $547.69 at 16 hospitals.

Cash prices at 3 facilities across 2 cities for code 90381, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Oct 1, 2025 and Sep 1, 2026.

Lowest$512.83Vanderbilt Wilson County Hospital
Median$954.93half pay less
Highest$1,901.98in this market
Difference3.7×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 Nashville-Davidson--Murfreesboro--Franklin, TN.

median
Lowest $512.83Highest $1,901.98

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $512.83 $1,768.38 $530.51–$1,591.54 71% Oct 1, 2025
source file
Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 BEYFORTUS 100 MG/ML INTRAMUSCULAR SYRINGE $954.93 $1,768.38 $530.51–$1,591.54 46% Oct 1, 2025
source file
Metro Nashville General Hospital Nashville, TN · (615) 341-4000 Med Charge (RSV) -> 90381 RSV 1mL im $1,901.98 $3,169.96 — 40% Sep 1, 2026
source file

Inpatient: lowest $512.83, median $954.93, highest $1,901.98 — a 3.7× difference within the same market.

As an outpatient, the same code is billed by 3 facilities here, median $954.93 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 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).